NPPES file of Aug 9, 2026

Nathan Thomas Gilmore, MD

Emergency Medical Services (Emergency Medicine) Physician · Dana Point, CA

Nathan Thomas Gilmore, MD is an emergency medical services (emergency medicine) physician with a practice address in Dana Point, California, and NPI 1275725897, issued on Aug 16, 2007. Check the license (California A126324, as entered in NPPES) on the Medical Board of California; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1275725897
Name
Nathan Thomas Gilmore
Credential
MD
Primary taxonomy
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X
License number
A126324 CA
Self-reported in NPPES; status is on the state search
Practice location
35410 Del Rey, Dana Point, CA 92624
Phone
(801) 330-9242
Enumerated
Aug 16, 2007
Record last updated
Dec 11, 2024
Medicare enrollment
Enrolled (PECOS I20130823000014); accepts Medicare assignment
Medical or professional school
University Of Utah School Of Medicine, 2007
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 35410 Del Rey

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Katelyn CecilPhysical Therapist1760180129

Verify Nathan Thomas Gilmore in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersMedical Board of California
    Search for license A126324
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the California license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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The practice group's MIPS final score for 2023 (Medicare payment program): 100 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score100.0
  2. Costnot scored (reweighted)
  3. Promoting interoperabilitynot scored (reweighted)
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $11,761.98

12 payments; by number, the most common kind was food and beverage; the largest payer was Becton, Dickinson and Company. The 489 providers of this specialty with any payment received $337.59 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Nathan Gilmore$11,762
  2. Specialty average$338

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Newport Critical Care Physicians Medical Group IncNewport Beach, CA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Nathan Thomas Gilmore among 233 emergency medical services (emergency medicine) physician records in California

Nathan Thomas Gilmore, MD is one of 233 emergency medical services (emergency medicine) physician records with a practice address in California. 69% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 50% of them.

  • NPI issued2007 · 50% of these records are older, 39% newer
  • In a Medicare fileYes · 69% of these records are
  • In the CMS Doctors and Clinicians fileYes · 42% of these records are
  • Graduated2007 · median 2002 among the 99 with a school on file
  • Record last updated2024 · 68% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207PE0004X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Emergency Medical Services (Emergency Medicine) Physician providers in California

There are 233 emergency medical services (emergency medicine) physician records in California.

The 8 emergency medical services (emergency medicine) physician records with the nearest ZIP codes

  1. Caroline Han, MDIrvine, CA 926181114952850
  2. Albert Jin, MDIrvine, CA 926181790738292
  3. Steven Lin, MDIrvine, CA 926181821044082
  4. Thomas Ryu, DOIrvine, CA 926181164477410
  5. Ann Ullrich, MDIrvine, CA 926181891741609
  6. Kenneth Miller, MD, PHDIrvine, CA 926021669592614
  7. Michelle Ly, D.O.Huntington Beach, CA 926471811161870
  8. Brandyn Bobb, MDTemecula, CA 925921427635556

Common questions

What is Nathan Thomas Gilmore, MD's NPI number?

Nathan Thomas Gilmore, MD's National Provider Identifier (NPI) is 1275725897, issued on Aug 16, 2007. An NPI identifies a provider in billing; it is not a license.

Where is Nathan Thomas Gilmore, MD located?

The NPPES record lists a practice address at 35410 Del Rey, Dana Point, CA, 92624. Phone: (801) 330-9242. Providers update this record themselves, so call before visiting.

How can I verify Nathan Thomas Gilmore, MD's license?

NPPES lists California license number A126324, as entered by the provider. Search the Medical Board of California at https://www.mbc.ca.gov/License-Verification/default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

What is Nathan Thomas Gilmore, MD's MIPS final score?

The 2023 MIPS final score is 100 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.