Individual provider Active NPI

Larry C Kilgore, MD

  • Gynecologic Oncology Physician
  • Knoxville, TN
National Provider Identifier
1265482921
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
43047 Issued in TN
Practice address
1926 Alcoa Hwy Ste 370
Knoxville, TN 37920-1552
Phone
(865) 305-5622
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X 09758 AL
Gynecologic Oncology Physician 207VX0201X 43047 TN Primary

Addresses

Primary practice location

1926 Alcoa Hwy Ste 370
Knoxville, TN 37920-1552

Mailing address

1926 Alcoa Hwy Ste 370
Knoxville, TN 37920-1552
Phone (865) 305-5622

Other practice location 1

619 19th Street South
Birmingham, AL 35233
Phone (205) 934-6600

Other identifiers 2

IdentifierTypeStateIssuer
103I988131MedicaidTN
1515517MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091002000265 TN Practitioner - Gynecological Oncology 1951296201 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gynecological Oncology
Education
University of Tennessee, HSC, College of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Health System, Inc.Group PAC ID 5294646378, 512 clinicians

Practice addresses (Care Compare)

1924 Alcoa Hwy
Knoxville, TN 37920-1511

1926 Alcoa Hwy
Suite 410
Knoxville, TN 37920-1545
Phone (865) 305-6333

1926 Alcoa Hwy 410
Knoxville, TN 37920-1512
Phone (865) 544-9218

1926 Alcoa Hwy 410
Knoxville, TN 37920-1545
Phone (865) 544-9218

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.48 of 100Reported as apm
Quality
86.23
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of the uterus17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
09758ALMDGynecologic Oncology Physician
43047TNMDGynecologic Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Health System, Inc CurrentSince Oct 1, 2009 Accepting new patients
University of Tennessee CurrentSince Jan 4, 2010 Accepting new patients
University Health System, Inc Current Accepting new patients
University Health System Inc CurrentSince Oct 1, 2009 Accepting new patients
University of Tennessee CurrentSince Jan 4, 2010 Accepting new patients
Knoxville Neurology Specialists, PLLC Past Accepting new patients
University Health System, Inc. Past Accepting new patients
University Health System, Inc PastSince May 7, 2024 Accepting new patients

Locations

1928 Alcoa Hwy
Ste 127
Knoxville, TN 37920
Phone (865) 305-8368

1926 Alcoa Hwy
Ste 200
Knoxville, TN 37920
Phone (865) 305-5622

1924 Alcoa Hwy
#U67
Knoxville, TN 37920
Phone (865) 305-9350

9000 Executive Park Dr
Ste C200
Knoxville, TN 37923
Phone (865) 670-6142

1926 Alcoa Hwy
Ste 410
Knoxville, TN 37920
Phone (865) 305-5622

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1265482921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1926 ALCOA HWY STE 370",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201552",
            "telephone_number": "865-305-5622",
            "fax_number": "865-305-4580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1926 ALCOA HWY STE 370",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201552",
            "telephone_number": "865-305-5622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "619 19th Street South",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "35233",
            "country_code": "US",
            "telephone_number": "205-934-6600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KILGORE",
        "first_name": "LARRY",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2024-05-02",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "AL",
            "license": "09758",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "TN",
            "license": "43047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103I988131",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1515517",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.