Individual provider Active NPI

Phillip M Gilson, MD

  • Urology Physician
  • Evansville, IN
National Provider Identifier
1619966322
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
01048456A Issued in IN
Practice address
920 S Hebron Ave
Evansville, IN 47714-4086
Phone
(812) 473-1111
NPI assigned
Oct 14, 2005
Last updated
Jun 23, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 01048456A IN Primary

Addresses

Primary practice location

920 S Hebron Ave
Evansville, IN 47714-4086

Mailing address

920 S Hebron Ave
Evansville, IN 47714-4086

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address phillip.gilson.1@7598.direct.athenahealth.com St Mary's Medical Group, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100614000547 IN Practitioner - Urology 3577459387 Reassigns benefits to 1 organization
I20180328000548 KY Practitioner - Urology 3577459387 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Medical College of Wisconsin, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Marys Medical Group LLCGroup PAC ID 1153493341, 230 clinicians

Practice addresses (Care Compare)

151 N Gardenmile Rd
Henderson, KY 42420-5543
Phone (270) 830-9186

801 Saint Marys Dr
302E
Evansville, IN 47714-0522
Phone (812) 485-4141

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as apm

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01048456AINMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary's Medical Group, LLC CurrentSince Dec 1, 2014 Accepting new patients
Primary Physicians Network LLC Current Accepting new patients
St Mary's Medical Group, LLC CurrentSince Dec 1, 2014 Accepting new patients
St. Mary's Health, Inc Urology Past Accepting new patients

Locations

1400 Professional Blvd
Ste 210
Evansville, IN 47714

3801 Bellemeade Ave
Ste 300
Evansville, IN 47714
Phone (812) 471-0944

801 Saint Marys Dr
Ste 302E
Evansville, IN 47714
Phone (812) 485-4141

801 Saint Marys Dr
Ste 505E
Evansville, IN 47714
Phone (812) 491-3236

920 S Hebron Ave
Evansville, IN 47714
Phone 8124731111253

421 7th St
Tell City, IN 47586
Phone (812) 547-7448

8885 State Road 237
Tell City, IN 47586
Phone (812) 547-0185

1402 Grand Ave
Washington, IN 47501
Phone (812) 254-2250

151 N Gardenmile Rd
Henderson, KY 42420
Phone (270) 830-9186

2000 N Elm St
#2
Henderson, KY 42420
Phone (270) 831-6651

Interoperability endpoints

  • Direct secure messaging: phillip.gilson.1@7598.direct.athenahealth.com

Organizations & group practices 4

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

Hospital & facility affiliations 7

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": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1619966322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 S HEBRON AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477144086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 S HEBRON AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477144086",
            "telephone_number": "812-473-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILSON",
        "first_name": "PHILLIP",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IN",
            "license": "01048456A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "phillip.gilson.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St Mary's Medical Group, LLC",
            "address_1": "920 S Hebron Ave",
            "city": "Evansville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "477144086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.