Medicare Enrolled
Dr. John Gilmore, MD
Family Medicine · Tomball, TX
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Gilmore from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Gilmore
Dr. John Gilmore is a family medicine specialist in Tomball, TX, with 19 years of NPI registration. Based on federal Medicare data, Dr. Gilmore performed 3,238 Medicare services across 1,680 unique beneficiaries.
Between the years covered by Open Payments, Dr. Gilmore received a total of $12,975 from 68 pharmaceutical and/or device companies across 769 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family medicine. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Gilmore is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 19 years in practice
▲ Top 7% volume in TX
$12,975 industry payments
Medicare Practice Summary
Medicare Utilization ↗3,238
Medicare services
Top 7% in TX for family medicine
1,680
Unique beneficiaries
$57
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~170 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
1,265 | $83 | $205 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
437 | $60 | $165 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
238 | $1 | $25 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
221 | $130 | $250 |
| Annual depression screening | 219 | $19 | $40 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
182 | $0 | $25 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
151 | $8 | $70 |
| Drug test with direct observation A drug screening test performed under direct observation to ensure the sample is provided correctly. This method is used to verify the integrity of the specimen collection process. |
118 | $12 | $100 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
67 | $10 | $40 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
66 | $3 | $22 |
| Remote patient monitoring management, 20 min/month Management based on results from remote vital sign monitoring for the first 20 minutes per calendar month. |
64 | $38 | $100 |
| Remote patient monitoring device, 30 days Initial setup of devices for remote monitoring of body functions with daily data transmission or alerts. This service covers the first 30 days of the monitoring period. |
48 | $37 | $200 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
35 | $132 | $260 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
30 | $102 | $315 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
27 | $10 | $40 |
| Influenza virus detection test A laboratory test that uses an immunoassay technique to detect the presence of the influenza virus through direct visual observation. |
27 | $16 | $36 |
| Initial preventive physical examination, new Medicare beneficiary A comprehensive preventive health visit for new Medicare beneficiaries during their first 12 months of enrollment. The service is conducted as a face-to-face visit and is limited to preventive care. |
20 | $167 | $300 |
| Strep A rapid test A rapid test to detect Group A Streptococcus bacteria using an immunoassay method with direct visual observation. |
12 | $16 | $32 |
| Remote physiologic monitoring setup and education Initial setup of remote monitoring equipment and patient education on its use. |
11 | $11 | $50 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
Industry Payment Transparency
Open Payments through 2024 ↗$12,975
Total received (2018-2024)
Avg $1,854/year across 7 years
Top 3% in TX for family medicine
68
Companies
769
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$12,926 (99.6%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$49 (0.4%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,168
2023
$1,573
2022
$2,667
2021
$2,014
2020
$1,774
2019
$1,738
2018
$2,041
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
GlaxoSmithKline, LLC.
$1,247
Novo Nordisk Inc
$1,220
AstraZeneca Pharmaceuticals LP
$1,027
Lilly USA, LLC
$968
Stryker Corporation
$960
Amgen Inc.
$687
Boehringer Ingelheim Pharmaceuticals, Inc.
$563
Amarin Pharma Inc.
$545
PFIZER INC.
$532
Kowa Pharmaceuticals America, Inc.
$496
Astellas Pharma US Inc
$494
Abbott Laboratories
$384
AbbVie Inc.
$324
Shire North American Group Inc
$312
Janssen Pharmaceuticals, Inc
$274
Takeda Pharmaceuticals U.S.A., Inc.
$255
Allergan, Inc.
$221
Merck Sharp & Dohme Corporation
$162
Biohaven Pharmaceutical Holding Company Ltd.
$134
Radius Health, Inc.
$133
Eisai Inc.
$128
Allergan Inc.
$126
IDORSIA PHARMACEUTICALS US INC
$103
ABBVIE INC.
$96
Ironshore Pharmaceuticals Inc.
$89
SANOFI-AVENTIS U.S. LLC
$85
Antares Pharma, Inc.
$77
Genentech USA, Inc.
$77
Teva Pharmaceuticals USA, Inc.
$72
Merck Sharp & Dohme LLC
$68
JAZZ PHARMACEUTICALS INC.
$66
IBSA Pharma Inc.
$64
Adlon Therapeutics L.P.
$56
Supernus Pharmaceuticals, Inc.
$55
AMAG Pharmaceuticals, Inc.
$49
ARBOR PHARMACEUTICALS, INC.
$41
Tris Pharma Inc
$41
Biosense Webster, Inc.
$39
Exact Sciences Corporation
$38
Avanir Pharmaceuticals, Inc.
$35
Corium, LLC
$35
Medtronic Vascular, Inc.
$35
Lundbeck LLC
$34
Sumitomo Pharma America, Inc.
$34
Neos Therapeutics, LP
$32
Arbor Pharmaceuticals, Inc.
$30
Dexcom, Inc.
$30
MAYNE PHARMA COMMERCIAL LLC
$28
Acerus Pharmaceuticals Corporation
$27
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$26
Mylan Specialty L.P.
$26
Biogen, Inc.
$24
Hologic Sales and Service, LLC
$21
Biohaven Pharmaceuticals, Inc.
$20
Noven Therapeutics, LLC
$19
Rhodes Pharmaceuticals L.P.
$19
Phathom Pharmaceuticals, Inc.
$19
Amneal Pharmaceuticals LLC
$18
Ultragenyx Pharmaceutical Inc.
$18
AbbVie, Inc.
$18
Hologic, LLC
$17
Relypsa, Inc.
$16
Henry Schein, Inc.
$15
Horizon Therapeutics plc
$15
DERMIRA, INC.
$15
Currax Pharmaceuticals LLC
$14
Cumberland Pharmaceuticals, Inc.
$13
Aytu BioScience, Inc
$13
Top 3 companies account for 26.9% of total payments
Associated products mentioned in payments ›
ABRYSVO · ADHANSIA XR · AIRSUPRA · AJOVY · AREXVY · AZSTARYS · Adzenys XR-ODT · Aimovig · Aptensio XR · Aptima HPV · Austedo XR · BASAGLAR · BELSOMRA · BEVESPI AEROSPHERE · BEXSERO · BREZTRI · BREZTRI AEROSPHERE · BYDUREON · CHANTIX · CONTRAVE · CRYSVITA · Carto 3 · ClosureFast · Cologuard Collection Kit · DUEXIS · Dayvigo · Dexcom G6 Transmitter · Dyanavel XR · EMGALITY · ENTELLUS - FIAGON SINUS NAVIGATION SYSTEM · EUCRISA · EVENITY · Edarbi · Edarbyclor · Endurant · FARXIGA · FREESTYLE LIBRE · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · FreeStyle Libre 2 · GARDASIL 9 · GEMTESA · Horizant · INTRAROSA · INVOKANA · JANUVIA · JARDIANCE · JORNAY PM · Jornay PM 20mg capsules (Bottle of 100) · KRYSTEXXA · LINZESS · LIVALO · LO LOESTRIN FE · LYRICA · Livalo · MENVEO · MOUNJARO · MYDAYIS · MYRBETRIQ · Myrbetriq · NOCDURNA · NUEDEXTA · NURTEC ODT · Natesto · ONZETRA Xsail · Omeclamox · Otezla · Ozempic · PAXLOVID · PNEUMOVAX 23 · PREVNAR 13 · PREVNAR 20 · Prolia · QELBREE · QUVIVIQ · REXULTI · RYBELSUS · Repatha · Rybelsus · SCOPIS ENT · SEGLENTIS · SHINGRIX · SOLIQUA · SOLIQUA 100/33 · SPINRAZA · SPIRIVA RESPIMAT · SPRAVATO · STIOLTO RESPIMAT · SUNOSI · SYMBICORT · SYNTHROID · Saxenda · Synthroid · THINPREP 2000 PROCESSOR · TOUJEO · TOVIAZ · TRELEGY ELLIPTA · TRINTELLIX · TRULICITY · TRUMENBA · Tirosint · Tresiba · Tymlos · UBRELVY · UNITHROID · VIBERZI · VOQUEZNA · VRAYLAR · VYVANSE · Vascepa · Veltassa · Veozah · Victoza · Wegovy · XARELTO · XIFAXAN · XYOSTED · Xelstrym · Xofluza · Xultophy 100/3.6 · Yupelri · ZOSTAVAX
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 3% for family medicine in TX.
Equivalent to $401 per 100 Medicare services performed
Geographic Context
Family medicine physicians within 10 mi
917
Per 100K population
19.3
County median income
$73,104
Nearest hospital
HCA HOUSTON HEALTHCARE TOMBALL
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →
Summary
Dr. Gilmore is a clinical cardiology specialist, with above-average Medicare volume (top 7% in TX), with low-engagement industry engagement in the top 3% of TX peers, with 19 years of NPI registration.
This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →
Frequently Asked Questions
Is Dr. Gilmore experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Gilmore performed 1,265 office visit, established patient (30-39 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Gilmore receive payments from pharmaceutical companies?
Yes. Dr. Gilmore received a total of $12,975 from 68 companies across 769 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Gilmore's costs compare to other family medicine physicians in Tomball?
Dr. Gilmore's average Medicare payment per service is $57. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Gilmore) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. The Transparency Score measures data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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