Blake Hamilton Gilliam
NPI 1043845787ActiveIndividual· Nurse Practitioner· Madison, AL
Opted out of Medicare from November 2022 to November 2026. Nurse Practitioner in Madison, Alabama, licensed in AL, with an NPI issued in March 2020. Part D covered 321 prescriptions written in 2024, 83% of them generic. Ibsa Pharma Inc. reported $16.98 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1043845787 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Mar 3, 2020 |
| Last updated in NPPES | Mar 3, 2020 |
| Certified by provider | Mar 3, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 1-153719 | AL |
| Nurse Practitioner, Gerontology | 363LG0600X | 1-153719 | AL |
| Nurse Practitioner, Acute Care | 363LA2100X | 1-153719 | AL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Nov 17, 2022 – Nov 17, 2026 |
| Can order and refer | Yes |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Part D prescriptions in 2024
| Prescriptions (claims) | 321 · 778 30-day fills |
|---|---|
| Patients | 49 |
| Total drug cost | $9,471 |
| Generic share | 83% of claims |
Industry payments (Open Payments)
- 2025$16.98 · 1 payment from 1 company
- 2024$14.04 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Ibsa Pharma Inc. | $16.98 | 1 |
What the 2025 payments were for
- Food and Beverage$16.98 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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