Karen M. Gilson, M.D.
NPI 1104813211ActiveIndividual· Family Medicine· Sewanee, TN
Family Medicine (M.D.) in Sewanee, Tennessee, trained at University of Tennessee, Hsc, College of Medicine (class of 1988). Their prescriptions cost Medicare Part D more than their services did: $310,376 for 791 claims, against $24,101 paid for services in 2024. Abbott Laboratories was the largest of 17 companies reporting payments in 2025, $683.63 in all, mostly food and beverage.
Overview
| NPI | 1104813211 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Oct 4, 2005 |
| Last updated in NPPES | Nov 7, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 060733 | GA |
| Family Medicine | 207Q00000X | 1092225410 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Emergency Medicine (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 186 |
|---|---|
| Services billed | 300 across 24 procedure codes |
| Paid by Medicare | $24,101 |
Part D prescriptions in 2024
| Prescriptions (claims) | 791 · 1,519 30-day fills |
|---|---|
| Patients | 219 |
| Total drug cost | $310,376 |
| Generic share | 67% of claims |
Education and affiliations
| Medical school | University of Tennessee, Hsc, College of Medicine |
|---|---|
| Graduation year | 1988 |
| Medicare specialty | Emergency Medicine |
Medical group
- David M. Huffman, M.D.,p.C.Chattanooga, TN · 5 clinicians
Hospital affiliation
- Southern Tennessee Regional Health System WinchestWinchester, TN
Industry payments (Open Payments)
- 2025$683.63 · 33 payments from 17 companies
- 2024$934.64 · 44 payments from 17 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbott Laboratories | $112.47 | 5 |
| Sequel Med Tech, LLC | $86.26 | 3 |
| Cequr Corporation | $77.84 | 4 |
| Medtronic, Inc. | $62.44 | 3 |
| Lilly USA, LLC | $47.59 | 3 |
What the 2025 payments were for
- Food and Beverage$683.63 · 33 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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