Dr. Kenneth J. Gilrain, MD

  • Lancaster, SC
  • Emergency medicine physician
NPI1710168521PAC ID4789716374
Medicare services, 2024
228
Medicare patients, 2024
225
Part D claims, 2024
275
MIPS score, 2024
80
Hospital affiliations
4
Practice address
800 W Meeting St, Lancaster, SC 29720
Practice phone
Call (803) 286-1481
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

MUSC Health Lancaster Medical Center

Hospital · Lancaster, South Carolina

See all 6 affiliations

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Dr. Kenneth J. Gilrain is an emergency medicine physician in Lancaster, South Carolina

Dr. Gilrain practices at MUSC Health Lancaster Medical Center in Lancaster, South Carolina, part of Medical University of South Carolina.

Dr. Gilrain's NPI, 1710168521, was assigned on November 20, 2007. Dr. Gilrain graduated from Drexel University College of Medicine in 2007. Dr. Gilrain holds Pennsylvania license MT190687.

NPI and contact details
Medicare PAC ID
4789716374
NPI enumeration date
November 20, 2007
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(803) 286-1481
Professional email
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Personal email
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Mobile number
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Sex
Male
Estimated age
45
Medical school graduation
2007

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Kenneth J. Gilrain practices at MUSC Health Lancaster Medical Center in Lancaster, South Carolina

Dr. Gilrain's primary practice is MUSC Health Lancaster Medical Center, at 800 W Meeting St, Lancaster, SC 29720 in Lancaster County. The practice phone is (803) 286-1481.

Source: Dmand AI Affiliation Data

Dr. Kenneth J. Gilrain is affiliated with 4 sites of care and 2 medical groups

Dr. Gilrain's primary practice is MUSC Health Lancaster Medical Center in Lancaster, South Carolina, part of Medical University of South Carolina. Dr. Gilrain is also affiliated with WellSpan York Hospital. The medical group on file is MUSC Community Physicians. Dmand AI also links Dr. Gilrain to 2 more hospitals and 1 medical group, each named with a free account.

See all 6 affiliations for Dr. Gilrain

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Dr. Kenneth J. Gilrain's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Gilrain practices, 4 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
MUSC Health Lancaster Medical CenterAvailable with a free account
+3 more sites and 1 medical groupAvailable with a free account

Source: Dmand AI Technology Install Data

For health IT teams

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Dr. Kenneth J. Gilrain is one of 1,026 emergency medicine physicians in South Carolina

Emergency medicine is Dr. Gilrain's primary specialty in the NPI Registry, under taxonomy code 207P00000X. Dr. Gilrain is licensed in Pennsylvania.

Specialties and state licenses

  • Emergency medicine, PennsylvaniaPrimaryLicense MT190687 · taxonomy 207P00000X

Emergency medicine physicians near Dr. Gilrain

Counts of emergency medicine physicians with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Kenneth J. Gilrain billed Medicare for 228 services in 2024

CMS data shows 228 Medicare services from Dr. Gilrain across 3 procedure codes in 2024, for 225 Medicare patients. Medicare paid $22,939 for them. Every service was in a facility, such as a hospital, rather than an office.

Medicare services, 2024228
Medicare patients225
Paid by Medicare$22,939
Procedure codes3

Dr. Gilrain's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Office and hospital visits
2023: 2352024: 2283%

Dr. Gilrain compared with the South Carolina median for emergency medicine physicians, 2024

  • Dr. Gilrain
  • South Carolina median
Medicare services
228vs 36137% below
Medicare patients
225vs 32431% below
Part D claims
108vs 107Close to median

Medians across 1,019 emergency medicine physicians in South Carolina with Dmand AI profiles that report each measure.

Dr. Gilrain's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Gilrain

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Kenneth J. Gilrain treated 225 Medicare patients in 2024, average age 74

CMS counts 225 Medicare patients who saw Dr. Gilrain in 2024. The largest group is 75 to 84, with 74 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 26% are also on Medicaid. Their average risk score is 2.02, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Dr. Gilrain's median patient age at 46, with 57% women.

Medicare patients, 2024225
Average age74
Average risk score2.02
Also on Medicaid26%

Dr. Gilrain's Medicare patients by age, 2024

Dr. Gilrain's Medicare patients by sex, 2024

  • Women13460%
  • Men9140%

Chronic conditions among Dr. Gilrain's Medicare patients, 2024

  1. High blood pressure75%
  2. High cholesterol75%
  3. Arthritis52%
  4. Diabetes51%
  5. Ischemic heart disease49%
  6. Anxiety43%
  7. Depression43%
  8. Mood disorders43%

Share of Medicare patients with each condition. A patient can have several.

Dr. Gilrain's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 46

Patient panel by sex, all payers

  • Women57%
  • Men43%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Kenneth J. Gilrain wrote 275 Medicare Part D claims in 2024

In 2024, Dr. Gilrain wrote 275 Medicare Part D claims for 159 patients. 90% of them were for generic drugs. CMS names the drug for 108 of them, across 5 drugs with 11 or more claims each, at $587 in total drug cost. In 2023, CMS named 162 claims across 7 drugs.

Part D claims, 2024275
Drugs named by CMS5
Total drug cost$587
Part D patients159

Dr. Gilrain's Part D claims by kind of drug, 2024

  • Generic247 claims90%
  • Brand-name and other28 claims10%

Dr. Gilrain's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. Gilrain's Part D claims, 2024

  • Opioids15%41 of 275 claims
  • Antibiotics28%77 of 275 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 1622024: 10833%

Drugs named by CMS: 5 in 2024, 7 in 2023.

See all prescribing by Dr. Gilrain

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. Kenneth J. Gilrain scored 80 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 80 out of 100 for Dr. Gilrain for performance year 2024, reported as part of a group. Dr. Gilrain accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Dr. Gilrain's MIPS scores, performance year 2024

  • 80of 100Final score
  • 64.9of 100Quality
  • 99of 100Promoting Interoperability
  • 40of 100Improvement Activities

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026

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Dr. Kenneth J. Gilrain graduated from Drexel University College of Medicine

Dr. Gilrain graduated from Drexel University College of Medicine in 2007.

  1. Medical schoolDrexel University College of Medicine

Source: Dmand AI Professional Profile Data

Sources for Dr. Kenneth J. Gilrain's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Kenneth J. Gilrain

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Kenneth J. Gilrain's NPI number?

Dr. Kenneth J. Gilrain's NPI number is 1710168521. It was assigned on November 20, 2007, and it is active in the NPI Registry.

What kind of doctor is Dr. Kenneth J. Gilrain?

Dr. Kenneth J. Gilrain is an emergency medicine physician in Lancaster, South Carolina. The primary specialty in the NPI Registry is Emergency Medicine Physician (taxonomy code 207P00000X).

Where does Dr. Kenneth J. Gilrain practice?

Dr. Gilrain practices at 800 W Meeting St, Lancaster, SC 29720. Dr. Gilrain's primary practice is MUSC Health Lancaster Medical Center in Lancaster, South Carolina, part of Medical University of South Carolina. Dmand AI also links Dr. Gilrain to 2 hospitals and 1 medical group.

What is Dr. Kenneth J. Gilrain's office phone number?

The practice phone on file for Dr. Gilrain is (803) 286-1481.

What is Dr. Kenneth J. Gilrain's medical license number?

Dr. Gilrain holds Pennsylvania license MT190687.

Which hospitals is Dr. Kenneth J. Gilrain affiliated with?

Dr. Gilrain practices at MUSC Health Lancaster Medical Center in Lancaster, South Carolina. Dr. Gilrain is also affiliated with WellSpan York Hospital. Dmand AI links Dr. Gilrain to 2 more hospitals.

What medical group is Dr. Kenneth J. Gilrain part of?

Dr. Gilrain is linked to MUSC Community Physicians. Dmand AI links Dr. Gilrain to 1 more medical group.

Does Dr. Kenneth J. Gilrain accept Medicare?

Yes. CMS data shows Dr. Gilrain billed Medicare for 228 services in 2024, and Dr. Gilrain accepts Medicare assignment.

What is Dr. Kenneth J. Gilrain's MIPS score?

Dr. Gilrain's MIPS final score for performance year 2024 is 80 out of 100, reported as part of a group.

How many Medicare patients does Dr. Kenneth J. Gilrain see?

CMS counts 225 Medicare patients who saw Dr. Gilrain in 2024, with an average age of 74.

Show 4 more questionsShow fewer questions

What services does Dr. Kenneth J. Gilrain bill to Medicare?

In 2024, Dr. Gilrain's most billed Medicare services were emergency department visit (99284), emergency department visit (99285) and emergency department visit (99283).

Where did Dr. Kenneth J. Gilrain go to medical school?

Dr. Gilrain graduated from Drexel University College of Medicine in 2007.

What drugs does Dr. Kenneth J. Gilrain prescribe most?

In 2024 Medicare Part D data, Dr. Gilrain's most prescribed drugs by claims were Cephalexin, Hydrocodone-Acetaminophen and Prednisone.

How long has Dr. Kenneth J. Gilrain been practicing?

Dr. Gilrain graduated from medical school in 2007, 19 years ago.

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