JAMES GILBERT (MD) – Family Medicine Physician, NPI 1033177126
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,718 FAMILY PRACTICE in KY
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Provider Addresses for JAMES GILBERT (MD)
Frankfort Post Office, 21201, South Elsner Road, Frankfort, Will County, Illinois, 60423, United States
FRANKFORT, KY 406044168
Phone: (502) 223-5811
Type: Mailing
1080, Glensboro Road, Lawrenceburg, Anderson County, Kentucky, 40342, United States
LAWRENCEBURG, KY 403429033
Phone: (502) 839-4091
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 171 Open Payments records for all available years, with a total value of $2,694.
Total Amount is formed as General ($2,694) + Research ($0) + Ownership ($0) = $2,694.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($489).
Total Amount
$2,694
General + Research + Ownership
Payments
171
Total payment records
General Amount
$2,694
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $489 |
| GlaxoSmithKline, LLC. | $310 |
| Novo Nordisk Inc | $251 |
| PFIZER INC. | $210 |
| Lilly USA, LLC | $201 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-06-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040623000057 | I | Family Practice | KY | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 306 | 185 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 166 | 120 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 138 | 22 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 76 | 64 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 31 | 31 | $0 |
Insurance plans in this area (ZIP 40604)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KY | |
| - | KY | |
| - | KY | |
| General Practice | KY | |
| P S Y C H I A T R Y | KY | |
| Thoracic Surgery, Cardiac Surgery | KY | |
| N E U R O S U R G E R Y | KY | |
| Physician Assistant | KY | |
| Emergency Medicine, General Practice | KY | |
| Hematology/Oncology, Internal Medicine | KY |
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