DR. MARK GILBERT (M.D.) – Infectious Disease Physician, NPI 1366443855

DR. MARK GILBERT (M.D.) is a healthcare provider. based in Darby, Pennsylvania. specializing in INFECTIOUS DISEASE, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. MD025745E (PA). The NPI Number for DR. MARK GILBERT (M.D.) is 1366443855

Main info

Male
Sole Proprietor
46 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK GILBERT (M.D.)
NPI
1366443855
Phone
(610) 237-5816
Address
1503 LANSDOWNE AVE
Enumeration Date
9 August 2005
Last Update Date
2 August 2010

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Secondary Phone
6102375816
Graduation Year
1980 (46 years ago)
PAC ID
6305914862
Group Practice PAC ID
3173691649
Professional Enrollment ID
I20081010000202
Address ID
PA190231308DA1503XAVEX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

568 INFECTIOUS DISEASE in PA

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Provider Addresses for DR. MARK GILBERT (M.D.)

  • Lansdowne Avenue, Winding Way, Drexel Hill, Springfield, Upper Darby, Delaware County, Pennsylvania, 19026, United States

    SUITE 3010

    DARBY, PA 190231330

    Phone: (610) 237-5816

    Fax: (610) 237-5802

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2008-10-10

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081010000202IInfectious DiseasePATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1,301418$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes387348$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes156149$0
View full utilization report →

Insurance plans in this area (ZIP 19023)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173691649View full group profile
NameSpecialtyState
Nurse PractitionerPA
Infectious Disease, Internal MedicinePA
Infectious Disease, Internal MedicinePA
Internal Medicine, Infectious Disease, HospitalistNY

Reviews

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Frequently asked questions

Where can patients find DR. MARK GILBERT (M.D.)'s NPI?
You can confirm DR. MARK GILBERT (M.D.) with NPI 1366443855; it appears in the national provider directory.
Is DR. MARK GILBERT (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DR. MARK GILBERT (M.D.)?
The page reflects Infectious Disease Physician for DR. MARK GILBERT (M.D.). Clinical services aligned with this taxonomy classification.
Does DR. MARK GILBERT (M.D.) practice in Pennsylvania?
You will see Darby, Pennsylvania on file for DR. MARK GILBERT (M.D.) alongside any extra practice locations.
Is DR. MARK GILBERT (M.D.) a real provider?
This page reflects official NPPES data for NPI 1366443855. Always confirm identity and privileges with the practice and licensing boards.

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