TODD MICHAEL GILBERT (M.D.) – Orthopaedic Surgery Physician, NPI 1427463330
Orthopaedic Surgery Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
325 ORTHOPEDIC SURGERY in UT
Provider Addresses for TODD MICHAEL GILBERT (M.D.)
1055 N 500 W
ATT: CREDENTIALING
PROVO, UT 84604
Phone: (801) 354-8225
Fax: (801) 418-0941
Type: Mailing
1055 N 500 W STE 121
PROVO, UT 846043305
Phone: (801) 354-8225
Fax: (801) 418-0941
Type: Location
555 W State Road 164
Salem, UT 846535732
Phone: (801) 354-8225
Fax: (801) 418-0941
Type: Location
981080 Nebraska Medical Ctr
Omaha, NE 681981080
Phone: (402) 559-2258
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $1,000.
Total Amount is formed as General ($1,000) + Research ($0) + Ownership ($0) = $1,000.
Last reported payment date: 2024-07-11 • Largest payer in this snapshot: Globus Medical, Inc. ($684).
Total Amount
$1,000
General + Research + Ownership
Payments
11
Total payment records
General Amount
$1,000
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Globus Medical, Inc. | $684 |
| Stryker Corporation | $139 |
| Relievant Medsystems, Inc. | $109 |
| Boston Scientific Corporation | $30 |
| Amgen Inc. | $22 |
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: 2020-07-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20190711000504 | I | Orthopedic Surgery | PA | TBD |
| I20200701000470 | I | Orthopedic Surgery | UT | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 162 | 127 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 97 | 79 | $0 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 93 | 55 | $0 |
| 72110 | X-ray of lower and sacral spine, minimum of 4 views | 75 | 74 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 26 | 26 | $0 |
Insurance plans in this area (ZIP 84604)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | UT | |
| - | UT | |
| Physical Therapist In Private Practice | UT | |
| Orthopedic Surgery | UT | |
| Nurse Practitioner | OR | |
| - | FL | |
| - | UT | |
| - | UT | |
| Nurse Practitioner | UT | |
| - | UT |
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