ALISON GIMBEL
NPI 1043244593
Internal Medicine - Pulmonary Disease in New Brunswick, NJ

Active since July 10, 2006PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
1 ROBERT WOOD JOHNSON PL, NEW BRUNSWICK, NJ 08901(732) 828-3000 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 2, 2026, Jun 15, 2021, May 26, 2021 (3 updates tracked since 2021).

About Alison Gimbel NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALISON GIMBEL (NPI 1043244593) is an individual pulmonary disease provider in New Brunswick, New Jersey, licensed in New Jersey (25MA12788300) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital, and is a graduate of Duke University School Of Medicine (1995).

NPPES Registry Identity

NPI1043244593
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameALISON GIMBEL
Location Address1 ROBERT WOOD JOHNSON PLNew Brunswick, NJ 08901-1928
Mailing Address200 Lothrop St, 4th Floor Falk Comprehensive Lung CenterPittsburgh, PA 15213-2536
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 1995
Enumeration DateJuly 10, 2006
Last NPPES UpdateFebruary 2, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2026
✔ NPI 1043244593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in NJ · 25MA12788300
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 25MA12788300 (NJ)
1 ROBERT WOOD JOHNSON PL, New Brunswick, NJ 08901

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alison Gimbel is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739171844
PECOS Enrollment IDI20260220000471
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Alison Gimbel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
317 GEORGE ST, 1ST FLOOR
New Brunswick, NJ 08901
  • Reassigned Medicare billing, New Jersey enrollment
  • 641 clinicians in this Medicare group
Internal Medicine
3436 WILLIAM PENN HWY, SUITE 166
Pittsburgh, PA 15235
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7,114 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
34 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Robert Wood Johnson University Hospital

Acute Care Hospitals · New Brunswick, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310038
LocationOne Robert Wood Johnson PlaceNew Brunswick, NJ 08901 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
1 ROBERT WOOD JOHNSON PL
NEW BRUNSWICK, NJ 08901
Pathology (Anatomic Pathology)
1 ROBERT WOOD JOHNSON PL, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL NEW BRUNSWICK
NEW BRUNSWICK, NJ 08901
Pediatrics (Pediatric Critical Care Medicine)
1 ROBERT WOOD JOHNSON PL, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - NEW BRUNSWICK
NEW BRUNSWICK, NJ 08901
Pediatrics (Pediatric Critical Care Medicine)
1 ROBERT WOOD JOHNSON PL, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - NEW BRUNSWICK
NEW BRUNSWICK, NJ 08901
Anesthesiology
1 ROBERT WOOD JOHNSON PL
NEW BRUNSWICK, NJ 08901
Internal Medicine
1 ROBERT WOOD JOHNSON PL
NEW BRUNSWICK, NJ 08901
Nurse Practitioner (Acute Care)
1 ROBERT WOOD JOHNSON PL, 2 CORE - RM. 257
NEW BRUNSWICK, NJ 08901
Emergency Medicine
1 ROBERT WOOD JOHNSON PL
NEW BRUNSWICK, NJ 08901

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alison Gimbel's NPI number?

The NPI number for Alison Gimbel is 1043244593. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Alison Gimbel located?

Alison Gimbel practices at 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901. The listed phone number is (732) 828-3000.

What is Alison Gimbel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Alison Gimbel enrolled in Medicare?

Yes. Alison Gimbel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Alison Gimbel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alison Gimbel reassigns Medicare benefits to 2 organizations: Rutgers Health-Rwj Scleroderma Program (New Brunswick, NJ) and University Of Pittsburgh Physicians (Pittsburgh, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alison Gimbel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alison Gimbel accept?

Health plans from Oscar Health list Alison Gimbel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Alison Gimbel affiliated with any hospitals?

According to CMS data, Alison Gimbel is affiliated with Robert Wood Johnson University Hospital.

When was this NPI record last updated?

The NPPES record for Alison Gimbel was last updated on February 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.