RACHEL ELAINE GILBERT MD
NPI 1063974020
Family Medicine in Canton, CT

Active since April 01, 2019PECOS EnrolledAccepts Medicare Assignment
117 ALBANY TPKE, CANTON, CT 06019(860) 658-3444(860) 658-3457 Get Directions Write a Review

NPPES record last updated: May 22, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 14, 2023, Feb 2, 2023, Nov 28, 2022 and 1 more (4 updates tracked since 2019).

About Rachel Elaine Gilbert Md NPPES

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

RACHEL ELAINE GILBERT MD (NPI 1063974020) is an individual family medicine provider in Canton, Connecticut, licensed in Connecticut (073739) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in West Hartford, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1063974020
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameRACHEL ELAINE GILBERTCredential: MD
Location Address117 ALBANY TPKECanton, CT 06019-2507
Mailing Address263 Farmington AveFarmington, CT 06030-8082 · (860) 658-3444 · Fax (860) 679-3457
Fax(860) 658-3457
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 1, 2019
Last NPPES UpdateMay 22, 20244 updates tracked since enumeration
NPPES CertifiedMay 22, 2024
NPI 1063974020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in CT · 073739 Licensed in LA · 332873
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

117 ALBANY TPKE, Canton, CT 06019

Other Names 1

Former Name (1)Rachel Elaine Sharp

Secondary Practice Location 1

Location 1631 S Quaker LnWest Hartford, CT 06110-1043 · Phone (860) 233-5133

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Rachel Elaine Gilbert Md 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 ID8224367362
PECOS Enrollment IDI20230824002757
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.

Areas of Expertise CMS Part B claims 8

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
144 services100 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
67 services51 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
30 services30 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
18 services16 patients
Blood test, thyroid stimulating hormone (tsh) 84443
A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
13 services12 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06019 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

Other Providers at the Same Location NPPES 7

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

Family Medicine
117 ALBANY TPKE
CANTON, CT 06019
Family Medicine
117 ALBANY TPKE
CANTON, CT 06019
Family Medicine
117 ALBANY TPKE
CANTON, CT 06019
Family Medicine
117 ALBANY TPKE
CANTON, CT 06019
Nurse Practitioner (Family)
117 ALBANY TPKE
CANTON, CT 06019
Nurse Practitioner (Family)
117 ALBANY TPKE
CANTON, CT 06019
Family Medicine
117 ALBANY TPKE
CANTON, CT 06019

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 Rachel Gilbert's NPI number?

The NPI number for Rachel Gilbert is 1063974020. It was assigned to this individual provider in the NPPES registry on April 1, 2019. The provider is also known as Rachel Elaine Sharp.

Where is Rachel Gilbert located?

Rachel Gilbert practices at 117 Albany Tpke, Canton, CT 06019. The listed phone number is (860) 658-3444.

What is Rachel Gilbert's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Rachel Gilbert enrolled in Medicare?

Yes. Rachel Gilbert 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.

What insurance does Rachel Gilbert accept?

Health plans from HMO Louisiana list Rachel Gilbert 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.

When was this NPI record last updated?

The NPPES record for Rachel Gilbert was last updated on May 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.