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DR. MATTHEW PHILIP GILBERT DO, MPH
NPI 1073634531
Internal Medicine - Endocrinology, Diabetes & Metabolism in South Burlington, VT

Active since April 03, 2007PECOS EnrolledAccepts Medicare Assignment
3 TIMBER LN, SOUTH BURLINGTON, VT 05403(802) 847-4576 Get Directions Write a Review

NPPES record last updated: July 10, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Matthew Philip Gilbert Do, Mph NPPES

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

DR. MATTHEW PHILIP GILBERT DO, MPH (NPI 1073634531) is an individual endocrinology, diabetes & metabolism provider in South Burlington, Vermont, licensed in Vermont (032.0052485) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Champlain Valley Physicians Hospital Medical Ctr, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1073634531
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDR. MATTHEW PHILIP GILBERTCredential: DO, MPH
Location Address3 TIMBER LNSouth Burlington, VT 05403-7205
Mailing Address10 Hawthorn CirEssex Junction, VT 05452-5104 · (802) 847-4576
Phone(802) 847-4576
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateApril 3, 2007
Last NPPES UpdateJuly 10, 2009
✔ NPI 1073634531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in VT · 032.0052485
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
3 TIMBER LN, South Burlington, VT 05403
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Dr. Matthew Philip Gilbert Do, Mph 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 ID9234285487
PECOS Enrollment IDI20090914000427
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 6

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.
207 services145 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
65 services40 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.
42 services42 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
32 services16 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
16 services11 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
15 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Champlain Valley Physicians Hospital Medical Ctr

Acute Care Hospitals · Plattsburgh, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330250
Location75 Beekman StreetPlattsburgh, NY 12901 · Clinton County
Emergency services Birthing friendly

Elizabethtown Community Hospital

Critical Access Hospitals · Elizabethtown, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331302
Location75 Park StreetElizabethtown, NY 12932 · Essex County
Emergency services Birthing friendly

Univ. Of Vermont - Fletcher Allen Health Care

Acute Care Hospitals · Burlington, VT
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number470003
Location111 Colchester AveBurlington, VT 05401 · Chittenden County
Emergency services Birthing friendly

Northwestern Medical Center Inc

Acute Care Hospitals · Saint Albans, VT
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number470024
Location133 Fairfield StreetSaint Albans, VT 05478 · Franklin County
Emergency services Birthing friendly

Porter Hospital, Inc

Critical Access Hospitals · Middlebury, VT
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number471307
Location115 Porter DriveMiddlebury, VT 05753 · Addison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05403 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
$127.71 typical visit price
range $55.80 – $168.48
Typical copayment $31.92 (range $13.95 – $42.12)
Most-billed visit code 99204
Established Patient
$98.40 typical visit price
range $18.08 – $137.84
Typical copayment $24.60 (range $4.52 – $34.46)
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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
5 suppliers21 claims265 services$18.13 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
5 suppliers23 claims708 services$2.39 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
24 suppliers50 claims212 services$6.13 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers12 claims28 services$1.15 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
5 suppliers16 claims2,120 services$6.71 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
19 suppliers359 claims362 services$186.77 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 16

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

KATE LAMANCUSO MD
Family Medicine
3 TIMBER LN
SOUTH BURLINGTON, VT 05403
Chittenden County (802) 847-8500
JAIME ANN LEDUC PT
Physical Therapist
3 TIMBER LN
SOUTH BURLINGTON, VT 05403
Chittenden County (802) 847-2391
TRACEY CAMPBELL NP
Nurse Practitioner (Family)
3 TIMBER LN
SOUTH BURLINGTON, VT 05403
Chittenden County (802) 847-8500
KELLEY COLLIER
Family Medicine
3 TIMBER LN
SOUTH BURLINGTON, VT 05403
Chittenden County (802) 847-8500
SOPHIA MARIE SIMKINS RN
Registered Nurse (Ambulatory Care)
3 TIMBER LN
SOUTH BURLINGTON, VT 05403
Chittenden County (802) 847-8500
DR. NORMAN S WARD M.D.
Family Medicine
3 TIMBER LN
S BURLINGTON, VT 05403
Chittenden County (802) 847-8500
MR. ANTHONY ORR SHAW PT
Physical Therapist
3 TIMBER LN
SOUTH BURLINGTON, VT 05403
Chittenden County (802) 847-2391
DR. AARON W REITER M.D.
Family Medicine
3 TIMBER LN
SOUTH BURLINGTON, VT 05403
Chittenden County (802) 847-7200

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 Matthew Gilbert's NPI number?

The NPI number for Matthew Gilbert is 1073634531. It was assigned to this individual provider in the NPPES registry on April 3, 2007.

Where is Matthew Gilbert located?

Matthew Gilbert practices at 3 Timber Ln, South Burlington, VT 05403. The listed phone number is (802) 847-4576.

What is Matthew Gilbert's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Matthew Gilbert enrolled in Medicare?

Yes. Matthew 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 Matthew Gilbert accept?

Health plans from Anthem Blue Cross and Blue Shield list Matthew 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.

Is Matthew Gilbert affiliated with any hospitals?

According to CMS data, Matthew Gilbert is affiliated with Champlain Valley Physicians Hospital Medical Ctr, Elizabethtown Community Hospital, Univ. Of Vermont - Fletcher Allen Health Care, Northwestern Medical Center Inc and Porter Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Matthew Gilbert was last updated on July 10, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.