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DR. GILSON ROBERTO GIROTTO D.O.
NPI 1083690333
Family Medicine in Sedro Woolley, WA

Active since December 19, 2005PECOS EnrolledAccepts Medicare Assignment
1990 HOSPITAL DR STE 100, SEDRO WOOLLEY, WA 98284(360) 856-4141(360) 856-4145 Get Directions Write a Review

NPPES record last updated: August 20, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gilson Roberto Girotto D.o. NPPES

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

DR. GILSON ROBERTO GIROTTO D.O. (NPI 1083690333) is an individual family medicine provider in Sedro Woolley, Washington, licensed in Washington (OP00002078) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Skagit Valley Hospital, and is a graduate of University Of North Texas Hsc, College Of Osteopathic Med (1999).

NPPES Registry Identity

NPI1083690333
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. GILSON ROBERTO GIROTTOCredential: D.O.
Location Address1990 HOSPITAL DR STE 100Sedro Woolley, WA 98284-9315
Mailing Address1400 E Kincaid St, Attn: CredentialingMount Vernon, WA 98274-4127 · (360) 428-2500 · Fax (360) 428-6485
Phone(360) 856-4141
Fax(360) 856-4145
Sole ProprietorNo
Medical School CMSUniversity Of North Texas Hsc, College Of Osteopathic MedGraduated 1999
Enumeration DateDecember 19, 2005
Last NPPES UpdateAugust 20, 2015
✔ NPI 1083690333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · OP00002078
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.
1990 HOSPITAL DR STE 100, Sedro Woolley, WA 98284
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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. Gilson Roberto Girotto D.o. 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 ID2961412671
PECOS Enrollment IDI20060426000123
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 5

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.
244 services231 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
92 services92 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
32 services32 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
29 services29 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.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

Skagit Valley Hospital

Acute Care Hospitals · Mount Vernon, WA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500003
Location1415 E Kincaid StreetMount Vernon, WA 98274 · Skagit County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98284 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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 2

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

DR. CALVIN KEITH CRAIG MD
Internal Medicine (Cardiovascular Disease)
1990 HOSPITAL DR STE 100
SEDRO WOOLLEY, WA 98284
Skagit County (360) 856-8800
AHMED ALSHABAN
Internal Medicine (Hematology & Oncology)
1990 HOSPITAL DR STE 100
SEDRO WOOLLEY, WA 98284
Skagit County (360) 856-8800

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 Gilson Girotto's NPI number?

The NPI number for Gilson Girotto is 1083690333. It was assigned to this individual provider in the NPPES registry on December 19, 2005.

Where is Gilson Girotto located?

Gilson Girotto practices at 1990 Hospital Dr Ste 100, Sedro Woolley, WA 98284. The listed phone number is (360) 856-4141.

What is Gilson Girotto's specialty?

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

Is Gilson Girotto enrolled in Medicare?

Yes. Gilson Girotto 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 Gilson Girotto accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Gilson Girotto 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 Gilson Girotto affiliated with any hospitals?

According to CMS data, Gilson Girotto is affiliated with Skagit Valley Hospital.

When was this NPI record last updated?

The NPPES record for Gilson Girotto was last updated on August 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.