DR. SIDNEY LEE GILBERT JR. DO
NPI 1083840532
Hospitalist in Cookeville, TN

Active since June 10, 2009PECOS EnrolledAccepts Medicare Assignment
1 MEDICAL CENTER BLVD, SUITE 103, COOKEVILLE, TN 38501(931) 783-2770(931) 525-1176 Get Directions Write a Review

NPPES record last updated: May 15, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Sidney Lee Gilbert Jr. Do NPPES

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

DR. SIDNEY LEE GILBERT JR. DO (NPI 1083840532) is an individual hospitalist provider in Cookeville, Tennessee, licensed in Tennessee (2559) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Vanderbilt University Medical Center, and is a graduate of Nova Southeastern College Of Osteo Medicine (2009).

NPPES Registry Identity

NPI1083840532
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. SIDNEY LEE GILBERT JR.Credential: DO
Location Address1 MEDICAL CENTER BLVD, SUITE 103Cookeville, TN 38501-4294
Mailing Address127 N Oak Ave, Suite DCookeville, TN 38501-2435 · (931) 783-5857 · Fax (931) 526-6760
Fax(931) 525-1176
Sole ProprietorNo
Medical School CMSNova Southeastern College Of Osteo MedicineGraduated 2009
Enumeration DateJune 10, 2009
Last NPPES UpdateMay 15, 2015
✔ NPI 1083840532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in TN · 2559
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
1 MEDICAL CENTER BLVD, Cookeville, TN 38501

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

Dr. Sidney Lee Gilbert Jr. Do 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 ID143476408
PECOS Enrollment IDI20140318000107
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

6

Medicare enrollment records show Sidney Gilbert reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist
990 OAK RIDGE TPKE
Oak Ridge, TN 37830
  • Reassigned Medicare billing, Tennessee enrollment
  • 1,085 clinicians in this Medicare group
Clinical Neuropsychologist
2021 CHURCH ST, STE. 102
Nashville, TN 37203
  • Reassigned Medicare billing, Tennessee enrollment
  • 1,304 clinicians in this Medicare group
Hospitalist
2000 CHURCH ST
Nashville, TN 37236
  • Reassigned Medicare billing, Tennessee enrollment
  • 85 clinicians in this Medicare group
Family Medicine
120 NE GLEN OAK AVE, SUITE 101
Peoria, IL 61603
  • Reassigned Medicare billing, Tennessee enrollment
  • 3 clinicians in this Medicare group
General Practice
202 S PARK ST
Madison, WI 53715
  • Reassigned Medicare billing, Tennessee enrollment
General Practice
1776 W LAKES PKWY STE 400
West Des Moines, IA 50266
  • Reassigned Medicare billing, Illinois enrollment
  • 178 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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
160 services158 patients

Hospital Affiliations CMS Care Compare 4

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

Vanderbilt University Medical Center

Acute Care Hospitals · Nashville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440039
Location1211 Medical Center DriveNashville, TN 37232 · Davidson County
Emergency services Birthing friendly

Tristar Horizon Medical Center

Acute Care Hospitals · Dickson, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440046
Location111 Highway 70 EastDickson, TN 37055 · Dickson County
Emergency services Birthing friendly

Johnson City Medical Center

Acute Care Hospitals · Johnson City, TN
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440063
Location400 N State Of Franklin RdJohnson City, TN 37604 · Washington County
Emergency services Birthing friendly

Ascension Saint Thomas Hospital

Acute Care Hospitals · Nashville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440082
Location4220 Harding Rd, PO Box 380Nashville, TN 37205 · Davidson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38501 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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 20

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

Anesthesiology
1 MEDICAL CENTER BLVD
COOKEVILLE, TN 38501
Hospitalist
1 MEDICAL CENTER BLVD
COOKEVILLE, TN 38501
Nurse Practitioner (Family)
1 MEDICAL CENTER BLVD
COOKEVILLE, TN 38501
Internal Medicine
1 MEDICAL CENTER BLVD
COOKEVILLE, TN 38501
Nurse Anesthetist, Certified Registered
1 MEDICAL CENTER BLVD
COOKEVILLE, TN 38501
Anesthesiology
1 MEDICAL CENTER BLVD
COOKEVILLE, TN 38501
Occupational Therapist
1 MEDICAL CENTER BLVD
COOKEVILLE, TN 38501
Nurse Practitioner (Acute Care)
1 MEDICAL CENTER BLVD
COOKEVILLE, TN 38501

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 Sidney Gilbert's NPI number?

The NPI number for Sidney Gilbert is 1083840532. It was assigned to this individual provider in the NPPES registry on June 10, 2009.

Where is Sidney Gilbert located?

Sidney Gilbert practices at 1 Medical Center Blvd Suite 103, Cookeville, TN 38501. The listed phone number is (931) 783-2770.

What is Sidney Gilbert's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Sidney Gilbert enrolled in Medicare?

Yes. Sidney 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.

Which organizations bill Medicare for Sidney Gilbert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sidney Gilbert reassigns Medicare benefits to 6 organizations: Southeastern Physician Services PC (Oak Ridge, TN), Saint Thomas Medical Partners (Nashville, TN), Warner Physician Services PC (Nashville, TN), Methodist Medical Center Of Illinois (Peoria, IL), Meriter Hospital, Inc. (Madison, WI) and 1 more organization, listed in the Medicare section above. 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 Sidney Gilbert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sidney Gilbert accept?

Health plans from BlueCross BlueShield of Tennessee, Oscar Health and Oscar Insurance Company list Sidney 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 Sidney Gilbert affiliated with any hospitals?

According to CMS data, Sidney Gilbert is affiliated with Vanderbilt University Medical Center, Tristar Horizon Medical Center, Johnson City Medical Center and Ascension Saint Thomas Hospital.

When was this NPI record last updated?

The NPPES record for Sidney Gilbert was last updated on May 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.