DR. BARRY KENT GIMBEL MD
NPI 1093715856
Internal Medicine - Cardiovascular Disease in Milwaukee, WI

Active since July 22, 2005PECOS EnrolledAccepts Medicare Assignment
5150 N PORT WASHINGTON RD, STE 249, MILWAUKEE, WI 53217(414) 964-0000(414) 964-2556 Get Directions Write a Review

NPPES record last updated: January 14, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Barry Kent Gimbel Md NPPES

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

DR. BARRY KENT GIMBEL MD (NPI 1093715856) is an individual cardiovascular disease provider in Milwaukee, Wisconsin, licensed in Wisconsin (24375) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Medical College Of Wisconsin (1977).

NPPES Registry Identity

NPI1093715856
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. BARRY KENT GIMBELCredential: MD
Location Address5150 N PORT WASHINGTON RD, STE 249Milwaukee, WI 53217-5474
Mailing Address5150 N Port Washington Rd, Ste 249Milwaukee, WI 53217-5474 · (414) 964-0000 · Fax (414) 964-2556
Fax(414) 964-2556
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 1977
Enumeration DateJuly 22, 2005
Last NPPES UpdateJanuary 14, 2009
✔ NPI 1093715856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in WI · 24375
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
5150 N PORT WASHINGTON RD, Milwaukee, WI 53217

Other Identifiers 5

Medicaid30439600WI
Medicare PIN060022357
Medicare UPINB53081
Medicare PIN000101780WI
Medicare PIN000046070WI

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. Barry Kent Gimbel 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 ID9931179991
PECOS Enrollment IDI20040727001587
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

3

Medicare enrollment records show Barry Gimbel reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
400 W RIVER WOODS PKWY
Glendale, WI 53212
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,343 clinicians in this Medicare group
Multi-Specialty
6900 N PORT WASHINGTON RD
Glendale, WI 53217
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Columbia St Marys Hospital Milwaukee Inc
  • 856 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
1635 W NATIONAL AVE
Milwaukee, WI 53204
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: 16th Street Community Health Center Inc.
  • 147 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53217 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
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 17

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

Psychologist
5150 N PORT WASHINGTON RD, SUITE 200
MILWAUKEE, WI 53217
Eyewear Supplier
5150 N PORT WASHINGTON RD, #251
MILWAUKEE, WI 53217
Dentist (General Practice)
5150 N PORT WASHINGTON RD, SUITE 201
GLENDALE, WI 53217
Psychologist
5150 N PORT WASHINGTON RD, SUITE 200
MILWAUKEE, WI 53217
Specialist
5150 N PORT WASHINGTON RD, SUITE 220
GLENDALE, WI 53217
Ophthalmology
5150 N PORT WASHINGTON RD, SUITE 167
GLENDALE, WI 53217
Ophthalmology
5150 N PORT WASHINGTON RD, #251
MILWAUKEE, WI 53217
Ophthalmology
5150 N PORT WASHINGTON RD, SUITE 167
GLENDALE, WI 53217

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 Barry Gimbel's NPI number?

The NPI number for Barry Gimbel is 1093715856. It was assigned to this individual provider in the NPPES registry on July 22, 2005.

Where is Barry Gimbel located?

Barry Gimbel practices at 5150 N Port Washington Rd Ste 249, Milwaukee, WI 53217. The listed phone number is (414) 964-0000.

What is Barry Gimbel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Barry Gimbel enrolled in Medicare?

Yes. Barry 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 Barry Gimbel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Barry Gimbel reassigns Medicare benefits to 3 organizations: Ascension Medical Group-Southeast Wisconsin Inc (Glendale, WI), Columbia St. Mary's Hospital Milwaukee, Inc (Glendale, WI) and Sixteenth Street Community Health Centers, Inc. (Milwaukee, WI). 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 Barry Gimbel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Barry Gimbel accept?

Health plans from Network Health, Quartz and UnitedHealthcare list Barry 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.

When was this NPI record last updated?

The NPPES record for Barry Gimbel was last updated on January 14, 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.