MATTHEW C GILBERT NP
NPI 1114442910
Nurse Practitioner in Virginia Beach, VA

Active since August 14, 2017PECOS EnrolledAccepts Medicare Assignment
85.73/100
CMS Quality Rating
225 CLEARFIELD AVE, VIRGINIA BEACH, VA 23462(757) 457-5100(757) 961-3696 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Dec 20, 2017, Sep 20, 2017 and 1 more (4 updates tracked since 2017).

About Matthew C Gilbert Np NPPES

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

MATTHEW C GILBERT NP (NPI 1114442910) is an individual nurse practitioner in Virginia Beach, Virginia, licensed in Virginia (0024175345) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS, is affiliated with Bon Secours Maryview Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1114442910
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMATTHEW C GILBERTCredential: NP
Location Address225 CLEARFIELD AVEVirginia Beach, VA 23462-1815
Mailing Address225 Clearfield AveVirginia Beach, VA 23462-1815 · (757) 457-5100 · Fax (757) 961-3696
Fax(757) 961-3696
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 14, 2017
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
NPI 1114442910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in VA · 0024175345
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

225 CLEARFIELD AVE, Virginia Beach, VA 23462

Other Identifiers 1

Medicaid1114442910VA

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

Matthew C Gilbert Np 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 ID4385910991
PECOS Enrollment IDI20171026002293
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 23

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.
454 services366 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
441 services377 patients
Psa (prostate specific antigen) measurement, total 84153
PSA measurement is a simple blood test that checks for a specific protein produced by your body. High levels could indicate a health issue that needs further investigation. It's often used to monitor general wellness and is part of routine health screening.
318 services252 patients
Biopsy of prostate gland 55700
A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.
280 services280 patients
Ultrasound scan of pelvic region through rectum 76872
An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.
276 services276 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
275 services245 patients

Hospital Affiliations CMS Care Compare 4

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

Bon Secours Maryview Medical Center

Acute Care Hospitals · Portsmouth, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490017
Location3636 High StreetPortsmouth, VA 23707 · Portsmouth City County
Emergency services

Sentara Obici Hospital

Acute Care Hospitals · Suffolk, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490044
Location2800 Godwin BoulevardSuffolk, VA 23439 · Suffolk City County
Emergency services Birthing friendly

Sentara Princess Anne Hospital

Acute Care Hospitals · Virginia Beach, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490119
Location2025 Glenn Mitchell DriveVirginia Beach, VA 23456 · Virginia Beach City County
Birthing friendly

Chesapeake General Hospital

Acute Care Hospitals · Chesapeake, VA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number490120
Location736 Battlefield Blvd, NorthChesapeake, VA 23320 · Chesapeake City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23462 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.57
Promoting Interoperability100
Improvement Activities40
Cost88.87

Referred Medical Equipment & Supplies CMS DME claims

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

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
3 suppliers17 claims3,030 services$1.51 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 20

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

Nurse Practitioner
225 CLEARFIELD AVE
VIRGINIA BEACH, VA 23462
Physical Therapist
225 CLEARFIELD AVE
VIRGINIA BEACH, VA 23462
Physician Assistant
225 CLEARFIELD AVE
VIRGINIA BEACH, VA 23462
Student in an Organized Health Care Education/Training Program
225 CLEARFIELD AVE
VIRGINIA BEACH, VA 23462
Physical Therapist
225 CLEARFIELD AVE
VIRGINIA BEACH, VA 23462
Urology
225 CLEARFIELD AVE
VIRGINIA BEACH, VA 23462
Student in an Organized Health Care Education/Training Program
225 CLEARFIELD AVE
VIRGINIA BEACH, VA 23462
Student in an Organized Health Care Education/Training Program
225 CLEARFIELD AVE
VIRGINIA BEACH, VA 23462

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 1114442910. It was assigned to this individual provider in the NPPES registry on August 14, 2017.

Where is Matthew Gilbert located?

Matthew Gilbert practices at 225 Clearfield Ave, Virginia Beach, VA 23462. The listed phone number is (757) 457-5100.

What is Matthew Gilbert's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

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.

Is Matthew Gilbert affiliated with any hospitals?

According to CMS data, Matthew Gilbert is affiliated with Bon Secours Maryview Medical Center, Sentara Obici Hospital, Sentara Princess Anne Hospital and Chesapeake General Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Gilbert was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.