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GILBERT R ROWLEY MD
NPI 1114994670
Internal Medicine in North Canton, OH

Active since March 03, 2006PECOS EnrolledAccepts Medicare Assignment
88.16/100
CMS Quality Rating
6046 WHIPPLE AVE NW, NORTH CANTON, OH 44720(330) 433-1200(330) 305-5047 Get Directions Write a Review

NPPES record last updated: January 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gilbert R Rowley Md NPPES

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

GILBERT R ROWLEY MD (NPI 1114994670) is an individual internal medicine provider in North Canton, Ohio, licensed in Ohio (35055491) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Aultman Hospital, and is a graduate of Ohio State University College Of Medicine (1986).

NPPES Registry Identity

NPI1114994670
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameGILBERT R ROWLEYCredential: MD
Location Address6046 WHIPPLE AVE NWNorth Canton, OH 44720
Mailing Address6046 Whipple Avenue NwNorth Canton, OH 44720 · (330) 433-1400 · Fax (330) 305-5047
Phone(330) 433-1200
Fax(330) 305-5047
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1986
Enumeration DateMarch 3, 2006
Last NPPES UpdateJanuary 20, 2023
NPPES CertifiedJanuary 20, 2023
✔ NPI 1114994670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in OH · 35055491✔ Licensed in OH · 35055491R
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
6046 WHIPPLE AVE NW, North Canton, OH 44720
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Other Identifiers 1

Medicaid0807603OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Gilbert R Rowley 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 ID9638215544
PECOS Enrollment IDI20091007000319
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 4

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.

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.
86 services39 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
48 services27 patients
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.
47 services43 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
40 services40 patients

Hospital Affiliations CMS Care Compare

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

Aultman Hospital

Acute Care Hospitals · Canton, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360084
Location2600 Sixth Street SWCanton, OH 44710 · Stark County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44720 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

88.16/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.91
Promoting Interoperability98
Improvement Activities40
Cost65.87

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.

DR. ZACHARY DAVID FETTMAN PHARMD
Pharmacist
6046 WHIPPLE AVE NW
NORTH CANTON, OH 44720
Stark County (330) 305-9075
JULIA FIORENTINO MD
Internal Medicine
6046 WHIPPLE AVE NW
NORTH CANTON, OH 44720
Stark County (330) 433-1200
MEGAN DONALDSON DPT
Physical Therapist
6046 WHIPPLE AVE NW
NORTH CANTON, OH 44720
Stark County (330) 433-1399
AMY ELIZABETH SENK D.O.
Pediatrics
6046 WHIPPLE AVE NW
NORTH CANTON, OH 44720
Stark County (330) 433-1777
DR. STEPHEN ADRIAN LOPEZ M.D.
Plastic Surgery
6046 WHIPPLE AVE NW
CANTON, OH 44720
Stark County (330) 499-2209
DANIELLE NADIENE KWASNICKA DO
Internal Medicine
6046 WHIPPLE AVE NW
CANTON, OH 44720
Stark County (330) 433-1200
MRS. CHRISTINE ANN MILBURN NURSE PRACTITIONER
Nurse Practitioner (Family)
6046 WHIPPLE AVE NW
NORTH CANTON, OH 44720
Stark County (330) 433-1200
JOHN B HUMPHREY JR. MD
Internal Medicine
6046 WHIPPLE AVE NW
NORTH CANTON, OH 44720
Stark County (330) 433-1200

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 Gilbert Rowley's NPI number?

The NPI number for Gilbert Rowley is 1114994670. It was assigned to this individual provider in the NPPES registry on March 3, 2006.

Where is Gilbert Rowley located?

Gilbert Rowley practices at 6046 Whipple Ave NW, North Canton, OH 44720. The listed phone number is (330) 433-1200.

What is Gilbert Rowley's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Gilbert Rowley enrolled in Medicare?

Yes. Gilbert Rowley 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 Gilbert Rowley accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Gilbert Rowley 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 Gilbert Rowley affiliated with any hospitals?

According to CMS data, Gilbert Rowley is affiliated with Aultman Hospital.

When was this NPI record last updated?

The NPPES record for Gilbert Rowley was last updated on January 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.