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DR. RICHARD JAY GILBERT M.D.
NPI 1184847089
Internal Medicine - Gastroenterology in Cranston, RI

Active since April 10, 2007PECOS EnrolledAccepts Medicare Assignment
922 RESERVOIR AVE, CRANSTON, RI 02910(401) 808-6996 Get Directions Write a Review

NPPES record last updated: February 4, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Richard Jay Gilbert M.d. NPPES

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

DR. RICHARD JAY GILBERT M.D. (NPI 1184847089) is an individual gastroenterology provider in Cranston, Rhode Island, licensed in Massachusetts (56361) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and is a graduate of Rutgers School Of Dental Medicine (1978).

NPPES Registry Identity

NPI1184847089
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. RICHARD JAY GILBERTCredential: M.D.
Location Address922 RESERVOIR AVECranston, RI 02910-4417
Mailing Address922 Reservoir AveCranston, RI 02910-4417 · (401) 808-6996
Phone(401) 808-6996
Sole ProprietorYes
Medical School CMSRutgers School Of Dental MedicineGraduated 1978
Enumeration DateApril 10, 2007
Last NPPES UpdateFebruary 4, 2020
✔ NPI 1184847089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in MA · 56361
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
922 RESERVOIR AVE, Cranston, RI 02910
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Other Identifiers 1

Medicaid3019624MA

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. Richard Jay Gilbert M.d. 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 ID2163478447
PECOS Enrollment IDI20151102001990
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02910 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
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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.

Reported Quality Measures

Colorectal Cancer Screening
0%24 patients1/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
0%314 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
0%45 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%144 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 42 patients
0%42 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix B4197
Other-Enteral and Parenteral · category OB005N
1 supplier20 claims61 services$261.00 avg. paid by Medicare
Parenteral nutrition supply kit; premix, per day B4220
Other-Enteral and Parenteral · category OB005N
1 supplier20 claims59 services$8.09 avg. paid by Medicare
Parenteral nutrition administration kit, per day B4224
Other-Enteral and Parenteral · category OB005N
1 supplier19 claims58 services$25.26 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 2

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

KATHRYNE ANNE LEONARD DO
Family Medicine
922 RESERVOIR AVE
CRANSTON, RI 02910
Providence County (401) 946-0884
DR. ROBERT THOMAS LEONARD JR. D. O.
Dermatology (Procedural Dermatology)
922 RESERVOIR AVE
CRANSTON, RI 02910
Providence County (401) 946-0884

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 Richard Gilbert's NPI number?

The NPI number for Richard Gilbert is 1184847089. It was assigned to this individual provider in the NPPES registry on April 10, 2007.

Where is Richard Gilbert located?

Richard Gilbert practices at 922 Reservoir Ave, Cranston, RI 02910. The listed phone number is (401) 808-6996.

What is Richard Gilbert's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Richard Gilbert enrolled in Medicare?

Yes. Richard 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.

When was this NPI record last updated?

The NPPES record for Richard Gilbert was last updated on February 4, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.