DR. MICHAEL ANDREW GILBERT DO
NPI 1205039534
Radiology - Diagnostic Radiology in Clinton, MO

Active since June 06, 2007PECOS EnrolledAccepts Medicare Assignment
1600 N 2ND ST, CLINTON, MO 64735(660) 885-5511(660) 885-8496 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michael Andrew Gilbert Do NPPES

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

DR. MICHAEL ANDREW GILBERT DO (NPI 1205039534) is an individual diagnostic radiology provider in Clinton, Missouri, licensed in Missouri (2012008859) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Bothwell Regional Health Center, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1205039534
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. MICHAEL ANDREW GILBERTCredential: DO
Location Address1600 N 2ND STClinton, MO 64735-1192
Mailing AddressPo Box 548Clinton, MO 64735-0548 · (816) 309-0849
Fax(660) 885-8496
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJune 6, 2007
Last NPPES UpdateNovember 29, 2021
NPPES CertifiedNovember 29, 2021
NPI 1205039534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in MO · 2012008859 Licensed in MO · 2008015641
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1600 N 2ND ST, Clinton, MO 64735

Accepted 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

Dr. Michael Andrew Gilbert 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 ID840455655
PECOS Enrollment IDI20120628000672
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 73

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
470 services378 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
415 services415 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
320 services294 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
306 services306 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
196 services183 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
142 services124 patients

Hospital Affiliations CMS Care Compare 3

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

Bothwell Regional Health Center

Acute Care Hospitals · Sedalia, MO
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number260009
Location601 E 14th StSedalia, MO 65302 · Pettis County
Emergency services Birthing friendly

Research Medical Center

Acute Care Hospitals · Kansas City, MO
2/5 CMS rating
OwnershipProprietary
CMS Certification Number260027
Location2316 E Meyer BlvdKansas City, MO 64132 · Jackson County
Emergency services Birthing friendly

Golden Valley Memorial Hospital

Acute Care Hospitals · Clinton, MO
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number260175
Location1600 N 2nd StClinton, MO 64735 · Henry County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64735 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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.

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

Optimizing Patient Exposure to Ionizing Radiation: Computed Tomography (CT) Images Available for Patient Follow-up and Comparison
Percentage of final reports for computed tomography (CT) studies performed for all patients, regardless of age, which document that Digital Imaging and Communications in Medicine (DICOM) format image data are available to non-affiliated external healthcare…
100%909 patients
Optimizing Patient Exposure to Ionizing Radiation: Count of Potential High Dose Radiation Imaging Studies: Computed Tomography (CT) and Cardiac Nuclear Medicine Studies
Percentage of computed tomography (CT) and cardiac nuclear medicine (myocardial perfusion studies) imaging reports for all patients, regardless of age, that document a count of known previous CT (any type of CT) and cardiac nuclear medicine (myocardial…
100%909 patients5/55-star benchmark: 100%
Optimizing Patient Exposure to Ionizing Radiation: Reporting to a Radiation Dose Index Registry
Percentage of total computed tomography (CT) studies performed for all patients, regardless of age, that are reported to a radiation dose index registry that is capable of collecting at a minimum selected data elements
100%891 patients
Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy
Final reports for procedures using fluoroscopy that document radiation exposure indices, or exposure time and number of fluorographic images (if radiation exposure indices are not available)
100%143 patients5/55-star benchmark: 100%
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.

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.

Emergency Medicine
1600 N 2ND ST
CLINTON, MO 64735
Anesthesiology (Pain Medicine)
1600 N 2ND ST
CLINTON, MO 64735
Emergency Medicine (Emergency Medical Services)
1600 N 2ND ST
CLINTON, MO 64735
Registered Nurse
1600 N 2ND ST
CLINTON, MO 64735
Psychiatry & Neurology (Psychiatry)
1600 N 2ND ST
CLINTON, MO 64735
Anesthesiology
1600 N 2ND ST
CLINTON, MO 64735
Pediatrics
1600 N 2ND ST
CLINTON, MO 64735
Emergency Medicine
1600 N 2ND ST
CLINTON, MO 64735

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 Michael Gilbert's NPI number?

The NPI number for Michael Gilbert is 1205039534. It was assigned to this individual provider in the NPPES registry on June 6, 2007.

Where is Michael Gilbert located?

Michael Gilbert practices at 1600 N 2nd St, Clinton, MO 64735. The listed phone number is (660) 885-5511.

What is Michael Gilbert's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Michael Gilbert enrolled in Medicare?

Yes. Michael 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.

What insurance does Michael Gilbert accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list Michael 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 Michael Gilbert affiliated with any hospitals?

According to CMS data, Michael Gilbert is affiliated with Bothwell Regional Health Center, Research Medical Center and Golden Valley Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Michael Gilbert was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.