JEFFERY A. GILBERT D.O.
NPI 1215153929
Internal Medicine - Cardiovascular Disease in Burnham, PA

Q: What is Jeffery Gilbert's NPI number?

The NPI number for Jeffery Gilbert is 1215153929. It was assigned to this individual provider in the NPPES registry on April 18, 2007.

Q: What is Jeffery Gilbert's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jeffery Gilbert was last updated on August 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since April 18, 2007PECOS EnrolledAccepts Medicare Assignment

217 SOUTH LOGAN BLVD., BURNHAM, PA 17009(717) 248-5431(717) 248-5038 Get Directions Write a Review

NPPES record last updated: August 5, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 5, 2020, Sep 2, 2016 (2 updates tracked since 2016).

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About Jeffery A. Gilbert D.o. NPPES

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

JEFFERY A. GILBERT D.O. (NPI 1215153929) is an individual cardiovascular disease provider in Burnham, Pennsylvania, licensed in Pennsylvania (OS012774) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Upmc Williamsport, and is a graduate of Philadelphia College Of Osteopathic Medicine (2002).

NPPES Registry Identity

NPI1215153929

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameJEFFERY A. GILBERTCredential: D.O.

Location Address217 SOUTH LOGAN BLVD.Burnham, PA 17009

Mailing Address100 North Academy AvenueDanville, PA 17822-4903 · (570) 271-6144 · Fax (570) 271-6578

Phone(717) 248-5431

Fax(717) 248-5038

Sole ProprietorNo

Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2002

Enumeration DateApril 18, 2007

Last NPPES UpdateAugust 5, 20202 updates tracked since enumeration

NPPES CertifiedAugust 5, 2020

✔ NPI 1215153929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in PA · OS012774

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.

Also ListedInternal MedicineTaxonomy 207R00000X · License OS012774 (PA)

Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X · License OS012774 (PA)

217 SOUTH LOGAN BLVD., Burnham, PA 17009

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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

Jeffery A. Gilbert D.o. 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 ID4789736133

PECOS Enrollment IDI20090715000337

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

Medicare enrollment records show Jeffery Gilbert reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Geisinger Clinic

1.8 mi

Internal Medicine

21 GEISINGER LN
Lewistown, PA 17044

Reassigned Medicare billing, Pennsylvania enrollment
4,429 clinicians in this Medicare group

NPI 1770534166 (717) 242-4200

Susquehanna Physician Services

51 mi

Cardiovascular Disease

740 HIGH ST, SUITE 2001
Williamsport, PA 17701

Reassigned Medicare billing, Pennsylvania enrollment
91 clinicians in this Medicare group

NPI 1861431116 (570) 321-2800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 18

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

1,203 services719 patients

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.

238 services168 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

193 services190 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

192 services186 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

157 services126 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

126 services80 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

89 services87 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

81 services81 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

80 services76 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

65 services64 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

51 services51 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.

49 services40 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.

24 services17 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

21 services19 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

16 services16 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

14 services11 patients

Ultrasound of heart during rest, exercise and/or drug-induced stress with report 93350

This procedure involves using ultrasound imaging to view your heart at rest, during exercise, and/or under drug-induced stress. It helps assess how well your heart responds to exertion. A report of the findings is provided after the test.

12 services12 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Upmc Williamsport

Acute Care Hospitals · Williamsport, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390045

Location700 High StreetWilliamsport, PA 17701 · Lycoming County

Emergency services Birthing friendly

Robert Packer Hospital

Acute Care Hospitals · Sayre, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390079

LocationOne Guthrie SquareSayre, PA 18840 · Bradford County

Emergency services Birthing friendly

Upmc Cole

Critical Access Hospitals · Coudersport, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number391313

Location1001 East Second StreetCoudersport, PA 16915 · Potter County

Emergency services Birthing friendly

Upmc Wellsboro

Critical Access Hospitals · Wellsboro, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number391316

Location32-36 Central AvenueWellsboro, PA 16901 · Tioga County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17009 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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.

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 Jeffery Gilbert's NPI number?

The NPI number for Jeffery Gilbert is 1215153929. It was assigned to this individual provider in the NPPES registry on April 18, 2007.

Where is Jeffery Gilbert located?

Jeffery Gilbert practices at 217 South Logan Blvd., Burnham, PA 17009. The listed phone number is (717) 248-5431.

What is Jeffery Gilbert's specialty?

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

Is Jeffery Gilbert enrolled in Medicare?

Yes. Jeffery 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.

Which organizations bill Medicare for Jeffery Gilbert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffery Gilbert reassigns Medicare benefits to 2 organizations: Geisinger Clinic (Lewistown, PA) and Susquehanna Physician Services (Williamsport, PA). 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 Jeffery Gilbert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jeffery Gilbert affiliated with any hospitals?

According to CMS data, Jeffery Gilbert is affiliated with Upmc Williamsport, Robert Packer Hospital, Upmc Cole and Upmc Wellsboro.

When was this NPI record last updated?

The NPPES record for Jeffery Gilbert was last updated on August 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.