THOMAS J GILBERT JR. MD
NPI 1215904560
Radiology - Diagnostic Radiology in St Louis Park, MN

Active since March 07, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
5775 WAYZATA BOULEVARD, SUITE 190, ST LOUIS PARK, MN 55416(952) 541-1840(952) 513-6880 Get Directions Write a Review

NPPES record last updated: February 9, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Thomas J Gilbert Jr. Md NPPES

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

THOMAS J GILBERT JR. MD (NPI 1215904560) is an individual diagnostic radiology provider in St Louis Park, Minnesota, licensed in Minnesota (31601) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Sioux Falls Specialty Hospital, and is a graduate of Harvard Medical School (1983).

NPPES Registry Identity

NPI1215904560
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameTHOMAS J GILBERT JR.Credential: MD
Location Address5775 WAYZATA BOULEVARD, SUITE 190St Louis Park, MN 55416
Mailing AddressPo Box 1450 # Nw6035Minneapolis, MN 55485-0001 · (952) 542-8553 · Fax (952) 513-6880
Fax(952) 513-6880
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 1983
Enumeration DateMarch 7, 2006
Last NPPES UpdateFebruary 9, 2012
NPI 1215904560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in MN · 31601
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
5775 WAYZATA BOULEVARD, St Louis Park, MN 55416

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

Thomas J Gilbert Jr. 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 ID840187126
PECOS Enrollment IDI20050519000639, I20250725001193
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 21

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.

Injection, gadoterate meglumine, 0.1 ml A9575
Gadoterate meglumine is a contrast agent used in MRI scans to help visualize certain areas of your body more clearly. It's injected into your bloodstream, typically through a vein in your arm, and helps doctors get more detailed images.
9,250 services48 patients
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml Q9966
Low osmolar contrast material with 200-299 mg/ml iodine concentration is a type of dye used in certain medical tests like CT scans or X-rays. It helps to highlight specific areas in your body, making them easier to see and examine. It's safe and commonly used.
6,803 services111 patients
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
2,090 services21 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
1,225 services97 patients
Mri scan of lower spinal canal without contrast 72148
An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.
492 services487 patients
Mri scan of upper spinal canal without contrast 72141
An MRI scan of the upper spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your upper spine. This helps doctors identify issues such as injuries, infections or diseases. No dye is used.
195 services195 patients

Hospital Affiliations CMS Care Compare

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

Sioux Falls Specialty Hospital

Acute Care Hospitals · Sioux Falls, SD
OwnershipProprietary
CMS Certification Number430090
Location910 East 20th StreetSioux Falls, SD 57105 · Minnehaha County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55416 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Other Providers at the Same Location NPPES 9

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

Physician Assistant
5775 WAYZATA BOULEVARD, SUITE 150
ST. LOUIS PARK, MN 55416
Radiology (Diagnostic Radiology)
5775 WAYZATA BOULEVARD, SUITE 190
ST LOUIS PARK, MN 55416
Clinic/Center (Ambulatory Surgical)
5775 WAYZATA BOULEVARD, SUITE 190
ST LOUIS PARK, MN 55416
Radiology (Diagnostic Radiology)
5775 WAYZATA BOULEVARD, SUITE 190
ST LOUIS PARK, MN 55416
Radiology (Diagnostic Radiology)
5775 WAYZATA BOULEVARD, SUITE 190
ST LOUIS PARK, MN 55416
Nurse Practitioner (Adult Health)
5775 WAYZATA BOULEVARD, SUITE 600
SAINT LOUIS PARK, MN 55416
Radiology (Diagnostic Radiology)
5775 WAYZATA BOULEVARD, SUITE 190
ST LOUIS PARK, MN 55416
Radiology (Vascular & Interventional Radiology)
5775 WAYZATA BOULEVARD, SUITE 140
ST. LOUIS PARK, MN 55416

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 Thomas Gilbert's NPI number?

The NPI number for Thomas Gilbert is 1215904560. It was assigned to this individual provider in the NPPES registry on March 7, 2006.

Where is Thomas Gilbert located?

Thomas Gilbert practices at 5775 Wayzata Boulevard Suite 190, St Louis Park, MN 55416. The listed phone number is (952) 541-1840.

What is Thomas Gilbert's specialty?

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

Is Thomas Gilbert enrolled in Medicare?

Yes. Thomas 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 Thomas Gilbert accept?

Health plans from Avera Health Plans and Sanford Health Plan list Thomas 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 Thomas Gilbert affiliated with any hospitals?

According to CMS data, Thomas Gilbert is affiliated with Sioux Falls Specialty Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Gilbert was last updated on February 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.