GILBERT G BERDINE M.D.
NPI 1225003791
Internal Medicine - Pulmonary Disease in Lubbock, TX

Active since February 20, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
3601 4TH ST, 2ND FLOOR, LUBBOCK, TX 79430(806) 743-3150(806) 743-3168 Get Directions Write a Review

NPPES record last updated: January 13, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gilbert G Berdine M.d. NPPES

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

GILBERT G BERDINE M.D. (NPI 1225003791) is an individual pulmonary disease provider in Lubbock, Texas, licensed in Texas (G6142) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with University Medical Center, and is a graduate of Harvard Medical School (1978).

NPPES Registry Identity

NPI1225003791
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameGILBERT G BERDINECredential: M.D.
Location Address3601 4TH ST, 2ND FLOORLubbock, TX 79430-9410
Mailing AddressPo Box 5865Lubbock, TX 79408-5865 · (806) 743-2898 · Fax (806) 743-2787
Fax(806) 743-3168
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 1978
Enumeration DateFebruary 20, 2006
Last NPPES UpdateJanuary 13, 2022
NPPES CertifiedJanuary 13, 2022
NPI 1225003791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in TX · G6142
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
3601 4TH ST, Lubbock, TX 79430

Other Identifiers 7

Other162198100TX · Firstcare
Other8CA061TX · Hmo Blue
Medicaid10978534NM
Medicaid133908710TX
Other8CA060TX · Blue Cross And Blue Shield
Other202035797NM · Presbyterian Commercial And Salud
OtherP00716809TX · Railroad Medicare

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

Gilbert G Berdine 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 ID4385623602
PECOS Enrollment IDI20040719001132
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.

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.
136 services89 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.
134 services75 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.
25 services25 patients
Test to measure rate of airflow 94375
This test, known as spirometry, measures how much air you can breathe in and out, and how quickly you can do so. It helps assess your lung function and can be used to diagnose or monitor conditions like asthma or COPD.
15 services14 patients

Hospital Affiliations CMS Care Compare

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

University Medical Center

Acute Care Hospitals · Lubbock, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450686
Location602 Indiana AvenueLubbock, TX 79415 · Lubbock County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79430 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality91.19
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 15

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

Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers20 claims20 services$98.17 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers21 claims58 services$35.11 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
6 suppliers14 claims14 services$59.29 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
7 suppliers17 claims17 services$19.32 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
5 suppliers21 claims21 services$15.80 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
8 suppliers34 claims179 services$2.41 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 20

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

Speech-Language Pathologist
3601 4TH ST, STE. 2A300
LUBBOCK, TX 79430
Anesthesiology
3601 4TH ST
LUBBOCK, TX 79430
Student in an Organized Health Care Education/Training Program
3601 4TH ST
LUBBOCK, TX 79430
Psychiatry & Neurology (Psychiatry)
3601 4TH ST
LUBBOCK, TX 79430
Pathology (Anatomic Pathology & Clinical Pathology)
3601 4TH ST, SUITE 1A115
LUBBOCK, TX 79430
Orthopaedic Surgery (Sports Medicine)
3601 4TH ST
LUBBOCK, TX 79430
Student in an Organized Health Care Education/Training Program
3601 4TH ST
LUBBOCK, TX 79430
Internal Medicine
3601 4TH ST
LUBBOCK, TX 79430

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 Berdine's NPI number?

The NPI number for Gilbert Berdine is 1225003791. It was assigned to this individual provider in the NPPES registry on February 20, 2006.

Where is Gilbert Berdine located?

Gilbert Berdine practices at 3601 4th St 2nd Floor, Lubbock, TX 79430. The listed phone number is (806) 743-3150.

What is Gilbert Berdine's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Gilbert Berdine enrolled in Medicare?

Yes. Gilbert Berdine 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 Berdine accept?

Health plans from Blue Cross and Blue Shield of Texas list Gilbert Berdine 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 Berdine affiliated with any hospitals?

According to CMS data, Gilbert Berdine is affiliated with University Medical Center.

When was this NPI record last updated?

The NPPES record for Gilbert Berdine was last updated on January 13, 2022. 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.