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GILBERT PADULA M.D.
NPI 1255348454
Radiology - Radiation Oncology in Mentor, OH

Active since August 01, 2006PECOS EnrolledAccepts Medicare Assignment
79.48/100
CMS Quality Rating
9485 MENTOR AVE STE 3, MENTOR, OH 44060(440) 205-5755(440) 205-5789 Get Directions Write a Review

NPPES record last updated: December 15, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Gilbert Padula M.d. NPPES

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

GILBERT PADULA M.D. (NPI 1255348454) is an individual radiation oncology provider in Mentor, Ohio, licensed in Michigan (4301069993) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Youngstown Hospital, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1255348454
Entity TypeIndividualMale
Primary Taxonomy2085R0001X
Provider Legal NameGILBERT PADULACredential: M.D.
Location Address9485 MENTOR AVE STE 3Mentor, OH 44060-8711
Mailing Address6935 Reliable PkwyChicago, IL 60686-0001 · (616) 897-0995 · Fax (616) 897-0986
Phone(440) 205-5755
Fax(440) 205-5789
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateAugust 1, 2006
Last NPPES UpdateDecember 15, 2020
NPPES CertifiedDecember 15, 2020
✔ NPI 1255348454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
License✔ Licensed in MI · 4301069993
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
9485 MENTOR AVE STE 3, Mentor, OH 44060
Open in Google Maps ↗

Other Identifiers 1

Medicaid4435150MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Gilbert Padula 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 ID5496641011
PECOS Enrollment IDI20170309002680
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

4

Medicare enrollment records show Gilbert Padula reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Hospitals Medical Group Inc
20 mi
Multi-Specialty
11100 EUCLID AVE
Cleveland, OH 44106
  • Reassigned Medicare billing, Ohio enrollment
  • 3,958 clinicians in this Medicare group
NPI 1669499414 (216) 844-1000
Mercy Health Physicians Youngstown Specialty Care LLC
41 mi
Diagnostic Radiology
1932 NILES CORTLAND RD NE
Warren, OH 44484
  • Reassigned Medicare billing, Ohio enrollment
  • 744 clinicians in this Medicare group
NPI 1255009601 (330) 306-5300
Neo Urology Associates Inc
57 mi
Urology
7430 SOUTHERN BLVD
Boardman, OH 44512
  • Reassigned Medicare billing, Ohio enrollment
  • 27 clinicians in this Medicare group
NPI 1598798878 (330) 729-9214
Triad Health Services, LLC
57 mi
Plastic Surgery
100 DEBARTOLO PL STE 200
Youngstown, OH 44512
  • Reassigned Medicare billing, Ohio enrollment
  • 317 clinicians in this Medicare group
NPI 1588925457 (330) 965-4540

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

Hospital Affiliations CMS Care Compare

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

St Elizabeth Youngstown Hospital

Acute Care Hospitals · Youngstown, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360064
Location1044 Belmont AvenueYoungstown, OH 44501 · Mahoning County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44060 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
$166.65 typical visit price
range $54.34 – $166.65
Typical copayment $41.66 (range $13.58 – $41.66)
Most-billed visit code 99205
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

79.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.51
Promoting Interoperability100
Improvement Activities40
Cost63.09

Other Providers at the Same Location NPPES 5

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

LOUIS J NOVAK MD
Radiology (Radiation Oncology)
9485 MENTOR AVE STE 3
MENTOR, OH 44060
Lake County (440) 205-5755
LAKE HEALTH-UNIVERSITY HOSPITALS SEIDMAN CANCER CTR PHYSICIANS INC
Internal Medicine (Hematology & Oncology)
9485 MENTOR AVE STE 3
MENTOR, OH 44060
Lake County (440) 205-5775
LAKE HEALTH-UNIVERSITY HOSPITALS SEIDMAN CANCER CENTER
Pharmacy (Clinic Pharmacy)
9485 MENTOR AVE STE 3
MENTOR, OH 44060
Lake County (440) 205-5755
DEBBIE DUBEANSKY RN, AGPCNP-BC
Nurse Practitioner (Adult Health)
9485 MENTOR AVE STE 3
MENTOR, OH 44060
Lake County (615) 260-2671
ANDREW JONATHAN GROSS MD
Radiology (Radiation Oncology)
9485 MENTOR AVE STE 3
MENTOR, OH 44060
Lake County (440) 205-5788

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 Padula's NPI number?

The NPI number for Gilbert Padula is 1255348454. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Gilbert Padula located?

Gilbert Padula practices at 9485 Mentor Ave Ste 3, Mentor, OH 44060. The listed phone number is (440) 205-5755.

What is Gilbert Padula's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Gilbert Padula enrolled in Medicare?

Yes. Gilbert Padula 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 Gilbert Padula's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gilbert Padula reassigns Medicare benefits to 4 organizations: University Hospitals Medical Group Inc (Cleveland, OH), Mercy Health Physicians Youngstown Specialty Care LLC (Warren, OH), Neo Urology Associates Inc (Boardman, OH) and Triad Health Services, LLC (Youngstown, OH). 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 Gilbert Padula's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gilbert Padula accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 5 other insurers list Gilbert Padula 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 Padula affiliated with any hospitals?

According to CMS data, Gilbert Padula is affiliated with St Elizabeth Youngstown Hospital.

When was this NPI record last updated?

The NPPES record for Gilbert Padula was last updated on December 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.