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JOHN S GILBERT D.O.
NPI 1275735581
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Mishawaka, IN

Active since May 31, 2007PECOS EnrolledAccepts Medicare Assignment
810 PARK PLACE, MISHAWAKA, IN 46545(574) 366-0240(574) 366-0218 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 11, 2025, Mar 30, 2021, Mar 16, 2016 (3 updates tracked since 2016).

About John S Gilbert D.o. NPPES

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

JOHN S GILBERT D.O. (NPI 1275735581) is an individual otolaryngology/facial plastic surgery provider in Mishawaka, Indiana, licensed in Indiana (02004142A) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Elkhart General Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1275735581
Entity TypeIndividualMale
Primary Taxonomy207YX0905X
Provider Legal NameJOHN S GILBERTCredential: D.O.
Location Address810 PARK PLACEMishawaka, IN 46545
Mailing Address810 Park PlaceMishawaka, IN 46545 · (574) 366-0240 · Fax (574) 366-0218
Phone(574) 366-0240
Fax(574) 366-0218
Sole ProprietorNo
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 2005
Enumeration DateMay 31, 2007
Last NPPES UpdateDecember 11, 20253 updates tracked since enumeration
NPPES CertifiedDecember 11, 2025
✔ NPI 1275735581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YX0905X
License✔ Licensed in IN · 02004142A
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
810 PARK PLACE, Mishawaka, IN 46545
Open in Google Maps ↗

Secondary Practice Locations 4

Location 16913 N Main St, Ste 200Granger, IN 46530-8039 · Phone (574) 647-4540 · Fax (574) 647-2567
Location 21753 Fulton StElkhart, IN 46514-1927 · Phone (574) 293-9448 · Fax (574) 293-9480
Location 32222 Rieth Blvd, Suite 104Goshen, IN 46526-5869 · Phone (574) 875-1082 · Fax (574) 875-3860
Location 46913 N Main St, Ste 300Granger, IN 46530-8039 · Phone (574) 647-1500 · Fax (574) 647-2567

Other Identifiers 1

Medicaid201134970IN

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

John S 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 ID2961534615
PECOS Enrollment IDI20130510000191
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 10

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.
269 services166 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
165 services116 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.
163 services113 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.
101 services101 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
82 services56 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
50 services44 patients

Hospital Affiliations CMS Care Compare 2

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

Elkhart General Hospital

Acute Care Hospitals · Elkhart, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150018
Location600 E BlvdElkhart, IN 46514 · Elkhart County
Emergency services Birthing friendly

Memorial Hospital Of South Bend

Acute Care Hospitals · South Bend, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150058
Location615 N Michigan StSouth Bend, IN 46601 · St. Joseph County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES

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

ANGELA MARIE WRIGHT PA
Physician Assistant
810 PARK PLACE
MISHAWAKA, IN 46545
St. Joseph County (574) 366-0240

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 John Gilbert's NPI number?

The NPI number for John Gilbert is 1275735581. It was assigned to this individual provider in the NPPES registry on May 31, 2007.

Where is John Gilbert located?

John Gilbert practices at 810 Park Place, Mishawaka, IN 46545. The listed phone number is (574) 366-0240.

What is John Gilbert's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

Is John Gilbert enrolled in Medicare?

Yes. John 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 John Gilbert accept?

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

According to CMS data, John Gilbert is affiliated with Elkhart General Hospital and Memorial Hospital Of South Bend.

When was this NPI record last updated?

The NPPES record for John Gilbert was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.