JULIA ANN GILBERT CNP
NPI 1306171624
Nurse Practitioner - Family in Portsmouth, OH

Active since October 05, 2009PECOS Enrolled
85.07/100
CMS Quality Rating
2001 SCIOTO TRL STE 300, PORTSMOUTH, OH 45662(740) 353-6390(740) 353-6290 Get Directions Write a Review

NPPES record last updated: July 24, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Julia Ann Gilbert Cnp NPPES

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

JULIA ANN GILBERT CNP (NPI 1306171624) is an individual family provider in Portsmouth, Ohio, licensed in Ohio (COA11034-NP) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306171624
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJULIA ANN GILBERTCredential: CNP
Location Address2001 SCIOTO TRL STE 300Portsmouth, OH 45662-2845
Mailing AddressPo Box 1595Ashland, KY 41105-1595 · (606) 408-6200 · Fax (606) 408-6612
Fax(740) 353-6290
Sole ProprietorNo
Enumeration DateOctober 5, 2009
Last NPPES UpdateJuly 24, 2019
NPI 1306171624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in OH · COA11034-NP Licensed in KY · 3006208
2001 SCIOTO TRL STE 300, Portsmouth, OH 45662

Other Identifiers 3

Medicaid3810016171WV
Medicaid3011770OH
Medicaid7100092790KY

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 (PECOS)

Julia Ann Gilbert Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 9

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.
178 services100 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.
74 services53 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.
50 services45 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
45 services45 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.
27 services27 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
25 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45662 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

85.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.96
Promoting Interoperability100
Improvement Activities40
Cost64.52

Referred Medical Equipment & Supplies CMS DME claims 12

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
12 suppliers42 claims75 services$4.97 avg. paid by Medicare
Ostomy belt, each A4367
DME-Orthotic Devices · category DF010N
1 supplier12 claims12 services$6.52 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$4.51 avg. paid by Medicare
Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
1 supplier12 claims300 services$0.21 avg. paid by Medicare
Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each A5057
DME-Orthotic Devices · category DF010N
1 supplier11 claims220 services$8.97 avg. paid by Medicare
Skin barrier, wipes or swabs, each A5120
DME-Orthotic Devices · category DF010N
1 supplier12 claims300 services$0.19 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 7

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

Nurse Practitioner (Family)
2001 SCIOTO TRL STE 300
PORTSMOUTH, OH 45662
Nurse Practitioner (Family)
2001 SCIOTO TRL STE 300
PORTSMOUTH, OH 45662
Family Medicine
2001 SCIOTO TRL STE 300
PORTSMOUTH, OH 45662
Nurse Practitioner (Family)
2001 SCIOTO TRL STE 300
PORTSMOUTH, OH 45662
Nurse Practitioner (Family)
2001 SCIOTO TRL STE 300
PORTSMOUTH, OH 45662
Family Medicine
2001 SCIOTO TRL STE 300
PORTSMOUTH, OH 45662
Nurse Practitioner (Family)
2001 SCIOTO TRL STE 300
PORTSMOUTH, OH 45662

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 Julia Gilbert's NPI number?

The NPI number for Julia Gilbert is 1306171624. It was assigned to this individual provider in the NPPES registry on October 5, 2009.

Where is Julia Gilbert located?

Julia Gilbert practices at 2001 Scioto Trl Ste 300, Portsmouth, OH 45662. The listed phone number is (740) 353-6390.

What is Julia Gilbert's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Julia Gilbert enrolled in Medicare?

Yes. Julia Gilbert is registered in the Medicare PECOS enrollment system.

What insurance does Julia Gilbert accept?

Health plans from CareSource list Julia 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.

When was this NPI record last updated?

The NPPES record for Julia Gilbert was last updated on July 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.