DR. CARL J GILBERT MD
NPI 1326001785
Surgery in Edmond, OK
About Dr. Carl J Gilbert Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CARL J GILBERT MD (NPI 1326001785) is an individual surgery provider in Edmond, Oklahoma, licensed in Arkansas (E4658) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Integris Baptist Medical Center, Inc, and is a graduate of Other (1973).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted 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
Dr. Carl J Gilbert 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.
Medicare Billing Reassignments
2Medicare enrollment records show Carl Gilbert reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lawton, OK 73505
- Reassigned Medicare billing, Oklahoma enrollment
- 56 clinicians in this Medicare group
Troy, OH 45373
- Reassigned Medicare billing, Ohio enrollment
- 22 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Integris Baptist Medical Center, Inc
Acute Care Hospitals · Oklahoma City, OKO U Medical Center
Acute Care Hospitals · Oklahoma City, OKIntegris Health Edmond Hospital
Acute Care Hospitals · Edmond, OKPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 73034 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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 Carl Gilbert's NPI number?
The NPI number for Carl Gilbert is 1326001785. It was assigned to this individual provider in the NPPES registry on April 7, 2006.
Where is Carl Gilbert located?
Carl Gilbert practices at 4509 Integris Pkwy, Edmond, OK 73034. The listed phone number is (405) 657-3195.
What is Carl Gilbert's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Carl Gilbert enrolled in Medicare?
Yes. Carl 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.
Which organizations bill Medicare for Carl Gilbert's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carl Gilbert reassigns Medicare benefits to 2 organizations: Healogics Specialty Physicians Of Oklahoma, PLLC (Lawton, OK) and Healogics Specialty Physicians Of Ohio, LLC (Troy, 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 Carl Gilbert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carl Gilbert accept?
Health plans from Blue Cross and Blue Shield of Oklahoma list Carl 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 Carl Gilbert affiliated with any hospitals?
According to CMS data, Carl Gilbert is affiliated with Integris Baptist Medical Center, Inc, O U Medical Center and Integris Health Edmond Hospital.
When was this NPI record last updated?
The NPPES record for Carl Gilbert was last updated on April 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Carl J Gilbert, MD · NPI 1326001785
Surgery physician in Edmond, Oklahoma. Individual provider, active in the CMS NPPES registry since April 7, 2006.
## Identity
- **NPI:** 1326001785 (Entity type: Individual)
- **Enumerated:** April 7, 2006
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** E4658 (Arkansas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4509 INTEGRIS PKWY, Edmond, OK 73034-8696
- **Phone:** (405) 657-3195 · **Fax:** (405) 657-3193
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Healogics Specialty Physicians Of Oklahoma, PLLC (NPI 1144625740, Lawton, OK); Healogics Specialty Physicians Of Ohio, LLC (NPI 1124430491, Troy, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1973
## Record status
- **NPPES last updated:** April 24, 2023
- **Other identifiers:** Medicaid 159057001 (AR); Other 5N462 (AR)
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Source: [NPI Profile](https://npiprofile.com/npi/1326001785) · Data from the CMS NPPES public registry.