GARETH H GILKEY MD
NPI 1326090325
Internal Medicine in Indianapolis, IN

Active since May 17, 2006PECOS EnrolledAccepts Medicare Assignment
91.49/100
CMS Quality Rating
1002 WISHARD BLVD, 4TH FL, INDIANAPOLIS, IN 46202(317) 692-2323(317) 656-3967 Get Directions Write a Review

NPPES record last updated: July 22, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Gareth H Gilkey Md NPPES

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

GARETH H GILKEY MD (NPI 1326090325) is an individual internal medicine provider in Indianapolis, Indiana, licensed in Indiana (01022461A) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Eskenazi Health, and is a graduate of University Of Washington School Of Medicine (1964).

NPPES Registry Identity

NPI1326090325
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameGARETH H GILKEYCredential: MD
Location Address1002 WISHARD BLVD, 4TH FLIndianapolis, IN 46202-2872
Mailing Address8910 Purdue Rd, Ste.500Indianapolis, IN 46268-6100
Fax(317) 656-3967
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 1964
Enumeration DateMay 17, 2006
Last NPPES UpdateJuly 22, 2011
NPI 1326090325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in IN · 01022461A
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1002 WISHARD BLVD, Indianapolis, IN 46202

Other Identifiers 4

Other000000086828IN · Anthem
Medicare UPINB28178IN
Medicare PIN715530AIN
Medicaid100260930IN

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

Gareth H Gilkey 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.

PECOS PAC ID4082744537
PECOS Enrollment IDI20100610000580
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

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.

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.
29 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Eskenazi Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150024
Location720 Eskenazi AvenueIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

91.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality98.84
Promoting Interoperability97
Improvement Activities40
Cost46.2

Referred Medical Equipment & Supplies CMS DME claims 3

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
10 suppliers30 claims64 services$4.55 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers11 claims15 services$0.61 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier12 claims12 services$26.50 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.

Social Worker
1002 WISHARD BLVD
INDIANAPOLIS, IN 46202
Internal Medicine
1002 WISHARD BLVD, 4TH FL
INDIANAPOLIS, IN 46202
Occupational Therapist
1002 WISHARD BLVD
INDIANAPOLIS, IN 46202
Pediatrics
1002 WISHARD BLVD, 2ND FL
INDIANAPOLIS, IN 46202
Medical Genetics, Ph.D. Medical Genetics
1002 WISHARD BLVD
INDIANAPOLIS, IN 46202
Medical Genetics (Clinical Molecular Genetics)
1002 WISHARD BLVD
INDIANAPOLIS, IN 46202
Psychologist (Clinical)
1002 WISHARD BLVD
INDIANAPOLIS, IN 46202
Internal Medicine
1002 WISHARD BLVD, IUMG PCC4
INDIANAPOLIS, IN 46202

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 Gareth Gilkey's NPI number?

The NPI number for Gareth Gilkey is 1326090325. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Gareth Gilkey located?

Gareth Gilkey practices at 1002 Wishard Blvd 4th Fl, Indianapolis, IN 46202. The listed phone number is (317) 692-2323.

What is Gareth Gilkey's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Gareth Gilkey enrolled in Medicare?

Yes. Gareth Gilkey 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 Gareth Gilkey accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and UnitedHealthcare list Gareth Gilkey 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 Gareth Gilkey affiliated with any hospitals?

According to CMS data, Gareth Gilkey is affiliated with Eskenazi Health and Indiana University Health.

When was this NPI record last updated?

The NPPES record for Gareth Gilkey was last updated on July 22, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.