DR. RICHARD N GILBERT M.D.
NPI 1336146984
Urology in Cheektowaga, NY

Active since June 28, 2005PECOS Enrolled
75.76/100
CMS Quality Rating
3085 HARLEM RD, STE 200, CHEEKTOWAGA, NY 14225(716) 844-5000(716) 844-5050 Get Directions Write a Review

NPPES record last updated: August 13, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Richard N Gilbert M.d. NPPES

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

DR. RICHARD N GILBERT M.D. (NPI 1336146984) is an individual urology provider in Cheektowaga, New York, licensed in New York (195757) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336146984
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. RICHARD N GILBERTCredential: M.D.
Location Address3085 HARLEM RD, STE 200Cheektowaga, NY 14225-2563
Mailing Address3085 Harlem Rd, Suite 350Cheektowaga, NY 14225-2591 · (716) 844-5600 · Fax (716) 844-5750
Fax(716) 844-5050
Sole ProprietorNo
Enumeration DateJune 28, 2005
Last NPPES UpdateAugust 13, 2015
NPI 1336146984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in NY · 195757
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
3085 HARLEM RD, Cheektowaga, NY 14225

Other Identifiers 11

Other195757-0NY · Workers Comp
Medicaid01504636NY
Other00010063401NY · Univera
Other040426001606NY · Fidelis
Medicare PINBB2184NY
Other1906202NY · Iha
Medicare UPINF07987NY
Medicare ID-Type Unspecified340017580NY · Rr Medicare
Other000523292004NY · Bcbs Of Wny
Other1099530NY · Ghi
Medicare PINRB3078NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Richard N Gilbert M.d. 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 19

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.

Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
696 services532 patients
Leuprolide injectable, camcevi, 1 mg J1952
Camcevi, containing 1 mg of Leuprolide, is an injectable medication. It's used to manage certain health conditions by influencing hormone levels in your body. It's administered by a healthcare professional, usually once every month or as directed by your doctor.
546 services11 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.
361 services302 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.
348 services314 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
258 services206 patients
Psa (prostate specific antigen) measurement, total 84153
PSA measurement is a simple blood test that checks for a specific protein produced by your body. High levels could indicate a health issue that needs further investigation. It's often used to monitor general wellness and is part of routine health screening.
212 services173 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14225 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

75.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality59.66
Promoting Interoperability77
Improvement Activities40
Cost73.45

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
8%536 patients1/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
1%733 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
21%913 patients1/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
6%203 patients1/55-star benchmark: 98%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
83%242 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
1 supplier13 claims2,600 services$0.10 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
1 supplier18 claims3,050 services$6.09 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.

Radiology (Radiation Oncology)
3085 HARLEM RD, STE 100
CHEEKTOWAGA, NY 14225
Urology
3085 HARLEM RD, STE 200
CHEEKTOWAGA, NY 14225
Nurse Practitioner (Adult Health)
3085 HARLEM RD, SUITE 200
CHEEKTOWAGA, NY 14225
Radiology (Diagnostic Radiology)
3085 HARLEM RD
CHEEKTOWAGA, NY 14225
Urology
3085 HARLEM RD, STE 350
CHEEKTOWAGA, NY 14225
Urology
3085 HARLEM RD, STE 200
CHEEKTOWAGA, NY 14225
Urology (Urogynecology and Reconstructive Pelvic Surgery)
3085 HARLEM RD, SUITE 200
CHEEKTOWAGA, NY 14225
Physician Assistant
3085 HARLEM RD, SUITE 200
CHEEKTOWAGA, NY 14225

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 Richard Gilbert's NPI number?

The NPI number for Richard Gilbert is 1336146984. It was assigned to this individual provider in the NPPES registry on June 28, 2005.

Where is Richard Gilbert located?

Richard Gilbert practices at 3085 Harlem Rd Ste 200, Cheektowaga, NY 14225. The listed phone number is (716) 844-5000.

What is Richard Gilbert's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Richard Gilbert enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Richard Gilbert was last updated on August 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.