BLAINE GILBERT MD
NPI 1336594159
Hospitalist in Tomball, TX

Active since April 29, 2016PECOS EnrolledAccepts Medicare Assignment
605 HOLDERRIETH BLVD, TOMBALL, TX 77375(832) 794-0044 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 5, 2025, Sep 16, 2024, Sep 13, 2021 and 1 more (4 updates tracked since 2019).

About Blaine Gilbert Md NPPES

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

BLAINE GILBERT MD (NPI 1336594159) is an individual hospitalist provider in Tomball, Texas, licensed in Texas (S2042) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Hospital System, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1336594159
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameBLAINE GILBERTCredential: MD
Location Address605 HOLDERRIETH BLVDTomball, TX 77375-6445
Mailing Address301 University BlvdGalveston, TX 77555-0570 · (409) 772-2653 · Fax (409) 772-5462
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2016
Enumeration DateApril 29, 2016
Last NPPES UpdateJune 5, 20254 updates tracked since enumeration
NPPES CertifiedJune 5, 2025
NPI 1336594159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in TX · S2042
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License S2042 (TX)
605 HOLDERRIETH BLVD, Tomball, TX 77375

Secondary Practice Locations 2

Location 1301 University BlvdGalveston, TX 77555-0570 · Phone (409) 772-2653 · Fax (409) 772-5462
Location 218951 N Memorial Dr Ste 103WHumble, TX 77338-4217 · Phone (281) 540-8409

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

Blaine 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.

PECOS PAC ID8224367727
PECOS Enrollment IDI20190909003248
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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
275 services266 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450184
Location1635 North Loop WestHouston, TX 77008 · Harris County
Emergency services Birthing friendly

Memorial Hermann Northeast Hospital

Acute Care Hospitals · Humble, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450684
Location18951 Memorial NorthHumble, TX 77338 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77375 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers32 claims32 services$13.73 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers46 claims46 services$60.10 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.

Family Medicine
605 HOLDERRIETH BLVD
TOMBALL, TX 77375
Radiology (Diagnostic Radiology)
605 HOLDERRIETH BLVD
TOMBALL, TX 77375
Emergency Medicine
605 HOLDERRIETH BLVD
TOMBALL, TX 77375
Nurse Practitioner
605 HOLDERRIETH BLVD
TOMBALL, TX 77375
Internal Medicine (Infectious Disease)
605 HOLDERRIETH BLVD
TOMBALL, TX 77375
Emergency Medicine
605 HOLDERRIETH BLVD
TOMBALL, TX 77375
Pathology (Anatomic Pathology & Clinical Pathology)
605 HOLDERRIETH BLVD
TOMBALL, TX 77375
Nurse Practitioner (Acute Care)
605 HOLDERRIETH BLVD
TOMBALL, TX 77375

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 Blaine Gilbert's NPI number?

The NPI number for Blaine Gilbert is 1336594159. It was assigned to this individual provider in the NPPES registry on April 29, 2016.

Where is Blaine Gilbert located?

Blaine Gilbert practices at 605 Holderrieth Blvd, Tomball, TX 77375. The listed phone number is (832) 794-0044.

What is Blaine Gilbert's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Blaine Gilbert enrolled in Medicare?

Yes. Blaine 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 Blaine Gilbert accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice, Molina Healthcare and Oscar Insurance Company list Blaine 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 Blaine Gilbert affiliated with any hospitals?

According to CMS data, Blaine Gilbert is affiliated with Memorial Hermann Hospital System and Memorial Hermann Northeast Hospital.

When was this NPI record last updated?

The NPPES record for Blaine Gilbert was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.