DR. PETER CALDWELL GILBREATH MD
NPI 1356761373
Pediatrics in Austin, TX
About Dr. Peter Caldwell Gilbreath Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PETER CALDWELL GILBREATH MD (NPI 1356761373) is an individual pediatrics provider in Austin, Texas, licensed in Texas (R1532) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS and is a graduate of University Of Minnesota Medical School (2014).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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. Peter Caldwell Gilbreath 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 Reassignment
Medicare enrollment records show Peter Gilbreath reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Austin, TX 78723
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Dell Childrens Medical Group
- 576 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 78723 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Peter Gilbreath's NPI number?
The NPI number for Peter Gilbreath is 1356761373. It was assigned to this individual provider in the NPPES registry on April 17, 2014.
Where is Peter Gilbreath located?
Peter Gilbreath practices at 4900 Mueller Boulevard, Suite 3s.066c Dell Children's Medical Center, Austin, TX 78723. The listed phone number is (512) 324-0165.
What is Peter Gilbreath's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Peter Gilbreath enrolled in Medicare?
Yes. Peter Gilbreath 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 organization bills Medicare for Peter Gilbreath's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Peter Gilbreath reassigns Medicare benefits to Dell Children's Medical Group (Austin, TX). The 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 Peter Gilbreath's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Peter Gilbreath accept?
Health plans from Blue Cross and Blue Shield of Texas, Harbor Health, Oscar Insurance Company and Sendero Health Plans, Local Nonprofit list Peter Gilbreath 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 Peter Gilbreath was last updated on September 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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. Peter Caldwell Gilbreath, MD · NPI 1356761373
Pediatrics physician in Austin, Texas. Individual provider, active in the CMS NPPES registry since April 17, 2014.
## Identity
- **NPI:** 1356761373 (Entity type: Individual)
- **Enumerated:** April 17, 2014
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** R1532 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 4900 MUELLER BOULEVARD, SUITE 3S.066C, DELL CHILDREN'S MEDICAL CENTER, Austin, TX 78723
- **Phone:** (512) 324-0165
## 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:** Dell Children's Medical Group (NPI 1326072943, Austin, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Minnesota Medical School, class of 2014
## Record status
- **NPPES last updated:** September 7, 2017
- **Other identifiers:** Other BP1-0049372 (TX)
---
Source: [NPI Profile](https://npiprofile.com/npi/1356761373) · Data from the CMS NPPES public registry.