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DR. PETER CALDWELL GILBREATH MD
NPI 1356761373
Pediatrics in Austin, TX

Active since April 17, 2014PECOS EnrolledAccepts Medicare Assignment
71.01/100
CMS Quality Rating
4900 MUELLER BOULEVARD, SUITE 3S.066C, DELL CHILDREN'S MEDICAL CENTER, AUSTIN, TX 78723(512) 324-0165 Get Directions Write a Review

NPPES record last updated: September 7, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1356761373
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. PETER CALDWELL GILBREATHCredential: MD
Location Address4900 MUELLER BOULEVARD, SUITE 3S.066C, DELL CHILDREN'S MEDICAL CENTERAustin, TX 78723
Mailing Address4900 Mueller Boulevard, Suite 3s.066c, Dell Children's Medical CenterAustin, TX 78723 · (512) 324-0165
Phone(512) 324-0165
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2014
Enumeration DateApril 17, 2014
Last NPPES UpdateSeptember 7, 2017
✔ NPI 1356761373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · R1532
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4900 MUELLER BOULEVARD, SUITE 3S.066C, Austin, TX 78723
Open in Google Maps ↗

Other Identifiers 1

OtherBP1-0049372TX · Basic Post Graduate Training Permit -

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, Sendero Health Plans, Local Nonprofit.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

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.

PECOS PAC ID9335417138
PECOS Enrollment IDI20170620002722
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.

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.

New Patient
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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.

71.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.21
Promoting Interoperability97
Improvement Activities40
Cost13.61

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.

What insurance does Peter Gilbreath accept?

Health plans from Blue Cross and Blue Shield of Texas, 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 8 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.