DR. MARK GILBERT M.D.
NPI 1366443855
Internal Medicine - Infectious Disease in Darby, PA

Active since August 09, 2005PECOS EnrolledAccepts Medicare Assignment
47/100
CMS Quality Rating
1503 LANSDOWNE AVE, SUITE 3010, DARBY, PA 19023(610) 237-5816(610) 237-5802 Get Directions Write a Review

NPPES record last updated: August 2, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Mark Gilbert M.d. NPPES

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

DR. MARK GILBERT M.D. (NPI 1366443855) is an individual infectious disease provider in Darby, Pennsylvania, licensed in Pennsylvania (MD025745E) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Riddle Memorial Hospital, and is a graduate of State University Of New York At Buffalo School Of Medicine (1980).

NPPES Registry Identity

NPI1366443855
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameDR. MARK GILBERTCredential: M.D.
Location Address1503 LANSDOWNE AVE, SUITE 3010Darby, PA 19023-1330
Mailing Address1503 Lansdowne Ave, Suite 3010Darby, PA 19023-1330 · (610) 237-5816 · Fax (610) 237-5802
Fax(610) 237-5802
Sole ProprietorYes
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 1980
Enumeration DateAugust 9, 2005
Last NPPES UpdateAugust 2, 2010
NPI 1366443855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License Licensed in PA · MD025745E
Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

1503 LANSDOWNE AVE, Darby, PA 19023

Other Identifiers 2

Medicare UPINC32532PA
Medicare ID-Type Unspecified164662PA

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. Mark Gilbert M.d. 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 ID6305914862
PECOS Enrollment IDI20081010000202
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 3

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.

Follow-up hospital inpatient care per day, typically 25 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
1,340 services462 patients
Initial hospital inpatient care per day, typically 70 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.
410 services378 patients
Initial hospital inpatient care per day, typically 50 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
151 services144 patients

Hospital Affiliations CMS Care Compare

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

Riddle Memorial Hospital

Acute Care Hospitals · Media, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390222
Location1068 West Baltimore PikeMedia, PA 19063 · Delaware County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19023 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality63.96
Improvement Activities0
Cost48.3

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.

Internal Medicine (Cardiovascular Disease)
1503 LANSDOWNE AVE, STE 3001
DARBY, PA 19023
Internal Medicine (Infectious Disease)
1503 LANSDOWNE AVE, SUITE 3010
DARBY, PA 19023
Pediatrics
1503 LANSDOWNE AVE, STE 3002
DARBY, PA 19023
Pediatrics
1503 LANSDOWNE AVE, STE 3002 LANSDOWNE PARK PEDIATRICS
DARBY, PA 19023
Pediatrics
1503 LANSDOWNE AVE, SUITE 3002
DARBY, PA 19023
Physician Assistant
1503 LANSDOWNE AVE, 1ST FLOOR
DARBY, PA 19023
Psychiatry & Neurology (Psychiatry)
1503 LANSDOWNE AVE, SUITE 3005
DARBY, PA 19023
Psychiatry & Neurology (Psychiatry)
1503 LANSDOWNE AVE, SUITE 3005
DARBY, PA 19023

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 Mark Gilbert's NPI number?

The NPI number for Mark Gilbert is 1366443855. It was assigned to this individual provider in the NPPES registry on August 9, 2005.

Where is Mark Gilbert located?

Mark Gilbert practices at 1503 Lansdowne Ave Suite 3010, Darby, PA 19023. The listed phone number is (610) 237-5816.

What is Mark Gilbert's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Mark Gilbert enrolled in Medicare?

Yes. Mark 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.

Is Mark Gilbert affiliated with any hospitals?

According to CMS data, Mark Gilbert is affiliated with Riddle Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Mark Gilbert was last updated on August 2, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.