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TERRENCE GILBERT DO
NPI 1396794731
Internal Medicine - Critical Care Medicine in Pittsburgh, PA

Active since May 10, 2006PECOS EnrolledAccepts Medicare Assignment
320 E NORTH AVE, PITTSBURGH, PA 15212(412) 359-6656(412) 359-6653 Get Directions Write a Review

NPPES record last updated: October 14, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 14, 2020, Apr 10, 2019 (2 updates tracked since 2019).

About Terrence Gilbert Do NPPES

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

TERRENCE GILBERT DO (NPI 1396794731) is an individual critical care medicine provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (OS0081952) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Trinity Medical Ctr East &trinity Medical Ctr West, and maintains a secondary practice location in Pittsburgh.

NPPES Registry Identity

NPI1396794731
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameTERRENCE GILBERTCredential: DO
Location Address320 E NORTH AVEPittsburgh, PA 15212-4756
Mailing Address320 E North AvePittsburgh, PA 15212-4756 · (412) 359-6656 · Fax (412) 359-6653
Phone(412) 359-6656
Fax(412) 359-6653
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateMay 10, 2006
Last NPPES UpdateOctober 14, 20202 updates tracked since enumeration
NPPES CertifiedOctober 14, 2020
✔ NPI 1396794731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
Licenses✔ Licensed in PA · OS0081952✔ Licensed in OH · 34007630✔ Licensed in WV · 1961
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
320 E NORTH AVE, Pittsburgh, PA 15212
Open in Google Maps ↗

Secondary Practice Location 1

Location 11400 Locust St, Suite 4230Pittsburgh, PA 15219-5114 · Phone (412) 232-5981 · Fax (412) 366-1049

Other Identifiers 4

Medicaid6000148000WV
OtherG77262PA · Upin
Medicaid2257552OH
Other256569OH · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Molina Healthcare.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

Terrence Gilbert Do 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 ID9739179649
PECOS Enrollment IDI20040513000831, I20240315000387
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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
269 services91 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 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.
55 services50 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
13 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Trinity Medical Ctr East &trinity Medical Ctr West

Acute Care Hospitals · Steubenville, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360211
Location380 Summit AvenueSteubenville, OH 43952 · Jefferson County
Emergency services Birthing friendly

Camden Clark Medical Center

Acute Care Hospitals · Parkersburg, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510058
Location800 Garfield AveParkersburg, WV 26101 · Wood County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15212 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

DR. MATTHEW SCOTT HARTMAN M.D.
Radiology (Diagnostic Radiology)
320 E NORTH AVE
PITTSBURGH, PA 15212
Allegheny County (412) 359-2459
DR. JOSEF TURNER M.D.
Emergency Medicine
320 E NORTH AVE, EMERGENCY MEDICINE RESIDENCY OFFICE
PITTSBURGH, PA 15212
Allegheny County (412) 359-4905
DR. MATTHEW MICHAEL LANDER M.D.
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
320 E NORTH AVE
PITTSBURGH, PA 15212
Allegheny County (412) 359-6500
DR. VINCENT SAMUEL CERETTO D.O
Emergency Medicine (Medical Toxicology)
320 E NORTH AVE
PITTSBURGH, PA 15212
Allegheny County (412) 359-3030
MATTHEW LYONS CRNA
Nurse Anesthetist, Certified Registered
320 E NORTH AVE
PITTSBURGH, PA 15212
Allegheny County (412) 359-3155
MISS KRISTY LYNN BOWMAN RN
Nurse Anesthetist, Certified Registered
320 E NORTH AVE
PITTSBURGH, PA 15212
Allegheny County (412) 359-6581
ANNA MOSELEY VANATTA MD
Emergency Medicine
320 E NORTH AVE
PITTSBURGH, PA 15212
Allegheny County (412) 359-4905
ADEE ELHAMDANI
Student in an Organized Health Care Education/Training Program
320 E NORTH AVE
PITTSBURGH, PA 15212
Allegheny County (412) 359-4971

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 Terrence Gilbert's NPI number?

The NPI number for Terrence Gilbert is 1396794731. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Where is Terrence Gilbert located?

Terrence Gilbert practices at 320 E North Ave, Pittsburgh, PA 15212. The listed phone number is (412) 359-6656.

What is Terrence Gilbert's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Terrence Gilbert enrolled in Medicare?

Yes. Terrence 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 Terrence Gilbert accept?

Health plans from CareSource and Molina Healthcare list Terrence 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 Terrence Gilbert affiliated with any hospitals?

According to CMS data, Terrence Gilbert is affiliated with Trinity Medical Ctr East &trinity Medical Ctr West and Camden Clark Medical Center.

When was this NPI record last updated?

The NPPES record for Terrence Gilbert was last updated on October 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.