ROBYN ALICE GILBERTSON M.D.
NPI 1407148349
Family Medicine in Stevens Point, WI

Active since May 11, 2011PECOS EnrolledAccepts Medicare Assignment
84.56/100
CMS Quality Rating
5409 VERN HOLMES DR, STEVENS POINT, WI 54482(715) 344-1600 Get Directions Write a Review

NPPES record last updated: January 23, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Robyn Alice Gilbertson M.d. NPPES

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

ROBYN ALICE GILBERTSON M.D. (NPI 1407148349) is an individual family medicine provider in Stevens Point, Wisconsin, licensed in Minnesota (55289) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS, is affiliated with Aspirus Stevens Point Hospital & Clinics, Inc., and is a graduate of University Of Wisconsin School Of Medicine (2011).

NPPES Registry Identity

NPI1407148349
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameROBYN ALICE GILBERTSONCredential: M.D.
Location Address5409 VERN HOLMES DRStevens Point, WI 54482-8853
Mailing Address1400 Woodland AveDuluth, MN 55803-2624 · (218) 249-8800
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2011
Enumeration DateMay 11, 2011
Last NPPES UpdateJanuary 23, 2025
NPPES CertifiedJanuary 23, 2025
NPI 1407148349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MN · 55289
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

5409 VERN HOLMES DR, Stevens Point, WI 54482

Other Identifiers 3

Other0001-0100286Medica
Medicaid1407148319MN
Other1407148349MN · Bcbs

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

Robyn Alice Gilbertson 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 ID3173779345
PECOS Enrollment IDI20151117001270, I20190731000856
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 5

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.

Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
43 services43 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
43 services43 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
23 services22 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
18 services18 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Aspirus Stevens Point Hospital & Clinics, Inc.

Acute Care Hospitals · Stevens Point, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520002
Location900 Illinois AveStevens Point, WI 54481 · Portage County
Emergency services Birthing friendly

Aspirus Rhinelander Hospital

Acute Care Hospitals · Rhinelander, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520019
Location2251 North Shore DrRhinelander, WI 54501 · Oneida County
Emergency services Birthing friendly

Aspirus Wausau Hospital

Acute Care Hospitals · Wausau, WI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number520030
Location333 Pine Ridge BlvdWausau, WI 54401 · Marathon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54482 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

84.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.8
Promoting Interoperability100
Improvement Activities40
Cost58.73

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.

Obstetrics & Gynecology
5409 VERN HOLMES DR
STEVENS POINT, WI 54482
Family Medicine
5409 VERN HOLMES DR
STEVENS POINT, WI 54482
Family Medicine
5409 VERN HOLMES DR
STEVENS POINT, WI 54482
Nurse Practitioner (Pediatrics)
5409 VERN HOLMES DR
STEVENS POINT, WI 54482
Family Medicine
5409 VERN HOLMES DR
STEVENS POINT, WI 54482
Family Medicine
5409 VERN HOLMES DR
STEVENS POINT, WI 54482
Obstetrics & Gynecology
5409 VERN HOLMES DR
STEVENS POINT, WI 54482
Nurse Practitioner (Family)
5409 VERN HOLMES DR
STEVENS POINT, WI 54482

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 Robyn Gilbertson's NPI number?

The NPI number for Robyn Gilbertson is 1407148349. It was assigned to this individual provider in the NPPES registry on May 11, 2011.

Where is Robyn Gilbertson located?

Robyn Gilbertson practices at 5409 Vern Holmes Dr, Stevens Point, WI 54482. The listed phone number is (715) 344-1600.

What is Robyn Gilbertson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Robyn Gilbertson enrolled in Medicare?

Yes. Robyn Gilbertson 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 Robyn Gilbertson accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and Security Health Plan list Robyn Gilbertson 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 Robyn Gilbertson affiliated with any hospitals?

According to CMS data, Robyn Gilbertson is affiliated with Aspirus Stevens Point Hospital & Clinics, Inc., Aspirus Rhinelander Hospital and Aspirus Wausau Hospital.

When was this NPI record last updated?

The NPPES record for Robyn Gilbertson was last updated on January 23, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.