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JENNIFER B GELBSTEIN MD
NPI 1427075290
Family Medicine in Waterbury, VT

Active since July 16, 2006PECOS EnrolledAccepts Medicare Assignment
130 S MAIN ST, WATERBURY MEDICAL ASSOCIATES, WATERBURY, VT 05676(802) 244-7874(802) 244-4106 Get Directions Write a Review

NPPES record last updated: December 4, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jennifer B Gelbstein Md NPPES

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

JENNIFER B GELBSTEIN MD (NPI 1427075290) is an individual family medicine provider in Waterbury, Vermont, licensed in Vermont (042-0009948) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Central Vermont Medical Center, and is a graduate of Rutgers New Jersey Medical School (1996).

NPPES Registry Identity

NPI1427075290
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJENNIFER B GELBSTEINCredential: MD
Location Address130 S MAIN ST, WATERBURY MEDICAL ASSOCIATESWaterbury, VT 05676-1519
Mailing AddressPo Box 547, Central Vermont Medical Center - Finance DeptBarre, VT 05641-0547 · (802) 244-7874 · Fax (802) 244-4106
Phone(802) 244-7874
Fax(802) 244-4106
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 1996
Enumeration DateJuly 16, 2006
Last NPPES UpdateDecember 4, 2014
✔ NPI 1427075290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in VT · 042-0009948
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.
130 S MAIN ST, Waterbury, VT 05676
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Other Identifiers 4

Medicare UPINH16362
MedicaidOVN2486VT
Medicare PINSX3969VT
Medicaid3091431NH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Jennifer B Gelbstein 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 ID8921033812
PECOS Enrollment IDI20050929000187
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 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
285 services153 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
160 services160 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
84 services77 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
16 services13 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
13 services13 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Central Vermont Medical Center

Acute Care Hospitals · Barre, VT
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number470001
LocationBox 547Barre, VT 05641 · Washington County
Emergency services Birthing friendly

Univ. Of Vermont - Fletcher Allen Health Care

Acute Care Hospitals · Burlington, VT
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number470003
Location111 Colchester AveBurlington, VT 05401 · Chittenden County
Emergency services Birthing friendly

Copley Hospital

Critical Access Hospitals · Morrisville, VT
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number471305
Location528 Washington HighwayMorrisville, VT 05661 · Lamoille County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05676 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
$85.89 typical visit price
range $55.80 – $168.48
Typical copayment $21.47 (range $13.95 – $42.12)
Most-billed visit code 99203
Established Patient
$98.40 typical visit price
range $18.08 – $137.84
Typical copayment $24.60 (range $4.52 – $34.46)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers32 claims61 services$5.55 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier19 claims19 services$6.16 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier24 claims24 services$111.36 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier24 claims24 services$33.89 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALISON B HOBART APRN
Nurse Practitioner (Family)
130 S MAIN ST, WATERBURY MEDICAL ASSOCIATES
WATERBURY, VT 05676
Washington County (802) 244-7874
DR. RICHARD ANDREW BURGOYNE M.D.
Family Medicine
130 S MAIN ST
WATERBURY, VT 05676
Washington County (802) 244-7874
ALISON CHICK PA
Family Medicine
130 S MAIN ST
WATERBURY, VT 05676
Washington County (802) 244-7874
DR. JUSTIN KARLITZ-GRODIN M.D.
Family Medicine
130 S MAIN ST, CVMC FAMILY MEDICINE-WATEBURY
WATERBURY, VT 05676
Washington County (802) 244-7874
DR. PETER JAMES IRELAND MD
Family Medicine
130 S MAIN ST
WATERBURY, VT 05676
Washington County (802) 244-7874
WILLIAM J COVE DO
Family Medicine
130 S MAIN ST, WATERBURY MEDICAL ASSOCIATES
WATERBURY, VT 05676
Washington County (802) 224-7874
HEATHER AMBER SHLOSSER FNP
Nurse Practitioner (Family)
130 S MAIN ST
WATERBURY, VT 05676
Washington County (802) 244-7874
ROBERT W MURRAY MD
Family Medicine
130 S MAIN ST, WATERBURY MEDICAL ASSOCIATES
WATERBURY, VT 05676
Washington County (802) 244-7874

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 Jennifer Gelbstein's NPI number?

The NPI number for Jennifer Gelbstein is 1427075290. It was assigned to this individual provider in the NPPES registry on July 16, 2006.

Where is Jennifer Gelbstein located?

Jennifer Gelbstein practices at 130 S Main St Waterbury Medical Associates, Waterbury, VT 05676. The listed phone number is (802) 244-7874.

What is Jennifer Gelbstein's specialty?

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

Is Jennifer Gelbstein enrolled in Medicare?

Yes. Jennifer Gelbstein 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 Jennifer Gelbstein accept?

Health plans from Anthem Blue Cross and Blue Shield list Jennifer Gelbstein 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 Jennifer Gelbstein affiliated with any hospitals?

According to CMS data, Jennifer Gelbstein is affiliated with Central Vermont Medical Center, Univ. Of Vermont - Fletcher Allen Health Care and Copley Hospital.

When was this NPI record last updated?

The NPPES record for Jennifer Gelbstein was last updated on December 4, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.