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TAMELA G GILBERT MD
NPI 1457361586
Psychiatry & Neurology - Psychiatry in Lexington, KY

Active since August 09, 2006PECOS EnrolledAccepts Medicare Assignment
3270 BLAZER PKWY, SUITE 101, LEXINGTON, KY 40509(859) 264-1182(859) 263-1187 Get Directions Write a Review

NPPES record last updated: November 4, 2014. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Tamela G Gilbert Md NPPES

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

TAMELA G GILBERT MD (NPI 1457361586) is an individual psychiatry provider in Lexington, Kentucky, licensed in Kentucky (28004) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Kentucky College Of Medicine (1986).

NPPES Registry Identity

NPI1457361586
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameTAMELA G GILBERTCredential: MD
Location Address3270 BLAZER PKWY, SUITE 101Lexington, KY 40509-2115
Mailing Address3270 Blazer Pkwy, Suite 101Lexington, KY 40509-2115 · (859) 264-1182 · Fax (859) 263-1187
Phone(859) 264-1182
Fax(859) 263-1187
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 1986
Enumeration DateAugust 9, 2006
Last NPPES UpdateNovember 4, 2014
✔ NPI 1457361586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in KY · 28004
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License 28004 (KY)
3270 BLAZER PKWY, Lexington, KY 40509
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Other Identifiers 3

Medicare UPINF69986KY
Medicare ID-Type Unspecified0978903KY
Medicaid64-080047KY

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tamela G Gilbert 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 ID8325071814
PECOS Enrollment IDI20050915000145
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.

Medicare Billing Reassignment

Medicare enrollment records show Tamela Gilbert reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ridge Outpatient Counseling, LLC
0.2 mi
Psychiatric Unit
3050 RIO DOSA DR
Lexington, KY 40509
  • Reassigned Medicare billing, Kentucky enrollment
  • 22 clinicians in this Medicare group
NPI 1922214956 (859) 269-2325

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40509 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
$162.27 typical visit price
range $52.76 – $162.27
Typical copayment $40.56 (range $13.19 – $40.56)
Most-billed visit code 99205
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
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

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

LEXINGTON CHILD AND ADOLESCENT PSYCHIATRY
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3270 BLAZER PKWY, SUITE 101
LEXINGTON, KY 40509
Fayette County (859) 264-1182

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 Tamela Gilbert's NPI number?

The NPI number for Tamela Gilbert is 1457361586. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Where is Tamela Gilbert located?

Tamela Gilbert practices at 3270 Blazer Pkwy Suite 101, Lexington, KY 40509. The listed phone number is (859) 264-1182.

What is Tamela Gilbert's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Tamela Gilbert enrolled in Medicare?

Yes. Tamela 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.

Which organization bills Medicare for Tamela Gilbert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tamela Gilbert reassigns Medicare benefits to Ridge Outpatient Counseling, LLC (Lexington, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tamela Gilbert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tamela Gilbert accept?

Health plans from Anthem Blue Cross and Blue Shield list Tamela 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.

When was this NPI record last updated?

The NPPES record for Tamela Gilbert was last updated on November 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.