DEREK GILBERT
NPI 1457883605
Psychiatry & Neurology - Psychiatry in Santa Rosa, CA

Q: What is Derek Gilbert's NPI number?

The NPI number for Derek Gilbert is 1457883605. It was assigned to this individual provider in the NPPES registry on March 28, 2017.

Q: What is Derek Gilbert's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Derek Gilbert was last updated on September 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since March 28, 2017PECOS EnrolledAccepts Medicare Assignment

480 TESCONI CIR STE B, SANTA ROSA, CA 95401(707) 206-7268(707) 206-7254 Get Directions Write a Review

NPPES record last updated: September 21, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 9, 2021, Mar 19, 2020, Jul 5, 2018 and 1 more (4 updates tracked since 2017).

On this page

About Derek Gilbert NPPES

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

DEREK GILBERT (NPI 1457883605) is an individual psychiatry provider in Santa Rosa, California, licensed in California (A173547) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Lexington, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1457883605

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameDEREK GILBERT

Location Address480 TESCONI CIR STE BSanta Rosa, CA 95401-4691

Mailing Address480 Tesconi Cir Ste BSanta Rosa, CA 95401-4691 · (707) 206-7268 · Fax (707) 206-7254

Phone(707) 206-7268

Fax(707) 206-7254

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateMarch 28, 2017

Last NPPES UpdateSeptember 21, 20234 updates tracked since enumeration

NPPES CertifiedJuly 9, 2021

✔ NPI 1457883605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in CA · A173547✔ Licensed in KY · R4404

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.

480 TESCONI CIR STE B, Santa Rosa, CA 95401

Open in Google Maps ↗

Secondary Practice Location 1

Location 1245 Fountain CtLexington, KY 40509-2792 · Phone (859) 323-6021 · Fax (859) 323-1670

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

Derek Gilbert 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 ID3577812767

PECOS Enrollment IDI20210715004316

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 Reassignments

Medicare enrollment records show Derek Gilbert reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Siyan Clinical Corporation

Same address

Psychiatry

480 TESCONI CIR STE B
Santa Rosa, CA 95401

Reassigned Medicare billing, California enrollment
37 clinicians in this Medicare group

NPI 1568732972 (707) 206-7268

Southern California Permanente Medical Group

354 mi

Health Maintenance Organization

2103 E GONZALES RD
Oxnard, CA 93036

Reassigned Medicare billing, California enrollment
13,921 clinicians in this Medicare group

NPI 1275756652 (805) 650-4700

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 95401 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

$187.01 typical visit price

range $63.04 – $187.01

Typical copayment $46.75 (range $15.76 – $46.75)

Most-billed visit code 99205

Established Patient

$77.94 typical visit price

range $21.02 – $153.40

Typical copayment $19.48 (range $5.25 – $38.35)

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 20

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

MR. JOHN DAVID WILDGUST RN, MSN, PHN, PMHNP

Nurse Practitioner (Psychiatric/Mental Health)