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DR. THOMAS GILBERT III DO
NPI 1497706998
Emergency Medicine in Hagerstown, MD

Active since May 12, 2006PECOS EnrolledAccepts Medicare Assignment
11116 MEDICAL CAMPUS RD, HAGERSTOWN, MD 21742(240) 313-9580 Get Directions Write a Review

NPPES record last updated: July 23, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Thomas Gilbert Iii Do NPPES

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

DR. THOMAS GILBERT III DO (NPI 1497706998) is an individual emergency medicine provider in Hagerstown, Maryland, licensed in Maryland (H0040884) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1497706998
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. THOMAS GILBERT IIICredential: DO
Location Address11116 MEDICAL CAMPUS RDHagerstown, MD 21742-6710
Mailing Address11116 Medical Campus RdHagerstown, MD 21742-6710 · (240) 313-9580
Phone(240) 313-9580
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateMay 12, 2006
Last NPPES UpdateJuly 23, 2015
✔ NPI 1497706998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MD · H0040884
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedEmergency Medicine · Undersea and Hyperbaric MedicineTaxonomy 207PE0005X · License H40884 (MD)
11116 MEDICAL CAMPUS RD, Hagerstown, MD 21742
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Other Identifiers 8

Other930066335MD · Railroad
OtherK025MD · Medicare
Medicare PIN802GMD
Medicare UPINF82659MD
Medicaid721568100MD
Medicare PIN406P802GMD
Medicaid451601000MD
Medicare PIN077WMD

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

Dr. Thomas Gilbert Iii 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 ID3375645765
PECOS Enrollment IDI20070305000337, I20171221002528
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

3

Medicare enrollment records show Thomas Gilbert reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mnr Industries, LLC
4.3 mi
Urgent Care
17708 GARLAND GROH BLVD
Hagerstown, MD 21740
  • Reassigned Medicare billing, Maryland and District of Columbia enrollments
  • Also billed through NPI 1093130924 (District of Columbia)
  • 74 clinicians in this Medicare group
NPI 1588473870 (301) 671-1772
Samer Saiedy, MD PA
57 mi
Specialist
110 OLD PADONIA RD STE 101
Cockeysville, MD 21030
  • Reassigned Medicare billing, Maryland enrollment
  • 12 clinicians in this Medicare group
NPI 1710164504 (410) 825-4530
Hyperheal Hyperbarics Inc
57 mi
Medical Specialty
110 OLD PADONIA ROAD, SUITE 102
Cockeysville, MD 21030
  • Reassigned Medicare billing, Maryland enrollment
  • 14 clinicians in this Medicare group
NPI 1174886642 (410) 433-4300

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

Areas of Expertise CMS Part B claims 16

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.

Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval G0277
Hyperbaric oxygen therapy involves breathing pure oxygen in a pressurized room or tube. You'll be in a full body chamber for 30-minute intervals. This high-pressure environment allows your lungs to gather more oxygen, which can promote healing and fight infection.
2,657 services33 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
1,162 services156 patients
Management of oxygen chamber therapy 99183
Oxygen chamber therapy involves breathing pure oxygen in a pressurized room or tube. It's used to treat various conditions like wounds that won't heal due to diabetes or radiation injury. In this therapy, your body's tissues get more oxygen to promote healing and fight infection.
653 services31 patients
Removal of skin and tissue, each additional 20.0 sq cm or less 11045
This procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.
474 services25 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.
363 services204 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
138 services138 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21742 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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 8

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

Tape, non-waterproof, per 18 square inches A4450
DME-Medical/Surgical Supplies · category DA000N
3 suppliers30 claims1,440 services$0.10 avg. paid by Medicare
Tape, waterproof, per 18 square inches A4452
DME-Medical/Surgical Supplies · category DA000N
3 suppliers23 claims1,280 services$0.37 avg. paid by Medicare
Collagen dressing, sterile, size 16 sq. in. or less, each A6021
DME-Medical/Surgical Supplies · category DA023N
3 suppliers38 claims677 services$20.31 avg. paid by Medicare
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212
DME-Medical/Surgical Supplies · category DA023N
2 suppliers11 claims188 services$9.42 avg. paid by Medicare
Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6216
DME-Medical/Surgical Supplies · category DA023N
2 suppliers49 claims2,945 services$0.04 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6402
DME-Medical/Surgical Supplies · category DA023N
1 supplier12 claims1,000 services$0.11 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 20

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

ALLEN L TWIGG LCPC
Counselor (Professional)
11116 MEDICAL CAMPUS RD
HAGERSTOWN, MD 21742
Washington County (301) 766-7600
HANNAH KAY COLE DNP, FNP-C, CCRN
Nurse Practitioner (Critical Care Medicine)
11116 MEDICAL CAMPUS RD
HAGERSTOWN, MD 21742
Washington County (301) 790-8000
MS. PATTI KAY COOPER LCSW-C
Social Worker (Clinical)
11116 MEDICAL CAMPUS RD, SUITE 2989
HAGERSTOWN, MD 21742
Washington County (301) 766-7600
TARA BAKER
Nurse Practitioner (Family)
11116 MEDICAL CAMPUS RD
HAGERSTOWN, MD 21742
Washington County (301) 667-0041
RACHEL ANNE KNICLEY MS, LAT, ATC
Specialist/Technologist (Athletic Trainer)
11116 MEDICAL CAMPUS RD
HAGERSTOWN, MD 21742
Washington County (301) 491-2332
ERIKA SPINKS FNP
Nurse Practitioner
11116 MEDICAL CAMPUS RD
HAGERSTOWN, MD 21742
Washington County (301) 790-8000
HELMSON B LOUISDOR DO
Student in an Organized Health Care Education/Training Program
11116 MEDICAL CAMPUS RD
HAGERSTOWN, MD 21742
Washington County (240) 313-9554
MRS. JUDITH ANNE STAMBAUGH FNP-BC
Nurse Practitioner (Family)
11116 MEDICAL CAMPUS RD
HAGERSTOWN, MD 21742
Washington County (301) 790-8804

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 Thomas Gilbert's NPI number?

The NPI number for Thomas Gilbert is 1497706998. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Thomas Gilbert located?

Thomas Gilbert practices at 11116 Medical Campus Rd, Hagerstown, MD 21742. The listed phone number is (240) 313-9580.

What is Thomas Gilbert's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Thomas Gilbert enrolled in Medicare?

Yes. Thomas 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 organizations bill Medicare for Thomas Gilbert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Gilbert reassigns Medicare benefits to 3 organizations: Mnr Industries, LLC (Hagerstown, MD), Samer Saiedy, MD PA (Cockeysville, MD) and Hyperheal Hyperbarics Inc (Cockeysville, MD). Each 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 Thomas Gilbert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Thomas Gilbert was last updated on July 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.