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GILBERT A MASTERSON MD
NPI 1497740930
Psychiatry & Neurology - Psychiatry in Grand Rapids, MI

Active since September 12, 2005PECOS EnrolledAccepts Medicare Assignment
1179 EAST PARIS AVE SE STE 100, GRAND RAPIDS, MI 49546(616) 690-2690(616) 360-2034 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 12, 2024, Feb 7, 2023 (2 updates tracked since 2023).

About Gilbert A Masterson Md NPPES

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

GILBERT A MASTERSON MD (NPI 1497740930) is an individual psychiatry provider in Grand Rapids, Michigan, licensed in Michigan (4301062800) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Loma Linda University School Of Medicine (1980).

NPPES Registry Identity

NPI1497740930
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameGILBERT A MASTERSONCredential: MD
Location Address1179 EAST PARIS AVE SE STE 100Grand Rapids, MI 49546-3682
Mailing Address1179 East Paris Ave Se Ste 100Grand Rapids, MI 49546-3682 · (616) 690-2690 · Fax (616) 360-2034
Phone(616) 690-2690
Fax(616) 360-2034
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 1980
Enumeration DateSeptember 12, 2005
Last NPPES UpdateNovember 12, 20242 updates tracked since enumeration
NPPES CertifiedNovember 12, 2024
✔ NPI 1497740930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in MI · 4301062800✔ Licensed in OH · 35-127636
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 · Addiction MedicineTaxonomy 2084A0401X · License 4301062800 (MI)
1179 EAST PARIS AVE SE STE 100, Grand Rapids, MI 49546
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Secondary Practice Locations 3

Location 1540 Cherry St SEGrand Rapids, MI 49503-4748 · Phone (844) 776-9651
Location 215146 16th AveMarne, MI 49435-9605 · Phone (616) 520-9075 · Fax (616) 341-6013
Location 3221 John St NEGrand Rapids, MI 49503-3237 · Phone (844) 776-9651

Other Identifiers 1

Medicaid4305173MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.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

Gilbert A Masterson 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 ID3375635006
PECOS Enrollment IDI20070824000761
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49546 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
$166.68 typical visit price
range $54.34 – $166.68
Typical copayment $41.67 (range $13.58 – $41.67)
Most-billed visit code 99205
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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 Gilbert Masterson's NPI number?

The NPI number for Gilbert Masterson is 1497740930. It was assigned to this individual provider in the NPPES registry on September 12, 2005.

Where is Gilbert Masterson located?

Gilbert Masterson practices at 1179 East Paris Ave SE Ste 100, Grand Rapids, MI 49546. The listed phone number is (616) 690-2690.

What is Gilbert Masterson's specialty?

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

Is Gilbert Masterson enrolled in Medicare?

Yes. Gilbert Masterson 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 Gilbert Masterson accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Oscar Insurance Company and Priority Health and 1 other insurer list Gilbert Masterson 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 Gilbert Masterson was last updated on November 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.