WILLIAM MARSHALL GILBERT JR. M.D
NPI 1508210204
Hospitalist in New Orleans, LA

Q: What is William Gilbert's NPI number?

The NPI number for William Gilbert is 1508210204. It was assigned to this individual provider in the NPPES registry on April 19, 2016.

Q: What is William Gilbert's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for William Gilbert was last updated on July 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 April 19, 2016PECOS EnrolledAccepts Medicare Assignment

1415 TULANE AVE, NEW ORLEANS, LA 70112(504) 988-5263 Get Directions Write a Review

NPPES record last updated: July 21, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2020, Jul 7, 2019, Jun 18, 2019 (3 updates tracked since 2019).

On this page

About William Marshall Gilbert Jr. M.d NPPES

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

WILLIAM MARSHALL GILBERT JR. M.D (NPI 1508210204) is an individual hospitalist provider in New Orleans, Louisiana, licensed in Louisiana (323356) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with East Jefferson General Hospital, and is a graduate of University Of Mississippi School Of Medicine (2016).

NPPES Registry Identity

NPI1508210204

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameWILLIAM MARSHALL GILBERT JR.Credential: M.D

Location Address1415 TULANE AVENew Orleans, LA 70112-2600

Mailing Address1430 Tulane Ave # 8016New Orleans, LA 70112-2632 · (504) 988-1940 · Fax (504) 988-8252

Phone(504) 988-5263

Sole ProprietorNo

Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 2016

Enumeration DateApril 19, 2016

Last NPPES UpdateJuly 21, 20203 updates tracked since enumeration

NPPES CertifiedJuly 21, 2020

✔ NPI 1508210204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

Licenses✔ Licensed in LA · 323356✔ Licensed in AL · 38275

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 38275 (AL), 323356 (LA)

1415 TULANE AVE, New Orleans, LA 70112

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMO Louisiana, UnitedHealthcare.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

William Marshall Gilbert Jr. M.d 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 ID6002100799

PECOS Enrollment IDI20200727001927

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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

62 services23 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

22 services22 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

14 services14 patients

Hospital Affiliations CMS Care Compare

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

East Jefferson General Hospital

Acute Care Hospitals · Metairie, LA

3/5 CMS rating

OwnershipProprietary

CMS Certification Number190176

Location4200 Houma BlvdMetairie, LA 70006 · Jefferson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70112 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

$128.88 typical visit price

range $55.50 – $170.30

Typical copayment $32.22 (range $13.87 – $42.57)

Most-billed visit code 99204

Established Patient

$98.35 typical visit price

range $17.42 – $138.03

Typical copayment $24.58 (range $4.35 – $34.50)

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.

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.

DR. JAMES ROBINSON MD

Pediatrics (Pediatric Infectious Diseases)