GILBERTO ROBLES MD
NPI 1568487452
Surgery in Franklin, NC

Active since July 13, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
56 MEDICAL PARK DR, SUITE 303, FRANKLIN, NC 28734(828) 369-4402(828) 369-4403 Get Directions Write a Review

NPPES record last updated: November 30, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gilberto Robles Md NPPES

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

GILBERTO ROBLES MD (NPI 1568487452) is an individual surgery provider in Franklin, North Carolina, licensed in North Carolina (9300300) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Harris Regional Hospital, and is a graduate of Other (1980).

NPPES Registry Identity

NPI1568487452
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameGILBERTO ROBLESCredential: MD
Location Address56 MEDICAL PARK DR, SUITE 303Franklin, NC 28734-2632
Mailing AddressPo Box 1209Franklin, NC 28744-0569 · (828) 213-1500 · Fax (828) 651-6570
Fax(828) 369-4403
Sole ProprietorNo
Medical School CMSOtherGraduated 1980
Enumeration DateJuly 13, 2006
Last NPPES UpdateNovember 30, 2015
NPI 1568487452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in NC · 9300300
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
56 MEDICAL PARK DR, Franklin, NC 28734

Other Identifiers 1

Medicare PIN2190209ANC

Accepted 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

Gilberto Robles 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 ID3173674355
PECOS Enrollment IDI20090629000405
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 13

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.

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.
114 services71 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.
102 services102 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
76 services64 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
64 services48 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
26 services26 patients
Repair of groin hernia (5 years or older) 49505
Repair of a groin hernia is a procedure aimed at fixing an abnormal bulge that can occur in the area between your abdomen and thigh. This condition happens when tissue pushes through a weak spot in your lower abdominal wall. The repair procedure returns this tissue back to its proper place.
20 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Harris Regional Hospital

Acute Care Hospitals · Sylva, NC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number340016
Location68 Hospital RdSylva, NC 28779 · Jackson County
Emergency services Birthing friendly

Dlp Swain County Hospital LLC

Critical Access Hospitals · Bryson City, NC
OwnershipVoluntary non-profit - Private
CMS Certification Number341305
Location45 Plateau StreetBryson City, NC 28713 · Swain County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28734 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model

Other Providers at the Same Location NPPES 14

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

Orthopaedic Surgery
56 MEDICAL PARK DR, SUITE 302
FRANKLIN, NC 28734
Family Medicine
56 MEDICAL PARK DR, SUITE 301
FRANKLIN, NC 28734
Specialist
56 MEDICAL PARK DR
FRANKLIN, NC 28734
Social Worker (Clinical)
56 MEDICAL PARK DR, SUITE 201
FRANKLIN, NC 28734
Obstetrics & Gynecology
56 MEDICAL PARK DR
FRANKLIN, NC 28734
Clinic/Center (Rural Health)
56 MEDICAL PARK DR
FRANKLIN, NC 28734
Surgery
56 MEDICAL PARK DR, SUITE 202
FRANKLIN, NC 28734
Orthopaedic Surgery
56 MEDICAL PARK DR, SUITE 302
FRANKLIN, NC 28734

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 Gilberto Robles's NPI number?

The NPI number for Gilberto Robles is 1568487452. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Where is Gilberto Robles located?

Gilberto Robles practices at 56 Medical Park Dr Suite 303, Franklin, NC 28734. The listed phone number is (828) 369-4402.

What is Gilberto Robles's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Gilberto Robles enrolled in Medicare?

Yes. Gilberto Robles 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 Gilberto Robles accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC and 1 other insurer list Gilberto Robles 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.

Is Gilberto Robles affiliated with any hospitals?

According to CMS data, Gilberto Robles is affiliated with Harris Regional Hospital and Dlp Swain County Hospital LLC.

When was this NPI record last updated?

The NPPES record for Gilberto Robles was last updated on November 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.