STEVEN R GILBERT MD
NPI 1598865222
Internal Medicine - Pulmonary Disease in Marshfield, WI

Active since September 23, 2006PECOS EnrolledAccepts Medicare Assignment
78.85/100
CMS Quality Rating
1000 N OAK AVE, MARSHFIELD, WI 54449(715) 387-5319 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Steven R Gilbert Md NPPES

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

STEVEN R GILBERT MD (NPI 1598865222) is an individual pulmonary disease provider in Marshfield, Wisconsin, licensed in Wisconsin (33064) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Marshfield Medical Center, and is a graduate of University Of Rochester School Of Medicine And Dentistry (1984).

NPPES Registry Identity

NPI1598865222
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameSTEVEN R GILBERTCredential: MD
Location Address1000 N OAK AVEMarshfield, WI 54449
Mailing Address1000 N Oak AveMarshfield, WI 54449-5777
Sole ProprietorNo
Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 1984
Enumeration DateSeptember 23, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1598865222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in WI · 33064
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

1000 N OAK AVE, Marshfield, WI 54449

Other Identifiers 2

Medicare UPINC67770
Medicaid31833500WI

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

Steven R Gilbert 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 ID7416092952
PECOS Enrollment IDI20100308000807
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 5

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
190 services76 patients
Follow-up hospital inpatient care per day, typically 35 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.
98 services55 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
56 services33 patients
Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556
This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.
19 services18 patients
Insertion of artery tube for blood sampling or infusion through skin 36620
This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.
14 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Marshfield Medical Center

Acute Care Hospitals · Marshfield, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520037
Location611 St Joseph AveMarshfield, WI 54449 · Wood County
Emergency services Birthing friendly

Marshfield Medical Center - Eau Claire

Acute Care Hospitals · Eau Claire, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520210
Location2310 Craig RdEau Claire, WI 54701 · Eau Claire County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54449 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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.

78.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.68
Promoting Interoperability99
Improvement Activities40
Cost54.87

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.

Genetic Counselor, MS
1000 N OAK AVE, MARSHFIELD CLINIC; 3C1
MARSHFIELD, WI 54449
Genetic Counselor, MS
1000 N OAK AVE, 3C1
MARSHFIELD, WI 54449
Genetic Counselor, MS
1000 N OAK AVE, DEPT OF MEDICAL GENETICS - 3C1
MARSHFIELD, WI 54449
Pediatrics (Pediatric Critical Care Medicine)
1000 N OAK AVE
MARSHFIELD, WI 54449
Internal Medicine (Nephrology)
1000 N OAK AVE
MARSHFIELD, WI 54449
Social Worker
1000 N OAK AVE
MARSHFIELD, WI 54449
Nuclear Medicine (Nuclear Imaging & Therapy)
1000 N OAK AVE
MARSHFIELD, WI 54449
Psychiatry & Neurology (Neurology)
1000 N OAK AVE
MARSHFIELD, WI 54449

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 Steven Gilbert's NPI number?

The NPI number for Steven Gilbert is 1598865222. It was assigned to this individual provider in the NPPES registry on September 23, 2006.

Where is Steven Gilbert located?

Steven Gilbert practices at 1000 N Oak Ave, Marshfield, WI 54449. The listed phone number is (715) 387-5319.

What is Steven Gilbert's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Steven Gilbert enrolled in Medicare?

Yes. Steven 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.

What insurance does Steven Gilbert accept?

Health plans from Medica and Sanford Health Plan list Steven Gilbert 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 Steven Gilbert affiliated with any hospitals?

According to CMS data, Steven Gilbert is affiliated with Marshfield Medical Center and Marshfield Medical Center - Eau Claire.

When was this NPI record last updated?

The NPPES record for Steven Gilbert was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.