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DR. MARC RANDOLPH GILBERT O.D.
NPI 1659377190
Optometrist in Dayton, OH

Active since June 21, 2005PECOS Enrolled
813 TROY ST, DAYTON, OH 45404(937) 228-2020(937) 228-8769 Get Directions Write a Review

NPPES record last updated: January 18, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Marc Randolph Gilbert O.d. NPPES

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

DR. MARC RANDOLPH GILBERT O.D. (NPI 1659377190) is an individual optometrist in Dayton, Ohio, licensed in Ohio (3858T056) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659377190
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. MARC RANDOLPH GILBERTCredential: O.D.
Location Address813 TROY STDayton, OH 45404-1852
Mailing Address813 Troy StDayton, OH 45404-1852 · (937) 228-2020 · Fax (937) 228-8769
Phone(937) 228-2020
Fax(937) 228-8769
Sole ProprietorNo
Enumeration DateJune 21, 2005
Last NPPES UpdateJanuary 18, 2008
✔ NPI 1659377190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in OH · 3858T056
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
813 TROY ST, Dayton, OH 45404
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Other Identifiers 6

Other310928411026OH · Care Source
Medicare PIN0585152OH
Other310928411027OH · Care Source
Medicare PIN0585151OH
Medicaid0631883OH
Medicare UPINT48421

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Marc Randolph Gilbert O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Marc Gilbert reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dayton Optometric Center Inc.
Same address
Optometrist
813 TROY ST.
Dayton, OH 45404
  • Reassigned Medicare billing, Ohio enrollment
  • 3 clinicians in this Medicare group
NPI 1194722603 (937) 228-2020

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45404 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $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.

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.

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%31 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 19

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

DR. HEATH BRADLEY GILBERT O.D.
Optometrist
813 TROY ST
DAYTON, OH 45404
Montgomery County (937) 228-2020
DAKARI WARD BA
Counselor (Mental Health)
813 TROY ST
DAYTON, OH 45404
Montgomery County (937) 982-1500
DR. TRAVIS MILES GILBERT O.D.
Optometrist
813 TROY ST
DAYTON, OH 45404
Montgomery County (937) 228-2020
MR. DEVEON IVORY SIMMS SR.
Counselor (Addiction (Substance Use Disorder))
813 TROY ST
DAYTON, OH 45404
Montgomery County (937) 982-1500
MS. YOLANDA RANE ROPER RN BSN 344547
Registered Nurse (Psychiatric/Mental Health)
813 TROY ST
DAYTON, OH 45404
Montgomery County (937) 982-1500
SOLACE AT VIVIAN'S
Clinic/Center (Mental Health (Including Community Mental Health Center))
813 TROY ST
DAYTON, OH 45404
Montgomery County (937) 982-1500
KIM MICHELE OSBORNE LCDC II
Counselor (Mental Health)
813 TROY ST
DAYTON, OH 45404
Montgomery County (937) 982-1500
TIFFANY ROSE STINSON
Counselor (Mental Health)
813 TROY ST
DAYTON, OH 45404
Montgomery County (937) 982-1500

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 Marc Gilbert's NPI number?

The NPI number for Marc Gilbert is 1659377190. It was assigned to this individual provider in the NPPES registry on June 21, 2005.

Where is Marc Gilbert located?

Marc Gilbert practices at 813 Troy St, Dayton, OH 45404. The listed phone number is (937) 228-2020.

What is Marc Gilbert's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Marc Gilbert enrolled in Medicare?

Yes. Marc Gilbert is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Marc Gilbert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marc Gilbert reassigns Medicare benefits to Dayton Optometric Center Inc. (Dayton, OH). The 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 Marc Gilbert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marc Gilbert accept?

Health plans from CareSource list Marc 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.

When was this NPI record last updated?

The NPPES record for Marc Gilbert was last updated on January 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.