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GILBERT B PEREZ M.D.
NPI 1659575041
Family Medicine in Grindstone, PA

Active since June 12, 2007PECOS EnrolledAccepts Medicare Assignment
111B ROBERTS RD, GRINDSTONE, PA 15442(724) 785-2286(724) 785-3187 Get Directions Write a Review

NPPES record last updated: July 2, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Gilbert B Perez M.d. NPPES

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

GILBERT B PEREZ M.D. (NPI 1659575041) is an individual family medicine provider in Grindstone, Pennsylvania, licensed in Pennsylvania (MD441480) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1659575041
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameGILBERT B PEREZCredential: M.D.
Location Address111B ROBERTS RDGrindstone, PA 15442-1105
Mailing Address211 Easy St, Suite 127Uniontown, PA 15401-3129 · (724) 430-8755 · Fax (724) 434-1659
Phone(724) 785-2286
Fax(724) 785-3187
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJune 12, 2007
Last NPPES UpdateJuly 2, 2012
✔ NPI 1659575041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MD441480
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
111B ROBERTS RD, Grindstone, PA 15442
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gilbert B Perez 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 ID4789869413
PECOS Enrollment IDI20110425000130
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 Reassignments

3

Medicare enrollment records show Gilbert Perez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fayette Physician Network Inc
Same address
Family Medicine
111B ROBERTS RD
Grindstone, PA 15442
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 398 clinicians in this Medicare group
NPI 1710389994 (724) 785-2286
Highlands Hospital And Health Center
15 mi
Family Medicine
401 E MURPHY AVE, SUITE 201
Connellsville, PA 15425
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 155 clinicians in this Medicare group
NPI 1447443957 (724) 628-1500
Upmc Washington
23 mi
Family Medicine
95 LEONARD AVE, BLDG 2
Washington, PA 15301
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 54 clinicians in this Medicare group
NPI 1922077205 (724) 223-3100

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 15442 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers15 claims15 services$58.89 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

FAYETTE PHYSICIAN NETWORK INC
Non-Pharmacy Dispensing Site
111B ROBERTS RD
GRINDSTONE, PA 15442
Fayette County (724) 785-3187
FAYETTE MEDICAL ASSOCIATES INC
Family Medicine
111B ROBERTS RD
GRINDSTONE, PA 15442
Fayette County (724) 785-2161
LINDA MARIE BURSTYNOWICZ M.D.
Internal Medicine
111B ROBERTS RD
GRINDSTONE, PA 15442
Fayette County (724) 785-2286
FAYETTE PHYSICIAN NETWORK INC
Family Medicine
111B ROBERTS RD
GRINDSTONE, PA 15442
Fayette County (724) 785-2286

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 Perez's NPI number?

The NPI number for Gilbert Perez is 1659575041. It was assigned to this individual provider in the NPPES registry on June 12, 2007.

Where is Gilbert Perez located?

Gilbert Perez practices at 111B Roberts Rd, Grindstone, PA 15442. The listed phone number is (724) 785-2286.

What is Gilbert Perez's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Gilbert Perez enrolled in Medicare?

Yes. Gilbert Perez 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.

Which organizations bill Medicare for Gilbert Perez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gilbert Perez reassigns Medicare benefits to 3 organizations: Fayette Physician Network Inc (Grindstone, PA), Highlands Hospital And Health Center (Connellsville, PA) and Upmc Washington (Washington, PA). Each 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 Gilbert Perez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gilbert Perez accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and CareSource list Gilbert Perez 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 Perez was last updated on July 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.