DR. CARLA FABIOLA GAMARRA-HILBURN M.D
NPI 1679861702
Internal Medicine - Rheumatology in New Albany, IN

Active since July 11, 2011PECOS EnrolledAccepts Medicare Assignment
97.5/100
CMS Quality Rating
1919 STATE ST STE 462, NEW ALBANY, IN 47150(812) 725-0200(812) 725-0190 Get Directions Write a Review

NPPES record last updated: September 6, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 6, 2024, Feb 11, 2021, Aug 1, 2017 and 1 more (4 updates tracked since 2017).

About Dr. Carla Fabiola Gamarra-hilburn M.d NPPES

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

DR. CARLA FABIOLA GAMARRA-HILBURN M.D (NPI 1679861702) is an individual rheumatology provider in New Albany, Indiana, licensed in Indiana (01076656A) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Floyd, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1679861702
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameDR. CARLA FABIOLA GAMARRA-HILBURNCredential: M.D
Location Address1919 STATE ST STE 462New Albany, IN 47150-6801
Mailing Address1919 State St Ste 462New Albany, IN 47150-6801 · (812) 725-0200 · Fax (812) 725-0190
Fax(812) 725-0190
Sole ProprietorYes
Medical School CMSOtherGraduated 1995
Enumeration DateJuly 11, 2011
Last NPPES UpdateSeptember 6, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2024
NPI 1679861702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Licenses Licensed in IN · 01076656A Licensed in AR · E-13113
Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

Also ListedInternal MedicineTaxonomy 207R00000X · License 249445 (MA)
1919 STATE ST STE 462, New Albany, IN 47150

Other Identifiers 5

Medicaid201361070IN
Other1G0537AR · Medicare
OtherIN1189053IN · In Medicare
Medicaid247019001AR
Other5EY59AR · Bcbs Of Ar

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

Dr. Carla Fabiola Gamarra-hilburn 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 ID7911299243
PECOS Enrollment IDI20160707000968
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

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 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.
109 services103 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Floyd

Acute Care Hospitals · New Albany, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150044
Location1850 State StNew Albany, IN 47150 · Floyd County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47150 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

97.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95
Improvement Activities40

Other Providers at the Same Location NPPES

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

Orthopaedic Surgery
1919 STATE ST STE 462
NEW ALBANY, IN 47150

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 Carla Gamarra-hilburn's NPI number?

The NPI number for Carla Gamarra-hilburn is 1679861702. It was assigned to this individual provider in the NPPES registry on July 11, 2011.

Where is Carla Gamarra-hilburn located?

Carla Gamarra-hilburn practices at 1919 State St Ste 462, New Albany, IN 47150. The listed phone number is (812) 725-0200.

What is Carla Gamarra-hilburn's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Carla Gamarra-hilburn enrolled in Medicare?

Yes. Carla Gamarra-hilburn 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 Carla Gamarra-hilburn accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Carla Gamarra-hilburn 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 Carla Gamarra-hilburn affiliated with any hospitals?

According to CMS data, Carla Gamarra-hilburn is affiliated with Baptist Health Floyd.

When was this NPI record last updated?

The NPPES record for Carla Gamarra-hilburn was last updated on September 6, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.