GARY CRISANTO GUALBERTO M.D.
NPI 1689875668
Psychiatry & Neurology - Neurology in Carlsbad, CA

Q: What is Gary Gualberto's NPI number?

The NPI number for Gary Gualberto is 1689875668. It was assigned to this individual provider in the NPPES registry on May 29, 2007.

Q: What is Gary Gualberto's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Gary Gualberto was last updated on September 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 29, 2007PECOS EnrolledAccepts Medicare Assignment

87.62/100

CMS Quality Rating

6010 HIDDEN VALLEY RD STE 200, CARLSBAD, CA 92011(760) 631-3000(760) 270-9534 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 10, 2025, Apr 25, 2024, Sep 20, 2022 and 4 more (7 updates tracked since 2015).

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About Gary Crisanto Gualberto M.d. NPPES

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

GARY CRISANTO GUALBERTO M.D. (NPI 1689875668) is an individual neurology provider in Carlsbad, California, licensed in California (C138319) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1689875668

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameGARY CRISANTO GUALBERTOCredential: M.D.

Location Address6010 HIDDEN VALLEY RD STE 200Carlsbad, CA 92011-4219

Mailing Address6010 Hidden Valley Rd Ste 200Carlsbad, CA 92011-4219 · (760) 631-3000 · Fax (760) 270-9534

Phone(760) 631-3000

Fax(760) 270-9534

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateMay 29, 2007

Last NPPES UpdateSeptember 10, 20257 updates tracked since enumeration

NPPES CertifiedSeptember 10, 2025

✔ NPI 1689875668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in CA · C138319

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Also ListedPsychiatry & Neurology · Neurocritical CareTaxonomy 2084A2900X · License C138319 (CA)

Also ListedPsychiatry & Neurology · EpilepsyTaxonomy 2084E0001X · License C138319 (CA)

Also ListedHospitalistTaxonomy 208M00000X · License C138319 (CA)

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

Gary Crisanto Gualberto 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 ID42460990

PECOS Enrollment IDI20151208001987

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 6

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

190 services183 patients

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.

164 services125 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 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.

117 services75 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.

112 services111 patients

Measurement of brain wave activity (eeg), awake and asleep 95819

The measurement of brain wave activity, known as an EEG, records the brain's electrical signals. It's performed when you're awake and asleep to monitor your brain's functioning. It helps in diagnosing conditions like epilepsy, sleep disorders, and other neurological issues.

48 services47 patients

Measurement of brain wave activity (eeg), awake and drowsy 95816

Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.

32 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92011 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

$140.22 typical visit price

range $62.10 – $184.71

Typical copayment $35.05 (range $15.52 – $46.17)

Most-billed visit code 99204

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

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.

87.62/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

100

Improvement Activities

Cost

97.55

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.

KRISTY SCHROLL PA

Physician Assistant (Medical)