MR. ANDREW JOHN GULBIS MD
NPI 1720216443
General Practice in Tomball, TX

Active since July 01, 2009PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
506 GRAHAM DRIVE, SUITE 290, TOMBALL, TX 77375(281) 351-7204(281) 351-9059 Get Directions Write a Review

NPPES record last updated: October 23, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Andrew John Gulbis Md NPPES

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

MR. ANDREW JOHN GULBIS MD (NPI 1720216443) is an individual general practice provider in Tomball, Texas, licensed in Texas (P5184) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with Chi St Lukes Health Memorial Lufkin, and is a graduate of University Of Arizona College Of Medicine (2009).

NPPES Registry Identity

NPI1720216443
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameMR. ANDREW JOHN GULBISCredential: MD
Location Address506 GRAHAM DRIVE, SUITE 290Tomball, TX 77375
Mailing Address506 Graham Drive, Suite 290Tomball, TX 77375 · (281) 351-7204 · Fax (281) 351-9059
Fax(281) 351-9059
Sole ProprietorYes
Medical School CMSUniversity Of Arizona College Of MedicineGraduated 2009
Enumeration DateJuly 1, 2009
Last NPPES UpdateOctober 23, 2019
NPI 1720216443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in TX · P5184
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
506 GRAHAM DRIVE, Tomball, TX 77375

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

Mr. Andrew John Gulbis 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 ID547407645
PECOS Enrollment IDI20130509000193
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 17

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.
725 services231 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
450 services181 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
187 services19 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
117 services57 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
96 services96 patients
Testing for presence of drug, read by direct observation 80305
Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.
91 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Chi St Lukes Health Memorial Lufkin

Acute Care Hospitals · Lufkin, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450211
Location1201 West Frank StreetLufkin, TX 75901 · Angelina County
Emergency services Birthing friendly

Chi St Lukes Health Memorial Livingston

Acute Care Hospitals · Livingston, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450395
Location1717 Hwy 59 BypassLivingston, TX 77351 · Polk County
Emergency services Birthing friendly

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Referred Medical Equipment & Supplies CMS DME claims 6

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers17 claims71 services$6.89 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers11 claims26 services$1.21 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers41 claims41 services$18.31 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers17 claims17 services$40.46 avg. paid by Medicare
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
5 suppliers62 claims62 services$94.22 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers19 claims19 services$33.64 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 2

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

Nurse Practitioner
506 GRAHAM DRIVE, SUITE 290
TOMBALL, TX 77375
Internal Medicine (Gastroenterology)
506 GRAHAM DRIVE, SUITE 100
TOMBALL, TX 77375

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 Andrew Gulbis's NPI number?

The NPI number for Andrew Gulbis is 1720216443. It was assigned to this individual provider in the NPPES registry on July 1, 2009.

Where is Andrew Gulbis located?

Andrew Gulbis practices at 506 Graham Drive Suite 290, Tomball, TX 77375. The listed phone number is (281) 351-7204.

What is Andrew Gulbis's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Andrew Gulbis enrolled in Medicare?

Yes. Andrew Gulbis 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 Andrew Gulbis accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Andrew Gulbis 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 Andrew Gulbis affiliated with any hospitals?

According to CMS data, Andrew Gulbis is affiliated with Chi St Lukes Health Memorial Lufkin and Chi St Lukes Health Memorial Livingston.

When was this NPI record last updated?

The NPPES record for Andrew Gulbis was last updated on October 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.