DR. MEGHAN CARROLL GILBERT D.O.
NPI 1720423189
Internal Medicine - Nephrology in Lexington, KY

Active since April 30, 2013PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
1740 NICHOLASVILLE RD, LEXINGTON, KY 40503(859) 260-6348 Get Directions Write a Review

NPPES record last updated: August 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 5, 2021, Jan 14, 2020, Jan 8, 2020 and 1 more (4 updates tracked since 2018).

About Dr. Meghan Carroll Gilbert D.o. NPPES

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

DR. MEGHAN CARROLL GILBERT D.O. (NPI 1720423189) is an individual nephrology provider in Lexington, Kentucky, licensed in Kentucky (04280) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Lexington, and maintains a secondary practice location in Lexington.

NPPES Registry Identity

NPI1720423189
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameDR. MEGHAN CARROLL GILBERTCredential: D.O.
Location Address1740 NICHOLASVILLE RDLexington, KY 40503-1431
Mailing Address1401 Harrodsburg Rd Ste C335Lexington, KY 40504-1791 · (859) 276-5355 · Fax (859) 277-1843
Sole ProprietorYes
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2013
Enumeration DateApril 30, 2013
Last NPPES UpdateAugust 5, 20214 updates tracked since enumeration
NPPES CertifiedAugust 5, 2021
NPI 1720423189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in KY · 04280
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License 5101020242 (MI)
1740 NICHOLASVILLE RD, Lexington, KY 40503

Secondary Practice Location 1

Location 11401 Harrodsburg Rd Ste C335Lexington, KY 40504-1791 · Phone (859) 276-5355 · Fax (859) 277-1843

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. Meghan Carroll Gilbert D.o. 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 ID8325325939
PECOS Enrollment IDI20181023003312
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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
409 services208 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
74 services74 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
37 services37 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180103
Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40503 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

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 suppliers17 claims17 services$91.82 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 20

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

Physician Assistant
1740 NICHOLASVILLE RD
LEXINGTON, KY 40503
Pharmacist
1740 NICHOLASVILLE RD
LEXINGTON, KY 40503
Hospitalist
1740 NICHOLASVILLE RD
LEXINGTON, KY 40503
Radiology (Diagnostic Radiology)
1740 NICHOLASVILLE RD, CENTRAL BAPTIST HOSPITAL
LEXINGTON, KY 40503
Internal Medicine
1740 NICHOLASVILLE RD
LEXINGTON, KY 40503
Nurse Practitioner (Family)
1740 NICHOLASVILLE RD
LEXINGTON, KY 40503
Pharmacist
1740 NICHOLASVILLE RD
LEXINGTON, KY 40503
Anesthesiology
1740 NICHOLASVILLE RD
LEXINGTON, KY 40503

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 Meghan Gilbert's NPI number?

The NPI number for Meghan Gilbert is 1720423189. It was assigned to this individual provider in the NPPES registry on April 30, 2013.

Where is Meghan Gilbert located?

Meghan Gilbert practices at 1740 Nicholasville Rd, Lexington, KY 40503. The listed phone number is (859) 260-6348.

What is Meghan Gilbert's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Meghan Gilbert enrolled in Medicare?

Yes. Meghan Gilbert 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 Meghan Gilbert accept?

Health plans from CareSource list Meghan 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.

Is Meghan Gilbert affiliated with any hospitals?

According to CMS data, Meghan Gilbert is affiliated with Baptist Health Lexington.

When was this NPI record last updated?

The NPPES record for Meghan Gilbert was last updated on August 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.