DR. ANDERSON MARK GILBERTO DDS
NPI 1790270494
Dentist - General Practice in Poplar Bluff, MO

Q: What is Anderson Gilberto's NPI number?

The NPI number for Anderson Gilberto is 1790270494. It was assigned to this individual provider in the NPPES registry on June 25, 2018.

Q: What is Anderson Gilberto's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Anderson Gilberto was last updated on June 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 25, 2018PECOS Enrolled

2990 RAIDER WAY, POPLAR BLUFF, MO 63901(573) 785-8257(573) 785-3424 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 12, 2024, Jun 25, 2018 (2 updates tracked since 2018).

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About Dr. Anderson Mark Gilberto Dds NPPES

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

DR. ANDERSON MARK GILBERTO DDS (NPI 1790270494) is an individual general practice provider in Poplar Bluff, Missouri, licensed in Missouri (2018022437) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1790270494

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. ANDERSON MARK GILBERTOCredential: DDS

Location Address2990 RAIDER WAYPoplar Bluff, MO 63901-5372

Mailing Address2990 Raider WayPoplar Bluff, MO 63901-5372 · (573) 772-0762

Phone(573) 785-8257

Fax(573) 785-3424

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJune 25, 2018

Last NPPES UpdateJune 12, 20242 updates tracked since enumeration

NPPES CertifiedJune 12, 2024

✔ NPI 1790270494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MO · 2018022437

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

2990 RAIDER WAY, Poplar Bluff, MO 63901

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Anderson Mark Gilberto Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5496080095

PECOS Enrollment IDI20250711001834

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63901 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$65.71 typical visit price

range $16.30 – $131.05

Typical copayment $16.42 (range $4.07 – $32.76)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

AMPT, LLC

Clinic/Center (Dental)

2990 RAIDER WAY
POPLAR BLUFF, MO 63901

Butler County (573) 785-6699

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 Anderson Gilberto's NPI number?

The NPI number for Anderson Gilberto is 1790270494. It was assigned to this individual provider in the NPPES registry on June 25, 2018.

Where is Anderson Gilberto located?

Anderson Gilberto practices at 2990 Raider Way, Poplar Bluff, MO 63901. The listed phone number is (573) 785-8257.

What is Anderson Gilberto's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Anderson Gilberto enrolled in Medicare?

Yes. Anderson Gilberto is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Anderson Gilberto was last updated on June 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.