KENNETH PAUL GILBERT M.D.
NPI 1801867189
Plastic Surgery in North Easton, MA

Active since January 27, 2006PECOS EnrolledAccepts Medicare Assignment
12.39/100
CMS Quality Rating
31 ROCHE BROS WAY STE 200, NORTH EASTON, MA 02356(508) 535-3376 Get Directions Write a Review

NPPES record last updated: September 14, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kenneth Paul Gilbert M.d. NPPES

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

KENNETH PAUL GILBERT M.D. (NPI 1801867189) is an individual plastic surgery provider in North Easton, Massachusetts, licensed in Massachusetts (51106) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of George Washington University School Of Medicine (1979).

NPPES Registry Identity

NPI1801867189
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameKENNETH PAUL GILBERTCredential: M.D.
Location Address31 ROCHE BROS WAY STE 200North Easton, MA 02356-1032
Mailing Address31 Roche Bros Way Ste 200North Easton, MA 02356-1032 · (508) 535-3376
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 1979
Enumeration DateJanuary 27, 2006
Last NPPES UpdateSeptember 14, 2023
NPPES CertifiedSeptember 14, 2023
NPI 1801867189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License Licensed in MA · 51106
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Also ListedSurgery · Plastic and Reconstructive SurgeryTaxonomy 2086S0122X · License 51106 (MA)
31 ROCHE BROS WAY STE 200, North Easton, MA 02356

Other Identifiers 1

Medicaid3001741MA

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

Kenneth Paul Gilbert 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 ID2365498326
PECOS Enrollment IDI20050323000904
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 11

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.

Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm 12032
This procedure involves the repair of a wound between 2.6-7.5 cm located on the scalp, underarms, trunk, arms, or legs. The process includes cleaning, debridement (removal of damaged tissue), and suturing (stitching) of the wound to promote healing.
150 services142 patients
Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm 11602
This procedure involves the surgical removal of a cancerous skin growth on the body, arms, or legs. The growth is between 1.1 and 2.0 cm in size. The goal is to eliminate cancer cells and prevent them from spreading to other parts of the body.
99 services88 patients
Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm 11402
This procedure involves the removal of a noncancerous skin growth on the body, arms, or legs that is between 1.1 and 2.0 cm in size. It's a safe and routine procedure performed by a medical professional to improve your skin health and appearance.
61 services58 patients
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less 12031
This procedure involves the repair of a wound that is located on the scalp, underarms, trunk, arms, or legs and is 2.5 cm or less in size. The repair is intermediate, meaning it's more complex than a simple closure, but not as extensive as a complex repair.
54 services54 patients
Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less 12051
This procedure involves repairing a wound on your face, ears, eyelids, nose, lips, or mouth. The wound is 2.5 cm or less in size. The repair process includes cleaning, treating, and stitching the wound to promote optimal healing. It's a standard, safe procedure.
28 services28 patients
Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm 11603
This procedure involves the removal of a cancerous skin growth, between 2.1 and 3.0 cm, from the body, arms, or legs. The area is numbed, then the growth is carefully cut out. The goal is to eliminate all cancer cells while minimizing scarring.
27 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02356 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

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.

12.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost41.31

Other Providers at the Same Location NPPES

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

Dermatology
31 ROCHE BROS WAY STE 200
NORTH EASTON, MA 02356

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 Kenneth Gilbert's NPI number?

The NPI number for Kenneth Gilbert is 1801867189. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Where is Kenneth Gilbert located?

Kenneth Gilbert practices at 31 Roche Bros Way Ste 200, North Easton, MA 02356. The listed phone number is (508) 535-3376.

What is Kenneth Gilbert's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Kenneth Gilbert enrolled in Medicare?

Yes. Kenneth 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 Kenneth Gilbert accept?

Health plans from Anthem Blue Cross and Blue Shield list Kenneth 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.

When was this NPI record last updated?

The NPPES record for Kenneth Gilbert was last updated on September 14, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.