KENNETH PAUL GILBERT M.D.
NPI 1801867189
Plastic Surgery in North Easton, MA
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
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Kenneth Gilbert reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
North Easton, MA 02356
- Reassigned Medicare billing, Massachusetts enrollment
- Medicare enrollment name: South Shore Dermatology Physicians PC
- 15 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organization bills Medicare for Kenneth Gilbert's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Gilbert reassigns Medicare benefits to South Shore Dermatology Physicians, P.C. (North Easton, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kenneth Gilbert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kenneth Gilbert accept?
Health plans from Anthem Blue Cross and Blue Shield and Taro Health 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.