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MONICA LYNN GILBERT M.D.
NPI 1811092828
Hospitalist in Marietta, GA

Active since September 14, 2006PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
2540 WINDY HILL RD SE, MARIETTA, GA 30067(770) 732-4022(770) 732-4023 Get Directions Write a Review

NPPES record last updated: October 14, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 14, 2019, Feb 20, 2019 (2 updates tracked since 2019).

About Monica Lynn Gilbert M.d. NPPES

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

MONICA LYNN GILBERT M.D. (NPI 1811092828) is an individual hospitalist provider in Marietta, Georgia, licensed in Georgia (057305) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and is a graduate of University Of Virginia School Of Medicine (1999).

NPPES Registry Identity

NPI1811092828
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameMONICA LYNN GILBERTCredential: M.D.
Location Address2540 WINDY HILL RD SEMarietta, GA 30067
Mailing Address2540 Windy Hill Rd SeMarietta, GA 30067-8605 · (770) 732-4022 · Fax (770) 732-4023
Phone(770) 732-4022
Fax(770) 732-4023
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 1999
Enumeration DateSeptember 14, 2006
Last NPPES UpdateOctober 14, 20192 updates tracked since enumeration
✔ NPI 1811092828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in GA · 057305
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 057305 (GA)
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License 057305 (GA)
2540 WINDY HILL RD SE, Marietta, GA 30067
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..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

Monica Lynn 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 ID8426006891
PECOS Enrollment IDI20060310000033
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 2

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.
585 services36 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
207 services27 patients

Hospital Affiliations CMS Care Compare 2

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

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Wellstar Paulding Medical Center

Acute Care Hospitals · Hiram, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110042
Location2518 Jimmy Lee Smith ParkwayHiram, GA 30141 · Paulding County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30067 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

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.

NAZIM ALI SYED MD
Hospitalist
2540 WINDY HILL RD SE
MARIETTA, GA 30067
Cobb County (770) 732-4022
SHARI STOKES M.D.
Anesthesiology
2540 WINDY HILL RD SE
MARIETTA, GA 30067
Cobb County (470) 644-1274
DR. NILAY NIRDOSH MD
Hospitalist
2540 WINDY HILL RD SE
MARIETTA, GA 30067
Cobb County (770) 644-1000
MARIO TORRES-NIEVES
Nurse Anesthetist, Certified Registered
2540 WINDY HILL RD SE
MARIETTA, GA 30067
Cobb County (470) 644-1274
SHAWN MICHAEL KADE PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
2540 WINDY HILL RD SE
MARIETTA, GA 30067
Cobb County (770) 644-1570
ROBERT J DELPOZO M.D.
Psychiatry & Neurology (Psychiatry)
2540 WINDY HILL RD SE
MARIETTA, GA 30067
Cobb County (770) 644-1570
DR. KRISTY HENDRICKS JACKSON M.D.
Psychiatry & Neurology (Psychiatry)
2540 WINDY HILL RD SE
MARIETTA, GA 30067
Cobb County (770) 644-1570
IFFAT BHUIYAN MD
Psychiatry & Neurology (Psychiatry)
2540 WINDY HILL RD SE
MARIETTA, GA 30067
Cobb County (770) 644-1570

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 Monica Gilbert's NPI number?

The NPI number for Monica Gilbert is 1811092828. It was assigned to this individual provider in the NPPES registry on September 14, 2006.

Where is Monica Gilbert located?

Monica Gilbert practices at 2540 Windy Hill Rd SE, Marietta, GA 30067. The listed phone number is (770) 732-4022.

What is Monica Gilbert's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Monica Gilbert enrolled in Medicare?

Yes. Monica 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 Monica Gilbert accept?

Health plans from Alliant Health Plans, Inc. list Monica 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 Monica Gilbert affiliated with any hospitals?

According to CMS data, Monica Gilbert is affiliated with Wellstar Kennestone Regional Medical Center and Wellstar Paulding Medical Center.

When was this NPI record last updated?

The NPPES record for Monica Gilbert was last updated on October 14, 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.