DR. JAMES E. GILBERT II DO
NPI 1811283831
Internal Medicine in Chattanooga, TN

Active since June 28, 2011PECOS EnrolledAccepts Medicare Assignment
94.7/100
CMS Quality Rating
2525 DESALES AVENUE, CHATTANOOGA, TN 37404(423) 495-2620(423) 495-2625 Get Directions Write a Review

NPPES record last updated: September 16, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. James E. Gilbert Ii Do NPPES

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

DR. JAMES E. GILBERT II DO (NPI 1811283831) is an individual internal medicine provider in Chattanooga, Tennessee, licensed in Tennessee (2693) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Memorial Healthcare System, Inc, and is a graduate of West Virginia School Of Osteopathic Medicine (2011).

NPPES Registry Identity

NPI1811283831
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JAMES E. GILBERT IICredential: DO
Location Address2525 DESALES AVENUEChattanooga, TN 37404
Mailing Address2525 Desales AvenueChattanooga, TN 37404 · (423) 495-2620 · Fax (423) 495-2625
Fax(423) 495-2625
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2011
Enumeration DateJune 28, 2011
Last NPPES UpdateSeptember 16, 2014
NPI 1811283831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in TN · 2693
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

2525 DESALES AVENUE, Chattanooga, TN 37404

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. James E. Gilbert Ii Do 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 ID1850539537
PECOS Enrollment IDI20141014001310
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 4

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.
384 services130 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
265 services121 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.
128 services116 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
63 services53 patients

Hospital Affiliations CMS Care Compare

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

Memorial Healthcare System, Inc

Acute Care Hospitals · Chattanooga, TN
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number440091
Location2525 Desales AveChattanooga, TN 37404 · Hamilton County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37404 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

94.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.41
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
5 suppliers28 claims28 services$13.25 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$922.57 avg. paid by Medicare
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
5 suppliers42 claims42 services$65.85 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
3 suppliers15 claims15 services$31.34 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.

Emergency Medicine
2525 DESALES AVENUE
CHATTANOOGA, TN 37404
Internal Medicine
2525 DESALES AVENUE
CHATTANOOGA, TN 37404
Emergency Medicine
2525 DESALES AVENUE
CHATTANOOGA, TN 37404
Pathology (Anatomic Pathology & Clinical Pathology)
2525 DESALES AVENUE, PATHOLOGY LABORATORY
CHATTANOOGA, TN 37404
Emergency Medicine
2525 DESALES AVENUE
CHATTANOOGA, TN 37404
Nurse Practitioner
2525 DESALES AVENUE
CHATTANOOGA, TN 37404
Pathology (Anatomic Pathology & Clinical Pathology)
2525 DESALES AVENUE, PATHOLOGY LABORATORY
CHATTANOOGA, TN 37404
Emergency Medicine
2525 DESALES AVENUE
CHATTANOOGA, TN 37404

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 James Gilbert's NPI number?

The NPI number for James Gilbert is 1811283831. It was assigned to this individual provider in the NPPES registry on June 28, 2011.

Where is James Gilbert located?

James Gilbert practices at 2525 Desales Avenue, Chattanooga, TN 37404. The listed phone number is (423) 495-2620.

What is James Gilbert's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is James Gilbert enrolled in Medicare?

Yes. James 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 James Gilbert accept?

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

According to CMS data, James Gilbert is affiliated with Memorial Healthcare System, Inc.

When was this NPI record last updated?

The NPPES record for James Gilbert was last updated on September 16, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.