JOHN M GILBERT III MD
NPI 1821158171
Radiology - Diagnostic Radiology in Englewood, CO

Active since December 09, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
10800 E GEDDES AVE STE 300, ENGLEWOOD, CO 80112(303) 761-9190(720) 874-4462 Get Directions Write a Review

NPPES record last updated: December 13, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 13, 2022, Feb 1, 2021, Aug 6, 2020 (3 updates tracked since 2020).

About John M Gilbert Iii Md NPPES

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

JOHN M GILBERT III MD (NPI 1821158171) is an individual diagnostic radiology provider in Englewood, Colorado, licensed in Colorado (45429) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Emory University School Of Medicine (2001).

NPPES Registry Identity

NPI1821158171
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameJOHN M GILBERT IIICredential: MD
Location Address10800 E GEDDES AVE STE 300Englewood, CO 80112-3895
Mailing Address10800 E Geddes Ave Ste 300Englewood, CO 80112-3895 · (303) 761-9190 · Fax (720) 874-4462
Fax(720) 874-4462
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 2001
Enumeration DateDecember 9, 2006
Last NPPES UpdateDecember 13, 20223 updates tracked since enumeration
NPPES CertifiedDecember 13, 2022
✔ NPI 1821158171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in CO · 45429✔ Licensed in HI · MD21074✔ Licensed in KS · 04-43044✔ Licensed in NE · 26237
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · Body ImagingTaxonomy 2085B0100X · License 45429 (CO)
10800 E GEDDES AVE STE 300, Englewood, CO 80112

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

John M Gilbert Iii Md 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 ID3779680061
PECOS Enrollment IDI20070522000156, I20200417001194
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.

Medicare Billing Reassignments

8

Medicare enrollment records show John Gilbert reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Diagnostic Radiology
10800 E GEDDES AVE STE 300
Englewood, CO 80112
  • Reassigned Medicare billing, Colorado enrollment
  • 160 clinicians in this Medicare group
Diagnostic Radiology
10800 E GEDDES AVE STE 300
Englewood, CO 80112
  • Reassigned Medicare billing, Colorado and Kansas enrollments
  • 162 clinicians in this Medicare group
Magnetic Resonance Imaging (MRI)
175 INVERNESS DR W STE 150
Englewood, CO 80112
  • Reassigned Medicare billing, Colorado enrollment
  • 320 clinicians in this Medicare group
Diagnostic Radiology
1900 BOISE AVE STE 110
Loveland, CO 80538
  • Reassigned Medicare billing, Colorado enrollment
  • 126 clinicians in this Medicare group
Multi-Specialty
1100 CENTRAL PARK DR STE 1000
Steamboat Springs, CO 80487
  • Reassigned Medicare billing, Colorado enrollment
  • 181 clinicians in this Medicare group
Urgent Care
12 SNOWMASS ROAD, #100
Crested Butte, CO 81225
  • Reassigned Medicare billing, Colorado enrollment
  • 176 clinicians in this Medicare group
Diagnostic Radiology
4021 AVENUE B
Scottsbluff, NE 69361
  • Reassigned Medicare billing, Colorado enrollment
  • 131 clinicians in this Medicare group
Diagnostic Radiology
670 PONAHAWAI ST., SUITE 110
Hilo, HI 96720
  • Reassigned Medicare billing, Colorado enrollment
  • 127 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 41

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
7,066 services75 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
445 services435 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
325 services322 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
209 services206 patients
Ct scan of blood vessels of chest with contrast 71275
A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.
178 services178 patients
Ct scan of chest with contrast 71260
A CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.
173 services171 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80112 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
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.

Radiology (Diagnostic Radiology)
10800 E GEDDES AVE STE 300
ENGLEWOOD, CO 80112
Radiology (Diagnostic Radiology)
10800 E GEDDES AVE STE 300
ENGLEWOOD, CO 80112
Radiology (Neuroradiology)
10800 E GEDDES AVE STE 300
ENGLEWOOD, CO 80112
Radiology (Diagnostic Radiology)
10800 E GEDDES AVE STE 300
ENGLEWOOD, CO 80112
Radiology (Diagnostic Radiology)
10800 E GEDDES AVE STE 300
ENGLEWOOD, CO 80112
Radiology (Vascular & Interventional Radiology)
10800 E GEDDES AVE STE 300
ENGLEWOOD, CO 80112
Radiology (Diagnostic Radiology)
10800 E GEDDES AVE STE 300
ENGLEWOOD, CO 80112
Radiology (Diagnostic Radiology)
10800 E GEDDES AVE STE 300
ENGLEWOOD, CO 80112

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 John Gilbert's NPI number?

The NPI number for John Gilbert is 1821158171. It was assigned to this individual provider in the NPPES registry on December 9, 2006.

Where is John Gilbert located?

John Gilbert practices at 10800 E Geddes Ave Ste 300, Englewood, CO 80112. The listed phone number is (303) 761-9190.

What is John Gilbert's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is John Gilbert enrolled in Medicare?

Yes. John 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 organizations bill Medicare for John Gilbert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Gilbert reassigns Medicare benefits to 8 organizations: Medical Imaging Of Colorado Radiology Imaging Assc PC Etal Pt (Englewood, CO), Radiology Imaging Associates, PC (Englewood, CO), Uchealth Imaging Services LLC (Englewood, CO), Banner Imaging Services Colorado LLC (Loveland, CO), Yampa Valley Medical Center (Steamboat Springs, CO) and 3 more organizations, listed in the Medicare section above. Each 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 John Gilbert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Gilbert accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc., Oscar Health, Oscar Insurance Company and Select Health list John 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 John Gilbert was last updated on December 13, 2022. 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.