DR. MARK RAYMOND GILBERT M.D.
NPI 1851534960
Otolaryngology in Chicago, IL

Q: What is Mark Gilbert's NPI number?

The NPI number for Mark Gilbert is 1851534960. It was assigned to this individual provider in the NPPES registry on April 20, 2009.

Q: What is Mark Gilbert's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Gilbert was last updated on December 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.

Active since April 20, 2009PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

1009 S WOOD ST, CHICAGO, IL 60612(312) 996-6269 Get Directions Write a Review

NPPES record last updated: December 14, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Dec 14, 2025, Aug 23, 2022, Dec 26, 2018 and 2 more (5 updates tracked since 2017).

On this page

About Dr. Mark Raymond Gilbert M.d. NPPES

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

DR. MARK RAYMOND GILBERT M.D. (NPI 1851534960) is an individual otolaryngology provider in Chicago, Illinois, licensed in Illinois (036176822) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with University Of Illinois Hospital And Clinics, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1851534960

Entity TypeIndividualMale

Primary Taxonomy207Y00000X

Provider Legal NameDR. MARK RAYMOND GILBERTCredential: M.D.

Location Address1009 S WOOD STChicago, IL 60612-3747

Mailing AddressPo Box 843966Kansas City, MO 64184-3966 · (573) 884-3300 · Fax (573) 884-0943

Phone(312) 996-6269

Sole ProprietorNo

Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 2009

Enumeration DateApril 20, 2009

Last NPPES UpdateDecember 14, 20255 updates tracked since enumeration

NPPES CertifiedDecember 14, 2025

✔ NPI 1851534960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

Licenses✔ Licensed in IL · 036176822✔ Licensed in MO · 2018032428✔ Licensed in TN · 55586

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

1009 S WOOD ST, Chicago, IL 60612

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Secondary Practice Locations 3

Location 1525 N Keene St Ste 201Columbia, MO 65201-6967 · Phone (573) 882-7903 · Fax (573) 884-4607

Location 21501 S California AveChicago, IL 60608-1732 · Phone (773) 257-6859

Location 33601 The Vanderbilt ClinicNashville, TN 37232-2548 · Phone (615) 322-3000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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. Mark Raymond 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 ID1951671338

PECOS Enrollment IDI20251209004364

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 7

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.

Diagnostic exam of voice box using a flexible endoscope 31575

This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.

135 services108 patients

Exam to assess movement of vocal cord flaps using an endoscope 31579

This procedure involves using a thin, flexible tube called an endoscope to view your vocal cords. The endoscope is gently inserted through your nose or mouth to observe the movement of your vocal cords. This helps identify any abnormalities or issues.

125 services112 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

86 services86 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

56 services52 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

46 services39 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

41 services41 patients

Hospital Affiliations CMS Care Compare 2

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

University Of Illinois Hospital And Clinics

Acute Care Hospitals · Chicago, IL

2/5 CMS rating

OwnershipGovernment - State

CMS Certification Number140150

Location1740 West Taylor St Suite 1400Chicago, IL 60612 · Cook County

Emergency services Birthing friendly

University Of Missouri Health Care

Acute Care Hospitals · Columbia, MO

2/5 CMS rating

OwnershipGovernment - State

CMS Certification Number260141

LocationOne Hospital DriveColumbia, MO 65212 · Boone County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

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

Promoting Interoperability

100

Improvement Activities

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.

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