DR. KRISTEN N GILBERT MD
NPI 1902069867
Internal Medicine - Endocrinology, Diabetes & Metabolism in Seymour, IN

Active since July 09, 2008PECOS EnrolledAccepts Medicare Assignment
90.14/100
CMS Quality Rating
SCHNECK SPECIALTY ASSOCIATES, 225 S PINE ST, SUITE 300, SEYMOUR, IN 47274(812) 523-7983(812) 523-7896 Get Directions Write a Review

NPPES record last updated: June 18, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 18, 2020, Oct 11, 2016 (2 updates tracked since 2016).

About Dr. Kristen N Gilbert Md NPPES

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

DR. KRISTEN N GILBERT MD (NPI 1902069867) is an individual endocrinology, diabetes & metabolism provider in Seymour, Indiana, licensed in Indiana (01071688A) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS, is affiliated with Schneck Medical Center, and is a graduate of Indiana University School Of Medicine (2008).

NPPES Registry Identity

NPI1902069867
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameDR. KRISTEN N GILBERTCredential: MD
Location AddressSCHNECK SPECIALTY ASSOCIATES, 225 S PINE ST, SUITE 300Seymour, IN 47274
Mailing AddressSchneck Specialty Associates, 225 S Pine St, Suite 300Seymour, IN 47274 · (812) 523-7893 · Fax (812) 523-7896
Fax(812) 523-7896
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2008
Enumeration DateJuly 9, 2008
Last NPPES UpdateJune 18, 20202 updates tracked since enumeration
NPPES CertifiedJune 18, 2020
NPI 1902069867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in IN · 01071688A
Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

SCHNECK SPECIALTY ASSOCIATES, Seymour, IN 47274

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. Kristen N Gilbert 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 ID7618117219
PECOS Enrollment IDI20130926000355
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.

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.
388 services249 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
145 services115 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
85 services55 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
59 services32 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
46 services46 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
23 services21 patients

Hospital Affiliations CMS Care Compare 5

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

Schneck Medical Center

Acute Care Hospitals · Seymour, IN
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150065
Location411 W Tipton StSeymour, IN 47274 · Jackson County
Emergency services Birthing friendly

Norton-King's Daughters' Health

Acute Care Hospitals · Madison, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150069
Location1373 East Sr 62Madison, IN 47250 · Jefferson County
Emergency services Birthing friendly

Columbus Regional Hospital

Acute Care Hospitals · Columbus, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150112
Location2400 E 17th StColumbus, IN 47201 · Bartholomew County
Emergency services Birthing friendly

Ascension St Vincent Jennings

Critical Access Hospitals · North Vernon, IN
OwnershipVoluntary non-profit - Church
CMS Certification Number151303
Location301 Henry StNorth Vernon, IN 47265 · Jennings County
Emergency services

Scott Memorial Health

Critical Access Hospitals · Scottsburg, IN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number151334
Location1451 N Gardner StScottsburg, IN 47170 · Scott County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47274 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

90.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.14
Promoting Interoperability93.3
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 6

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
4 suppliers14 claims174 services$18.50 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
5 suppliers15 claims545 services$2.40 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
25 suppliers102 claims355 services$5.96 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
4 suppliers13 claims13 services$2.94 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
16 suppliers44 claims87 services$1.04 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
11 suppliers307 claims308 services$186.92 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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Endocrinology, Diabetes & Metabolism)
SCHNECK SPECIALTY ASSOCIATES, 225 S PINE ST, STE 300
SEYMOUR, IN 47274

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 Kristen Gilbert's NPI number?

The NPI number for Kristen Gilbert is 1902069867. It was assigned to this individual provider in the NPPES registry on July 9, 2008.

Where is Kristen Gilbert located?

Kristen Gilbert practices at Schneck Specialty Associates 225 S Pine St, Suite 300, Seymour, IN 47274. The listed phone number is (812) 523-7983.

What is Kristen Gilbert's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Kristen Gilbert enrolled in Medicare?

Yes. Kristen 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 Kristen Gilbert accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Kristen 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 Kristen Gilbert affiliated with any hospitals?

According to CMS data, Kristen Gilbert is affiliated with Schneck Medical Center, Norton-King's Daughters' Health, Columbus Regional Hospital, Ascension St Vincent Jennings and Scott Memorial Health.

When was this NPI record last updated?

The NPPES record for Kristen Gilbert was last updated on June 18, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.