DR. GILBERTO GASTELL M.D.
NPI 1942200472
Internal Medicine in Union City, NJ

Active since July 27, 2005PECOS EnrolledAccepts Medicare Assignment
408 37TH ST, UNION CITY, NJ 07087(201) 864-4477(201) 864-9727 Get Directions Write a Review

NPPES record last updated: May 26, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Gilberto Gastell M.d. NPPES

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

DR. GILBERTO GASTELL M.D. (NPI 1942200472) is an individual internal medicine provider in Union City, New Jersey, licensed in New Jersey (25MA04575900) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and is a graduate of Other (1980).

NPPES Registry Identity

NPI1942200472
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. GILBERTO GASTELLCredential: M.D.
Location Address408 37TH STUnion City, NJ 07087-4804
Mailing Address718 Teaneck RdTeaneck, NJ 07666-4245 · (201) 833-7265 · Fax (201) 227-6207
Fax(201) 864-9727
Sole ProprietorYes
Medical School CMSOtherGraduated 1980
Enumeration DateJuly 27, 2005
Last NPPES UpdateMay 26, 2011
NPI 1942200472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NJ · 25MA04575900
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.
Also ListedSpecialistTaxonomy 174400000X · License 25MA04575900 (NJ)
Also ListedFamily MedicineTaxonomy 207Q00000X · License 25MA04575900 (NJ)
408 37TH ST, Union City, NJ 07087

Other Identifiers 13

Other239SU1NJ · Empire Bc/bs (englewood)
Other398670NJ · Wellcare
Other54C141NJ · Empire Bc/bs (union City)
Other13270NJ · University Health Plans
Other4092912NJ · Aetna Ppo Id #
Other929783NJ · Aetna Hmo Id #
Medicaid1258206NJ
Medicare PIN520265NJ
Other0111479000NJ · Amerihealth #
Other9611335NJ · Ghi Id #
OtherHP107NJ · Oxford Id #
OtherP00256277NJ · Rr Mdcr #
Medicare UPINC63339NJ

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. Gilberto Gastell 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 ID6800869157
PECOS Enrollment IDI20040816001018
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 24

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
795 services160 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.
666 services413 patients
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.
651 services136 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.
558 services318 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
320 services133 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
315 services315 patients

Hospital Affiliations CMS Care Compare 5

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

Hackensack University Medical Center

Acute Care Hospitals · Hackensack, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310001
Location30 Prospect AveHackensack, NJ 07601 · Bergen County
Emergency services Birthing friendly

Palisades Medical Center

Acute Care Hospitals · North Bergen, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310003
Location7600 River RdNorth Bergen, NJ 07047 · Hudson County
Emergency services Birthing friendly

Holy Name Medical Center

Acute Care Hospitals · Teaneck, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310008
Location718 Teaneck RdTeaneck, NJ 07666 · Bergen County
Emergency services Birthing friendly

Carepoint Health-Hoboken University Medical Center

Acute Care Hospitals · Hoboken, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number310040
Location308 Willow AveHoboken, NJ 07030 · Hudson County
Birthing friendly

Englewood Hospital And Medical Center

Acute Care Hospitals · Englewood, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310045
Location350 Engle StEnglewood, NJ 07631 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07087 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%7,930 patients5/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
3%65 patients1/55-star benchmark: 96%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
52%2,008 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
32%2,425 patients2/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
3%2,425 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 17

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

Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each A4233
DME-Other DME · category DE017N
2 suppliers25 claims50 services$0.45 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
42 suppliers248 claims778 services$6.16 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
2 suppliers60 claims60 services$2.94 avg. paid by Medicare
Spring-powered device for lancet, each A4258
DME-Other DME · category DE000N
2 suppliers21 claims21 services$1.85 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
30 suppliers169 claims290 services$1.10 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers12 claims12 services$30.52 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 5

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

Registered Nurse
408 37TH ST
UNION CITY, NJ 07087
Specialist
408 37TH ST
UNION CITY, NJ 07087
Nurse Practitioner (Adult Health)
408 37TH ST
UNION CITY, NJ 07087
Nurse Practitioner (Primary Care)
408 37TH ST
UNION CITY, NJ 07087
Nurse Practitioner (Adult Health)
408 37TH ST
UNION CITY, NJ 07087

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 Gilberto Gastell's NPI number?

The NPI number for Gilberto Gastell is 1942200472. It was assigned to this individual provider in the NPPES registry on July 27, 2005.

Where is Gilberto Gastell located?

Gilberto Gastell practices at 408 37th St, Union City, NJ 07087. The listed phone number is (201) 864-4477.

What is Gilberto Gastell's specialty?

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

Is Gilberto Gastell enrolled in Medicare?

Yes. Gilberto Gastell 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 Gilberto Gastell accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Gilberto Gastell 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 Gilberto Gastell affiliated with any hospitals?

According to CMS data, Gilberto Gastell is affiliated with Hackensack University Medical Center, Palisades Medical Center, Holy Name Medical Center, Carepoint Health-Hoboken University Medical Center and Englewood Hospital And Medical Center.

When was this NPI record last updated?

The NPPES record for Gilberto Gastell was last updated on May 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.