What is James Gilbert's specialty?

James Gilbert (NPI 1164472569) is a Medicare-billing provider whose primary specialty is Orthopedic Surgery in Potomac, MD.

Where does James Gilbert practice?

James Gilbert practices in Potomac, MD, based on the location reported in the CMS Medicare provider datasets for NPI 1164472569.

How much does Medicare pay James Gilbert?

James Gilbert (NPI 1164472569) received approximately $82K in total Medicare Part B payments, serving 186 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1164472569

James GilbertMD

PRACTICEPRIVIA MEDICAL GROUP, LLCSee all providers at this practice →

Orthopedic SurgeryPotomac, MDI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

441

Unique beneficiaries

—

Total services

587

Distinct HCPCS

Medicare payment

$49K

Peer benchmark

Total Medicare services vs. 453 Orthopedic Surgery providers in MD — below median (cohort median 1,992).

PRESCRIBING · PART D · 2024

Total Rx claims

Beneficiaries

—

Total drug cost

$583

Distinct drugs

Brand share

43.8%

Top prescribed drugs

Tramadol Hcl41 claims

Oxycodone Hcl/Acetaminophen32 claims

QUALITY · MIPS · 2024

No data available for this provider in 2024.

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$443

Payment records

By payment type

Travel and Lodging$379

Food and Beverage$65

Top paying entities

Travel and Lodging$379

Food and Beverage$65

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (1)

CCN 210065

Hospital

REFERRAL NETWORK

Where James Gilbert's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 2 inbound referrers · 6 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
GRIFFITH, VINCENT	13	63
Quest Diagnostics Incorporated Md Clinical Laboratory · Baltimore, MD	11	24

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
Phillip Omohundro Orthopedic Surgery · Glenn Dale, MD	30	230
Laboratory Corporation Of America Holdings Clinical Laboratory · Burlington, NC	27	68
GRIFFITH, VINCENT	17	110
KOEHN, MELISSA	17	88
SANSARE, ASHWINI	16	56
Quest Diagnostics Incorporated Md Clinical Laboratory · Baltimore, MD	11	17

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history

Healthparse Signals

Monitor this provider for changes — dated NPI change events