What is James Gilbert's specialty?

James Gilbert (NPI 1811283831) is a Medicare-billing provider whose primary specialty is Internal Medicine in Chattanooga, TN.

Where does James Gilbert practice?

James Gilbert practices in Chattanooga, TN, based on the location reported in the CMS Medicare provider datasets for NPI 1811283831.

How much does Medicare pay James Gilbert?

James Gilbert (NPI 1811283831) received approximately $64K in total Medicare Part B payments, serving 227 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1811283831

James GilbertDO

PRACTICEDIAGNOSTIC PATHOLOGY SERV PCSee all providers at this practice →

Internal MedicineChattanooga, TNI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

420

Unique beneficiaries

—

Total services

840

Distinct HCPCS

Medicare payment

$64K

Peer benchmark

Total Medicare services vs. 1,907 Internal Medicine providers in TN — above median (cohort median 791).

PRESCRIBING · PART D · 2024

Total Rx claims

127

Beneficiaries

—

Total drug cost

$23K

Distinct drugs

Brand share

37.8%

Top prescribed drugs

Apixaban37 claims

Prednisone19 claims

Amlodipine Besylate13 claims

Levofloxacin12 claims

Oxycodone Hcl12 claims

QUALITY · MIPS · 2024

Final MIPS score

94.3

Quality

92.6

Cost

0.0

Improvement activities

40.0

Promoting interop.

93.2

Payment adjustment

0.81%

APM Entity

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

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). 50 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
MEMORIAL HEALTH CARE SYSTEM INC.	419	1,955
PIEZ, CHARLES	113	469
RIMER, THOMAS	109	491
George Watson Diagnostic Radiology · Chattanooga, TN	96	496
William Rowlett Diagnostic Radiology · Chattanooga, TN	87	365
Kilton Kingsman Diagnostic Radiology · Chattanooga, TN	68	233
Kevin Luce Internal Medicine · Chattanooga, TN	63	261
Subhash Virani Internal Medicine · Chattanooga, TN	62	595
County Of Hamilton Ambulance Service Provider · Chattanooga, TN	60	243
James Marcum Cardiology · Cleveland, TN	59	178
MILLS, ROBERT	52	155
Cristina Florea Hospitalist · Chattanooga, TN	48	147

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

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