Family Medicine in Sheridan Wyoming
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Dr. Derek Gilbert M.D. Overview
Dr. Derek Gilbert M.D. Dr. Gilbert, Derek M.D.is a male health care provider in Sheridan with Family Medicine - Click to see all Family Medicine providers in Sheridan and other nearby locations listed as their primary medical specialization.
His credentials are: M.D. (Doctor of Medicine)
Dr. Derek Gilbert M.D.'s primary practice location is listed as:
Dr. Derek Gilbert M.d.
1401 W 5th St
Sheridan, WY 82801-2705 - Directions available below (print and phone)
He graduated from University Of South Dakota School Of Medicine in 2002 (around 22 years of experience).
They are listed as accepting telehealth appointments and patients.
He lists the following medical group affiliations: Big Horn Health Network, Big Horn Health Network, Family Medical Center, Memorial Hospital Of Sheridan County. His hospital privileges include: Sheridan Memorial Hospital, Memorial Hospital Of Converse County.
Dr. Derek Gilbert M.D. Office Address, Phone, and Fax
Dr. Gilbert, Derek M.D.
1401 W 5TH STSHERIDAN, WY 82801-2705
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Phone and Fax:307-672-1000
No Fax Listed
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Durable Medical Equipment Orders
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Procedures, Services, Charges
Medicare Referrals and Ordering:
Dr. Derek Gilbert M.D. can refer to Part B.Dr. Derek Gilbert M.D. can can order durable medical equipment.They can refer to HHAs (home health agencies).They can order power mobility devices.
Merit-based Incentive Payment System Results:
Dr. Derek Gilbert M.D.'s MIPS Scores:
PI Category Score: 87*
IA Category Score: 40*
Cost Category Score: *
Quality Category Score: 89.755
Final MIPS Score without CPB:90.4653
MIPS Final Score: 93.4053
Definitions for MIPS categories:
PI Category Score: Promoting Interoperability (PI) performance category score.*
IA_category score: Improvement Activities (IA) performance category score.*
Cost category score: Cost performance category score.*
Quality category score: Quality performance category score.
Payments, Travel, Education Received by Other Parties
Reporting entities (Reporting entities are applicable manufacturers or applicable GPOs) are required by Medicare & Medicaid Services (CMS) to report any payments made to covered recipients (typically physicians, physician assistants, nurse practitioners, clinical nurse specialists, certified registered nurse anesthetists, and certified nurse-midwives.
Payments Total: 15.31
Number of Payments:: 1
Form of Payment: In-kind items and services
Third party is a Charity:: No
Record ID:: 825270725
Being Disputed:: No
Product Related: Yes
Drug or Biological: Biological
Product Category #1: Neuroscience
Name of Drug #1: Aimovig
Open Associated Drug #1: 55513-841-01
Drug or Biological: Biological
Product Category #2: Inflammation
Name Of Drug #2:: Otezla
Associated Drug #2: 55513-137-60
Drug or Biological #3:: Biological
Product Category #3: Cardiology
Name of Drug: Repatha
Name Of Drug #3: 72511-760-02
Selection of Procedures and Services Provided:
Definitions
- Average Charge Submitted - The average amount submitted to Medicare for the service.
- Average Medicare Cost Allowed - The average amount allowable by Medicare.
- Average Medicare Payment - The average amount Medicare paid after deductible and coinsurance amounts were deducted.
The Physician Provider and Service dataset furnishes data regarding the usage, payments, and charges filed by the National Provider Identifier (NPI), Healthcare Common Procedure Coding System (HCPCS) code, and service location.
The following are a selection of procedures and services billed to Medicare by Dr. Derek Gilbert M.D. in Sheridan, WY. Please note this list does not include all procedures and/or services offered by the provider and is intended for informational purposes only. We recommend contacting your provider directly to inquire about any and all services, procedures, and expected costs.
Initial Hospital Inpatient Care, Typically 50 Minutes Per Day
Average Charge Submitted
$139.00
Average Medicare Cost Allowed
$408.00
Average Medicare Payment
$105.00
Based on 143 Medicare Claims.
Subsequent Hospital Inpatient Care, Typically 15 Minutes Per Day
Average Charge Submitted
$40.00
Average Medicare Cost Allowed
$137.00
Average Medicare Payment
$31.00
Based on 104 Medicare Claims.
Subsequent Hospital Inpatient Care, Typically 25 Minutes Per Day
Average Charge Submitted
$74.00
Average Medicare Cost Allowed
$209.00
Average Medicare Payment
$58.00
Based on 95 Medicare Claims.
Routine Ekg Using At Least 12 Leads Including Interpretation And Report
Average Charge Submitted
$17.00
Average Medicare Cost Allowed
$195.00
Average Medicare Payment
$10.00
Based on 60 Medicare Claims.
Hospital Discharge Day Management, 30 Minutes Or Less
Average Charge Submitted
$73.00
Average Medicare Cost Allowed
$234.00
Average Medicare Payment
$57.00
Based on 36 Medicare Claims.
Initial Hospital Inpatient Care, Typically 30 Minutes Per Day
Average Charge Submitted
$100.00
Average Medicare Cost Allowed
$300.00
Average Medicare Payment
$63.00
Based on 21 Medicare Claims.
Hospital Observation Care, Typically 50 Minutes
Average Charge Submitted
$138.00
Average Medicare Cost Allowed
$395.00
Average Medicare Payment
$99.00
Based on 18 Medicare Claims.
Initial Hospital Inpatient Care, Typically 70 Minutes Per Day
Average Charge Submitted
$207.00
Average Medicare Cost Allowed
$501.00
Average Medicare Payment
$169.00
Based on 12 Medicare Claims.
Source:
Department of Health and Human Services, Centers for Medicare & Medicaid Services.
Affiliations
Medical Groups:
Big Horn Health Network
1401 W 5th St, Sheridan Wy 82801-2705
307-672-1000
Big Horn Health Network
1333 W 5th St, Sheridan Wy 82801-2752
Family Medical Center
497 W Lott St, Buffalo Wy 82834-1658
307-684-2228
Memorial Hospital Of Sheridan County
1401 W 5th St, Sheridan Wy 82801-2705
Hospitals:
Sheridan Memorial Hospital
Memorial Hospital Of Converse County
Medicare, PQRS, Million Hearts, and EHR Participation
Medicare Participation:
Dr. Derek Gilbert M.D. participates and accepts the Medicare approved amount as full payment for services rendered.
+ They are/were a participant of the Medicare Physician Quality Reporting System.
Education, Experience, and Training
Health Care Field:
Allopathic & Osteopathic Physicians
(Doctors, Physicians, and Surgeons)
Classification:
Family Medicine
Education:
School: UNIVERSITY OF SOUTH DAKOTA SCHOOL OF MEDICINE
Graduated: 2002
Additional Information for Dr. Derek Gilbert M.D.
Full Name:
Dr. Gilbert Derek M.d.
Provider Type:
Individual
Gender:
Male
Sole Proprietor:
No, they do not own the practice alone.
Definition & Listings:
View All Sheridan Family Medicine providers and Family Medicine definition.
View All WY Family Medicine Listings
NPI:
Their NPI Number is: 1477665925
NPI Created on:
Aug 31, 2006
NPI Updated On:
Their NPI is listed as last being updated on:
May 12, 2021
PECOS ID:
Their PECOS (PAC) ID is 6305815317
Dr. Derek Gilbert M.D. PAC ID is their unique 10 digit code that helps process their Medicare claims.
PECOS Enrollment ID:
Their PECOS Enrollment ID is I20060302000595
This is a 15 character unique ID given to each PECOS enrollment application.
PECOS Provider Code:
Their PECOS specialty code is listed as 14-08
This code links to their primary specialty.
PECOS Primary Specialty:
Their PECOS Primary Specialty is listed as:
PRACTITIONER - FAMILY PRACTICE
This is what PECOS has listed as the primary specialty for Dr. Derek Gilbert M.D.
NPI Profile Updates:
Question and answer time :)
Does Dr. Derek Gilbert M.D. do telehealth appointments?
Yes, they are listed as accepting telehealth appointments.
What is the phone number for Dr. Derek Gilbert M.D.?
Their Phone Number is: 307-672-1000
What does PECOS list as their specialty?
Dr. Derek Gilbert M.D. is listed as:
PRACTITIONER - FAMILY PRACTICE
What are the credentials for Dr. Derek Gilbert M.D.?
Their credentials are: M.D. (Doctor of Medicine)
What is the NPI for Dr. Derek Gilbert M.D.?
Their NPI is: 1477665925
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Providers in Sheridan and Wyoming:
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