JEFFREY GILBERT, MD
Gastroenterology Physician · KNOXVILLE, TN
Individual Active NPI 1801067624
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 545 | 1,220 | $731,862 | $128,566 | $100,932 |
| 2023 | 599 | 1,064 | $674,462 | $139,865 | $107,414 |
| 2022 | 650 | 3,407 | $944,207 | $280,940 | $217,640 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 255 | $218 | $181 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 167 | $63 | $49 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 94 | $112 | $76 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 92 | $147 | $97 |
| 43248 | Insertion of guide wire with dilation of esophagus using a flexible endoscope | 72 | $114 | $91 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 56 | $81 | $55 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 46 | $64 | $51 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 20 | $148 | $148 |
| 43251 | Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare | 14 | $164 | $129 |
| 91065 | Measurement of hydrogen in breath to test for stomach and bowel symptoms | 13 | $63 | $47 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 12 | $98 | $71 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 12 | $150 | $92 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | 44971 | TN |
Medicare participation
Enrolled in Medicare
CMS lists this provider as eligible to order and refer under Medicare. They billed Medicare Part B in 2024.
Enrolment status from public CMS files — not a guarantee of coverage for any particular patient or plan. We hold no commercial-insurance network data; confirm with the provider and your insurer before an appointment.
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.