Kenneth Gilbert, MD
NPI 1225190242 · Psychiatry Physician · Champaign, IL
Enrolled with Medicare as Practitioner - Psychiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kenneth Gilbert, MD is a Psychiatry Physician provider in Champaign, IL (NPI 1225190242).
Provider details
- NPI number
- 1225190242
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 036050367 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
106 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 66 | $84 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 40 | $116 |
Typical Medicare-allowed amounts for these services range $84–$116 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 58 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Mirtazapine | 137 | 19 |
| Olanzapine | 110 | — |
| Lamotrigine | 104 | 14 |
| Trazodone Hcl | 88 | 14 |
| Venlafaxine Hclbrand: Venlafaxine Hcl Er | 87 | 13 |
| Aripiprazole | 86 | 14 |
| Quetiapine Fumarate | 82 |
Practice location
Mailing address
Additional practice locations (1)
- 1510 W Ottawa RdPaxton, IL 60957-4090Phone: (217) 379-4302Fax: (217) 817-0379
Registry dates
- Enumerated
- 2006-12-15
- Last updated
- 2019-01-02
Frequently asked questions
- What is Kenneth Gilbert's NPI number?
- Kenneth Gilbert's National Provider Identifier (NPI) is 1225190242, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Gilbert's specialty?
- Kenneth Gilbert is listed in the NPPES registry with a primary specialty of Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Kenneth Gilbert located?
- Kenneth Gilbert's practice location on file with NPPES is 3202 B Lakeshore Dr, Champaign, IL 61822-5208.
- What is Kenneth Gilbert's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Gilbert is (217) 356-4191.
- Does Kenneth Gilbert accept Medicare?
- Kenneth Gilbert is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kenneth Gilbert's NPI active?
- Yes — Kenneth Gilbert's NPI (1225190242) is active in the NPPES registry as of the last update on 2019-01-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.