John Gilbert, D.O.
NPI 1275735581 · Otolaryngology/Facial Plastic Surgery Physician · Mishawaka, IN
Enrolled with Medicare as Practitioner - Otolaryngology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
John Gilbert, D.O. is a Otolaryngology/Facial Plastic Surgery Physician provider in Mishawaka, IN (NPI 1275735581).
Provider details
- NPI number
- 1275735581
- Entity type
- Individual
- Primary specialty
- Otolaryngology/Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 02004142A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
5 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
916 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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 Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 269 | $119 |
| Diagnostic Exam of Nasal Passages Using an Endoscope31231 | 165 | $170 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 163 | $84 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 101 | $152 |
| Removal of Impacted Ear Wax69210 | 82 | $42 |
| Diagnostic Exam of Voice Box Using a Flexible Endoscope31575 | 50 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 19 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Ipratropium Bromide | 203 | 91 |
| Mupirocin | 63 | 49 |
| Prednisone | 60 | 41 |
| Cefuroxime Axetilbrand: Cefuroxime | 53 | 49 |
| Azelastine Hcl | 39 | 16 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 38 | 33 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,914 across 34 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (4)
- 1753 Fulton StElkhart, IN 46514-1927Phone: (574) 293-9448Fax: (574) 293-9480
- 2222 Rieth BlvdSuite 104Goshen, IN 46526-5869Phone: (574) 875-1082Fax: (574) 875-3860
- 6913 N Main StSte 200Granger, IN 46530-8039Phone: (574) 647-4540Fax: (574) 647-2567
- 6913 N Main StSte 300Granger, IN 46530-8039Phone: (574) 647-1500Fax: (574) 647-2567
Registry dates
- Enumerated
- 2007-05-31
- Last updated
- 2025-12-11
- Certified
- 2025-12-11
Frequently asked questions
- What is John Gilbert's NPI number?
- John Gilbert's National Provider Identifier (NPI) is 1275735581, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is John Gilbert's specialty?
- John Gilbert is listed in the NPPES registry with a primary specialty of Otolaryngology/Facial Plastic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is John Gilbert located?
- John Gilbert's practice location on file with NPPES is 810 Park Place, Mishawaka, IN 46545.
- What is John Gilbert's phone number?
- The practice phone number listed in the NPPES registry for John Gilbert is (574) 366-0240.
- Does John Gilbert accept Medicare?
- John Gilbert is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is John Gilbert's NPI active?
- Yes — John Gilbert's NPI (1275735581) is active in the NPPES registry as of the last update on 2025-12-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.