Carolyn Gilbertson, M.D.
NPI 1679835979 · Family Medicine Physician · Sioux Falls, SD
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Carolyn Gilbertson, M.D. is a Family Medicine Physician provider in Sioux Falls, SD (NPI 1679835979).
Provider details
- NPI number
- 1679835979
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
14 yrs in NPPES registry
- Profile completeness25% of score
83% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
170 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 | 74 | $91 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 58 | $62 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 38 | $125 |
Typical Medicare-allowed amounts for these services range $62–$125 (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 · 45 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 150 | 37 |
| Omeprazole | 91 | 26 |
| Levothyroxine Sodium | 80 | 21 |
| Gabapentin | 58 | 15 |
| Alendronate Sodium | 49 | 13 |
| Amlodipine Besylate | 47 | 13 |
| Rosuvastatin Calcium |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$102 across 6 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
Registry dates
- Enumerated
- 2012-06-12
- Last updated
- 2022-03-31
- Certified
- 2022-03-31
Frequently asked questions
- What is Carolyn Gilbertson's NPI number?
- Carolyn Gilbertson's National Provider Identifier (NPI) is 1679835979, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Carolyn Gilbertson's specialty?
- Carolyn Gilbertson is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Carolyn Gilbertson located?
- Carolyn Gilbertson's practice location on file with NPPES is 6110 S Minnesota Ave, Sioux Falls, SD 57108-2571.
- What is Carolyn Gilbertson's phone number?
- The practice phone number listed in the NPPES registry for Carolyn Gilbertson is (605) 328-5800.
- Does Carolyn Gilbertson accept Medicare?
- Carolyn Gilbertson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Carolyn Gilbertson's NPI active?
- Yes — Carolyn Gilbertson's NPI (1679835979) is active in the NPPES registry as of the last update on 2022-03-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.