Gary Gualberto, M.D.
NPI 1689875668 · Neurology Physician · Carlsbad, CA
Enrolled with Medicare as Practitioner - Neurology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gary Gualberto, M.D. is a Neurology Physician provider in Carlsbad, CA (NPI 1689875668).
Provider details
- NPI number
- 1689875668
- Entity type
- Individual
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- C138319 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
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
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
764 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) |
|---|---|---|
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 190 | $176 |
| Critical Care, First 30-74 Minutes99291 | 164 | $213 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 117 | $120 |
| Critical Care, Each Additional 30 Minutes99292 | 112 | $107 |
| Prolonged Hospital Inpatient Or Observation Care Evaluation and Management Service(s) Beyond the Total Time for the Primary Service (when the Primary Service Has Been Selected Using Time on the Date of the Primary Service); Each Additional 15 Minutes By ThG0316 | 101 | $31 |
| Measurement of Brain Wave Activity (eeg), Awake and Asleep95819 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$267 across 2 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
- 2007-05-29
- Last updated
- 2025-09-10
- Certified
- 2025-09-10
Frequently asked questions
- What is Gary Gualberto's NPI number?
- Gary Gualberto's National Provider Identifier (NPI) is 1689875668, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gary Gualberto's specialty?
- Gary Gualberto is listed in the NPPES registry with a primary specialty of Neurology Physician (Allopathic & Osteopathic Physicians).
- Where is Gary Gualberto located?
- Gary Gualberto's practice location on file with NPPES is 6010 Hidden Valley Rd Ste 200, Carlsbad, CA 92011-4219.
- What is Gary Gualberto's phone number?
- The practice phone number listed in the NPPES registry for Gary Gualberto is (760) 631-3000.
- Does Gary Gualberto accept Medicare?
- Gary Gualberto is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Gary Gualberto's NPI active?
- Yes — Gary Gualberto's NPI (1689875668) is active in the NPPES registry as of the last update on 2025-09-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.