Dr James Edward Gilbert, MD - Medicare Orthopedic Surgery in Potomac, MD

Dr James Edward Gilbert, MD is a medicare enrolled "Orthopaedic Surgery" physician in Potomac, Maryland. He went to Georgetown University School Of Medicine and graduated in 1990 and has 34 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Metro Orthopedics And Sports Therapy, Privia Medical Group Llc and his current practice location is 7811 Montrose Rd Ste 340, Potomac, Maryland. You can reach out to his office (for appointments etc.) via phone at (301) 588-7888.

Dr James Edward Gilbert is licensed to practice in Maryland (license number D0051910) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1164472569.

Contact Information

Dr James Edward Gilbert, MD
7811 Montrose Rd Ste 340,
Potomac, MD 20854-3363
(301) 588-7888
(301) 588-3419

Map and Direction




Physician's Profile

Full NameDr James Edward Gilbert
GenderMale
SpecialityOrthopedic Surgery
Experience34 Years
Location7811 Montrose Rd Ste 340, Potomac, Maryland
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr James Edward Gilbert attended and graduated from Georgetown University School Of Medicine in 1990
  NPI Data:
  • NPI Number: 1164472569
  • Provider Enumeration Date: 05/10/2006
  • Last Update Date: 12/11/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 0345366449
  • Enrollment ID: I20110726000872

Medical Identifiers

Medical identifiers for Dr James Edward Gilbert such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164472569NPI-NPPES
3366031MedicaidMD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery D0051910 (Maryland)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Metro Orthopedics And Sports Therapy539577040811
Privia Medical Group Llc43856820611176

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr James Edward Gilbert allows following entities to bill medicare on his behalf.
Entity NamePrivia Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013042480
PECOS PAC ID: 4385682061
Enrollment ID: O20050422000298
Entity NameMetro Orthopedics & Sports Therapy
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346427564
PECOS PAC ID: 5395770408
Enrollment ID: O20050928000186
Entity NameCenters For Advanced Orthopaedics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487093167
PECOS PAC ID: 8123260981
Enrollment ID: O20131024001780

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr James Edward Gilbert is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr James Edward Gilbert, MD
7811 Montrose Rd Ste 220,
Potomac, MD 20854-3353

Ph: (301) 588-7888
Dr James Edward Gilbert, MD
7811 Montrose Rd Ste 340,
Potomac, MD 20854-3363

Ph: (301) 588-7888

Reviews and Comments


Orthopaedic Surgery Doctors in Potomac, MD

Victoria Ann Lilling, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 7811 Montrose Rd Ste 340, Potomac, MD 20854
Phone: 301-588-7888    Fax: 301-588-3419
Douglas Michael Murphy, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 7811 Montrose Rd Ste 340, Potomac, MD 20854
Phone: 301-588-7888    Fax: 301-588-3419
Dr. Eric Jordan Guidi, M.D.
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 7811 Montrose Rd Ste 340, Potomac, MD 20854
Phone: 301-588-7888    Fax: 301-587-5002
Nadim Louis Hallal, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 7811 Montrose Rd Ste 340, Potomac, MD 20854
Phone: 301-588-7888    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.