Active NPI 1164472569 Individual Practitioner Male Practitioner

Dr. James Edward Gilbert , MD

Orthopaedic Surgery • Potomac, MD

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. James Gilbert, MD is a certified Orthopaedic Surgery practicing in Potomac, MD. With approximately 36 years of clinical experience since graduating from Georgetown University School Of Medicine in 1990, Dr. Gilbert delivers high-quality medical care to the local community at 7811 MONTROSE RD STE 340.

Dr. Gilbert maintains professional affiliations with Frederick Health Hospital Inc, Privia Medical Group, Llc, Suburban/Nrh Medical Rehabilitation Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, x-ray of knee, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7811 Montrose Rd Ste 340

Potomac, MD 208543363

Telephone 3015887888

Fax 3015883419

Associated Practice Facility / Clinic

🏢 Metro Orthopedics & Sports Therapy Facility NPI 1346427564

Medicare Profile & Education

Medical School

Georgetown University School Of Medicine

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Potomac, MD

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs +8.2 yrs vs City Avg

City Avg: 27.8 Yrs

State Avg: 28.6 Yrs

Regional Practice Density

6 Specialists

Practicing in Potomac, MD (490 Statewide)

Telehealth Adoption Rate

50.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

71.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gilbert (36 Years) 36 Yrs

Potomac Specialty Average (27.8 Years) 27.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	218	131	$304.00	$139.07
73564 X-ray of knee, 4 or more views	91	67	$128.10	$53.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	75	75	$466.00	$184.09
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	60	36	$4.00	$0.96
20610 Aspiration and/or injection of fluid from large joint	41	38	$211.56	$77.10
99213 Established patient office or other outpatient visit, typically 15 minutes	29	26	$212.76	$99.67
73030 X-ray of shoulder, minimum of 2 views	28	25	$89.07	$39.02
29875 Partial removal of knee joint lining using an endoscope	16	15	$1434.00	$95.83
72110 X-ray of lower and sacral spine, minimum of 4 views	15	14	$148.00	$59.61
29881 Removal of knee cartilage using an endoscope	14	14	$1570.00	$577.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	288	155	$349.37	$141.80
73564 X-ray of knee, 4 or more views	134	80	$99.99	$55.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	82	82	$536.33	$187.09
20610 Aspiration and/or injection of fluid from large joint	80	64	$238.05	$78.75
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	60	49	$5.00	$1.04
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	41	26	$2813.41	$704.85
73030 X-ray of shoulder, minimum of 2 views	40	33	$104.10	$40.39
76882 Limited ultrasound scan of joint or other extremity structure except blood vessels	31	19	$117.00	$44.35
99213 Established patient office or other outpatient visit, typically 15 minutes	29	26	$235.79	$101.87
73502 X-ray of hip, 2-3 views	15	14	$140.67	$53.07
73610 X-ray of ankle, minimum of 3 views	15	11	$120.00	$44.14
72110 X-ray of lower and sacral spine, minimum of 4 views	15	15	$180.00	$61.13
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$667.00	$246.00
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$464.09	$200.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	269	149	$351.00	$143.18
73564 X-ray of knee, 4 or more views	112	76	$116.35	$55.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	111	111	$539.00	$189.04
20610 Aspiration and/or injection of fluid from large joint	91	82	$238.00	$81.41
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	67	58	$5.00	$1.13
73030 X-ray of shoulder, minimum of 2 views	46	41	$104.48	$40.84
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	36	25	$1692.00	$887.93
73502 X-ray of hip, 2-3 views	22	21	$138.00	$53.74
99213 Established patient office or other outpatient visit, typically 15 minutes	21	16	$238.00	$101.11
72110 X-ray of lower and sacral spine, minimum of 4 views	18	17	$180.00	$59.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	119	81	$351.00	$141.07
99213 Established patient office or other outpatient visit, typically 15 minutes	109	73	$238.00	$102.63
20610 Aspiration and/or injection of fluid from large joint	63	44	$238.00	$71.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$539.00	$189.57
73564 X-ray of knee, 4 or more views	54	38	$139.56	$52.25
73030 X-ray of shoulder, minimum of 2 views	41	32	$107.20	$38.44
J1030 Injection, methylprednisolone acetate, 40 mg	40	30	$10.00	$5.55
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	34	23	$1692.00	$1164.45
73562 X-ray of knee, 3 views	34	27	$117.21	$46.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$355.00	$130.74
73502 X-ray of hip, 2-3 views	18	18	$135.78	$52.31
72083 X-ray of entire middle and lower spine, 4-5 views	11	11	$242.00	$88.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	179	98	$238.00	$86.50
20610 Aspiration and/or injection of fluid from large joint	81	54	$237.99	$70.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$355.07	$125.67
J1030 Injection, methylprednisolone acetate, 40 mg	61	44	$10.10	$6.05
73564 X-ray of knee, 4 or more views	55	44	$156.91	$52.36
73030 X-ray of shoulder, minimum of 2 views	33	31	$104.08	$37.50
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	20	16	$1667.40	$1110.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	15	$350.94	$126.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$538.97	$177.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	221	114	$237.99	$84.50
20610 Aspiration and/or injection of fluid from large joint	97	59	$255.42	$71.41
J1030 Injection, methylprednisolone acetate, 40 mg	87	47	$10.50	$6.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	78	66	$350.82	$123.24
73564 X-ray of knee, 4 or more views	78	59	$154.62	$49.10
73030 X-ray of shoulder, minimum of 2 views	32	26	$110.76	$35.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$538.83	$185.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$355.44	$123.32
73110 X-ray of wrist, minimum of 3 views	21	12	$135.03	$41.72
72110 X-ray of lower and sacral spine, minimum of 4 views	14	14	$179.73	$60.17
73502 X-ray of hip, 2-3 views	14	14	$105.00	$50.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	232	136	$237.99	$82.17
20610 Aspiration and/or injection of fluid from large joint	129	67	$263.63	$69.81
J1030 Injection, methylprednisolone acetate, 40 mg	100	60	$10.50	$6.65
73564 X-ray of knee, 4 or more views	99	82	$156.63	$46.32
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	78	21	$468.08	$146.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	55	$350.82	$121.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$355.44	$120.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$538.83	$185.51
73030 X-ray of shoulder, minimum of 2 views	15	14	$110.76	$34.52
72100 X-ray of lower and sacral spine, 2-3 views	13	13	$132.15	$41.15
73502 X-ray of hip, 2-3 views	11	11	$61.70	$40.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	223	119	$237.99	$82.54
20610 Aspiration and/or injection of fluid from large joint	194	84	$267.36	$70.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	151	88	$350.82	$120.50
J1030 Injection, methylprednisolone acetate, 40 mg	125	78	$10.50	$5.80
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	91	26	$468.08	$152.02
73564 X-ray of knee, 4 or more views	90	69	$156.63	$45.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$355.44	$122.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$538.83	$184.87
73030 X-ray of shoulder, minimum of 2 views	33	30	$107.40	$33.73
73110 X-ray of wrist, minimum of 3 views	20	12	$27.93	$27.48
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	15	13	$732.00	$69.15
29875 Partial removal of knee joint lining using an endoscope	14	14	$1674.18	$96.10
G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartment of the same knee	14	14	$2099.91	$100.15
72100 X-ray of lower and sacral spine, 2-3 views	13	13	$132.15	$40.95
73502 X-ray of hip, 2-3 views	13	12	$36.96	$36.37

Medical Specialties & State Licenses

CMS Verified: 2019-12-11

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License MD D0051910

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

3366031 (MD)

Hospital & Practice Group Affiliations

Privia Medical Group, Llc

9470 Annapolis Rd, Lanham, MD 207063022

Phone: 2028321800

Privia Medical Group, Llc

950 N Glebe Rd, Arlington, VA 222034173

Suburban/nrh Medical Rehabilitation Inc

6410 Rockledge Dr, Bethesda, MD 208171844

Privia Medical Group, Llc

7811 Montrose Rd, Potomac, MD 208543359

Phone: 3015887888

Frederick Health Hospital Inc

3430 Worthington Blvd, Frederick, MD 217047017

Phone: 2402156310

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

30 Associated Practitioners

Taylor Wright

Physical Therapist

NPI 1003796996

Vincent Griffith , MPT

Physical Therapist

NPI 1013126820

Master of Physical Therapy

Randall Rocha , ATC

Specialist/Technologist - Athletic Trainer

NPI 1013285253

Certified Athletic Trainer

Dr. Kayla Korenowski , DPT

Physical Therapist

NPI 1013663798

Doctor of Physical Therapy

Melissa Koehn , PT

Physical Therapist

NPI 1043420839

Physical Therapist

Christina Bulley , PA-C

Physician Assistant - Surgical

NPI 1043598899

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events

👤

Provider Name / Credentials Updated December 11, 2019

Recorded as JAMES GILBERT, MD

📍

Updated Practice Location May 23, 2019

Registered at 7811 MONTROSE RD STE 340, POTOMAC, MD 208543363 (Tel: 3015887888)

📍

Updated Practice Location January 10, 2019

Registered at 7811 MONTROSE RD STE 220, POTOMAC, MD 208543353 (Tel: 3015887888)

📍

Updated Business Mailing Address January 10, 2019

Registered at 7811 MONTROSE RD STE 220, POTOMAC, MD 208543353 (Tel: 3015887888)

✅

NPI Profile Active February 24, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location February 24, 2010

Registered at 8401 COLESVILLE RD, SUITE 50, SILVER SPRING, MD 209103312 (Tel: 3015887888)

📍

Updated Business Mailing Address February 24, 2010

Registered at 8401 COLESVILLE RD, SUITE 50, SILVER SPRING, MD 209103312 (Tel: 3015887888)

👤

Provider Name / Credentials Updated February 24, 2010

Recorded as JAMES GILBERT, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2010

Orthopaedic Surgery (License #D0051910 in MD)

🟢

Initial NPI Registration & Enumeration May 10, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164472569

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 10, 2006

Last Update: December 11, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

7811 Montrose Rd Ste 220

Potomac, MD 208543353

Phone: 3015887888

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.