Active NPI 1245463512 Individual Practitioner Female Practitioner

Dr. Eleanor R Gilbert , MD

Internal Medicine • Lexington, MA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Eleanor Gilbert, MD is a certified Internal Medicine practicing in Lexington, MA. With approximately 36 years of clinical experience since graduating from Boston University School Of Medicine in 1990, Dr. Gilbert delivers high-quality medical care to the local community at 24 BLAKE RD.

Dr. Gilbert is affiliated with Mass General Brigham Medical Group Northern Massachusetts 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, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

24 Blake Rd

Lexington, MA 024203202

Telephone 8882494575

Fax 8882363311

Medicare Profile & Education

Medical School

Boston University School Of Medicine

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Lexington, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs +3.4 yrs vs City Avg

City Avg: 32.6 Yrs

State Avg: 29.3 Yrs

Regional Practice Density

38 Specialists

Practicing in Lexington, MA (7127 Statewide)

Telehealth Adoption Rate

34.2% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

76.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gilbert (36 Years) 36 Yrs

Lexington Specialty Average (32.6 Years) 32.6 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	485	297	$410.06	$100.91
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	243	243	$564.47	$131.08
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	195	150	$70.58	$16.38
99213 Established patient office or other outpatient visit, typically 15 minutes	109	90	$277.24	$69.94
G0444 Annual depression screening, 5 to 15 minutes	72	72	$52.00	$9.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes	71	71	$52.00	$9.00
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	65	65	$149.00	$27.04
99443 Telephone medical discussion with physician, 21-30 minutes	56	40	$408.04	$110.80
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	30	28	$253.00	$54.40
99495 Transitional care management services for problem of at least moderate complexity	20	17	$587.60	$141.71

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	496	268	$493.39	$118.93
99213 Established patient office or other outpatient visit, typically 15 minutes	251	180	$348.86	$83.06
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	221	221	$556.29	$131.85
99497 Advance care planning, first 30 minutes	70	70	$339.19	$80.86
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	60	60	$178.70	$33.29
99443 Telephone medical discussion with physician, 21-30 minutes	46	28	$515.07	$123.92
G0008 Administration of influenza virus vaccine	31	31	$129.26	$33.84
90662 Influenza vaccine split virus, preservative free	31	31	$173.71	$71.38
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	30	28	$253.00	$53.65
91312 Coronavirus vaccine 13	25	25	$0.01	$0.01
99495 Transitional care management services for problem of at least moderate complexity	25	23	$750.20	$179.40
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	22	22	$55.27	$6.67
0124A Fee covid-19 vac 13 res	17	17	$113.24	$45.13
83036 Hemoglobin A1C level	15	15	$74.00	$9.52
G0009 Administration of pneumococcal vaccine	13	13	$129.00	$33.84

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	663	340	$532.95	$133.01
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	237	237	$546.00	$135.85
99213 Established patient office or other outpatient visit, typically 15 minutes	168	131	$378.93	$93.89
93793 Anticoagulant management of patient taking warfarin	138	16	$48.76	$11.71
99497 Advance care planning, first 30 minutes	127	127	$344.44	$86.62
G0008 Administration of influenza virus vaccine	100	99	$108.48	$33.68
90662 Influenza vaccine split virus, preservative free	95	95	$134.86	$68.54
99443 Telephone medical discussion with physician, 21-30 minutes	45	24	$535.33	$132.92
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	39	27	$253.00	$55.02
G0009 Administration of pneumococcal vaccine	33	33	$76.64	$34.05
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	30	30	$55.00	$6.41
0054A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, tris-sucrose formulation; booster dose	24	24	$75.00	$44.92
83036 Hemoglobin A1C level	22	21	$74.00	$9.56
0124A Fee covid-19 vac 13 res	21	21	$75.00	$44.58
91312 Coronavirus vaccine 13	21	21	$0.01	$0.01
99495 Transitional care management services for problem of at least moderate complexity	18	16	$858.67	$214.74
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	16	16	$218.19	$132.80
99496 Transitional care management services for problem of high complexity	15	13	$1160.67	$288.41
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	13	13	$502.00	$279.57

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	701	354	$477.36	$135.62
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	253	253	$507.69	$138.45
99497 Advance care planning, first 30 minutes	181	181	$348.35	$88.44
99213 Established patient office or other outpatient visit, typically 15 minutes	130	109	$326.08	$95.25
G0008 Administration of influenza virus vaccine	101	101	$92.64	$19.53
90662 Influenza vaccine split virus, preservative free	98	98	$100.71	$65.26
99443 Telephone medical discussion with physician, 21-30 minutes	77	51	$473.00	$136.08
83036 Hemoglobin A1C level	45	37	$74.00	$9.71
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	39	30	$253.00	$55.44
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	25	25	$53.08	$6.82
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	23	23	$248.51	$124.62
G0009 Administration of pneumococcal vaccine	23	23	$77.87	$19.52
99442 Telephone medical discussion with physician, 11-20 minutes	21	16	$315.00	$96.05
99496 Transitional care management services for problem of high complexity	18	18	$1061.33	$292.38
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$193.00	$59.11
99495 Transitional care management services for problem of at least moderate complexity	12	11	$801.33	$215.95

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	660	401	$448.78	$114.33
99213 Established patient office or other outpatient visit, typically 15 minutes	321	256	$307.55	$78.69
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	281	281	$482.24	$121.48
G0008 Administration of influenza virus vaccine	221	215	$108.00	$19.00
90662 Influenza vaccine split virus, preservative free	209	205	$89.82	$60.54
99442 Telephone medical discussion with physician, 11-20 minutes	181	126	$306.93	$78.98
99443 Telephone medical discussion with physician, 21-30 minutes	167	122	$446.97	$114.02
99497 Advance care planning, first 30 minutes	90	90	$350.50	$89.96
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	55	44	$253.00	$56.10
93000 Routine ekg using at least 12 leads including interpretation and report	49	48	$87.00	$17.98
83036 Hemoglobin A1C level	40	36	$74.00	$9.63
99441 Telephone medical discussion with physician, 5-10 minutes	27	26	$188.56	$47.95
G0009 Administration of pneumococcal vaccine	26	26	$108.00	$18.91
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	21	21	$219.62	$118.40
99496 Transitional care management services for problem of high complexity	21	20	$974.43	$256.30
81003 Automated urinalysis test	16	16	$18.00	$2.23
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$682.83	$173.45

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	1,130	517	$435.93	$113.13
99213 Established patient office or other outpatient visit, typically 15 minutes	548	399	$297.61	$77.42
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	381	381	$475.59	$121.10
G0008 Administration of influenza virus vaccine	277	271	$108.00	$17.46
90662 Influenza vaccine split virus, preservative free	262	257	$96.22	$54.83
93000 Routine ekg using at least 12 leads including interpretation and report	93	87	$87.00	$17.89
83036 Hemoglobin A1C level	64	46	$74.00	$10.57
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	60	48	$253.00	$55.65
99496 Transitional care management services for problem of high complexity	42	37	$938.21	$241.65
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	41	21	$195.00	$43.16
81003 Automated urinalysis test	38	33	$18.00	$2.44
G0009 Administration of pneumococcal vaccine	34	34	$108.00	$17.93
99495 Transitional care management services for problem of at least moderate complexity	28	26	$668.43	$171.27
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	21	21	$208.57	$111.33
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	17	17	$696.59	$178.33
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	12	$585.62	$151.94
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	13	12	$29.31	$18.65
90670 Pneumococcal vaccine for injection into muscle	13	13	$262.15	$208.71
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$671.42	$172.68
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	11	11	$184.27	$40.70

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	1,082	499	$426.62	$111.71
99213 Established patient office or other outpatient visit, typically 15 minutes	786	445	$291.44	$75.97
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	372	372	$465.32	$121.79
G0008 Administration of influenza virus vaccine	275	271	$106.33	$23.12
90662 Influenza vaccine split virus, preservative free	261	257	$103.00	$52.12
93000 Routine ekg using at least 12 leads including interpretation and report	88	80	$87.00	$17.88
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	79	62	$253.00	$56.32
99496 Transitional care management services for problem of high complexity	70	60	$923.60	$236.84
83036 Hemoglobin A1C level	53	39	$74.00	$11.75
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	45	42	$570.56	$148.92
G0009 Administration of pneumococcal vaccine	45	45	$105.07	$23.21
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	39	21	$195.00	$43.87
99497 Advance care planning, first 30 minutes	30	30	$328.80	$87.89
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	29	29	$227.00	$105.59
81003 Automated urinalysis test	27	25	$18.00	$2.71
81002 Urinalysis, manual test	26	19	$25.00	$3.41
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	26	26	$683.23	$179.26
90670 Pneumococcal vaccine for injection into muscle	16	16	$254.25	$198.72
99495 Transitional care management services for problem of at least moderate complexity	14	14	$659.14	$171.84
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	14	14	$659.64	$172.35
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	13	11	$102.00	$16.20
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	12	12	$25.17	$17.10
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	12	12	$77.00	$17.93
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	11	11	$81.27	$22.78

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	905	415	$416.74	$110.80
99213 Established patient office or other outpatient visit, typically 15 minutes	614	381	$282.81	$75.41
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	347	347	$454.42	$119.76
G0008 Administration of influenza virus vaccine	289	288	$102.42	$28.55
90662 Influenza vaccine split virus, preservative free	266	266	$57.21	$47.78
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	87	62	$253.00	$55.33
93000 Routine ekg using at least 12 leads including interpretation and report	77	71	$87.00	$17.66
G0009 Administration of pneumococcal vaccine	72	72	$101.79	$28.66
83036 Hemoglobin A1C level	68	45	$74.00	$13.05
99496 Transitional care management services for problem of high complexity	62	51	$902.39	$236.59
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	48	37	$558.44	$149.05
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	39	39	$136.64	$94.86
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	38	27	$79.00	$21.10
81002 Urinalysis, manual test	37	31	$25.00	$3.43
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	35	18	$195.00	$42.43
90670 Pneumococcal vaccine for injection into muscle	33	33	$253.00	$186.73
99495 Transitional care management services for problem of at least moderate complexity	22	20	$646.00	$169.21
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	21	21	$26.57	$18.65
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	21	21	$646.00	$170.23
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	16	16	$666.50	$176.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$171.94	$45.26

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MA 77106

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

Mass General Brigham Medical Group Northern Massachusetts Inc

480 Lynnfield St, Lynn, MA 019041419

Phone: 7815933400

Mass General Brigham Medical Group Northern Massachusetts Inc

480 Lynnfield St, Lynn, MA 019041419

Phone: 9783543943

Mass General Brigham Medical Group Northern Massachusetts Inc

1 Hutchinson Dr, Danvers, MA 019233748

Phone: 9787396950

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 02, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location September 02, 2009

Registered at 24 BLAKE RD, LEXINGTON, MA 024203202 (Tel: 8882494575)

📍

Updated Business Mailing Address September 02, 2009

Registered at 24 BLAKE RD, LEXINGTON, MA 024203202 (Tel: 8882494575)

👤

Provider Name / Credentials Updated September 02, 2009

Recorded as ELEANOR GILBERT, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 02, 2009

Internal Medicine (License #77106 in MA)

🟢

Initial NPI Registration & Enumeration September 02, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1245463512

Entity Type:

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

Enumeration Date: September 02, 2009

Last Update: September 02, 2009

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

24 Blake Rd

Lexington, MA 024203202

Phone: 8882494575

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.