Active NPI 1336100288 Individual Practitioner Male Practitioner

Dr. Timothy Gilbert , MD

Surgery • Ponca City, OK

Professional Overview & Biography Verified Profile Summary

Dr. Timothy Gilbert, MD is a registered healthcare professional specializing in Surgery in Ponca City, OK. Practice services are available at 121 PATTON DRIVE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, removal of polyps or growths of large bowel using an endoscope with mechanical snare. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

121 Patton Drive

Ponca City, OK 74601

Telephone 5807626676

Fax 5807620094

Associated Practice Facility / Clinic

🏢 North Central Oklahoma Facility NPI 1821059015

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Ponca City, OK

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.0 Yrs

State Avg: 28.1 Yrs

Regional Practice Density

2 Specialists

Practicing in Ponca City, OK (386 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	40	35	$179.00	$83.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$265.00	$103.09
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	29	29	$815.00	$240.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	23	$266.00	$121.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$410.00	$158.00
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	18	18	$574.00	$174.58
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	17	17	$574.00	$174.85
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	16	16	$455.00	$95.72
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	15	14	$385.00	$77.12
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$515.00	$167.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	43	39	$179.00	$86.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$265.00	$105.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	25	$266.00	$121.95
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	22	21	$455.00	$86.56
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	22	22	$815.00	$226.94
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	18	17	$374.33	$86.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$410.00	$159.24
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	14	$515.00	$189.92
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$182.00	$68.99
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$350.00	$129.62
45378 Diagnostic exam of large bowel using a flexible endoscope	11	11	$574.00	$177.25
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	11	11	$574.00	$177.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	49	48	$179.00	$85.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$265.00	$107.40
99202 New patient office or other outpatient visit, typically 20 minutes	33	33	$182.00	$67.15
99231 Follow-up hospital inpatient care per day, typically 15 minutes	28	13	$100.00	$37.19
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	24	$350.00	$131.33
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	22	22	$815.00	$224.55
45378 Diagnostic exam of large bowel using a flexible endoscope	18	18	$551.39	$174.97
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	17	17	$574.00	$180.94
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	16	16	$574.00	$180.67
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	16	16	$455.00	$98.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$266.00	$124.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	13	$106.00	$53.40
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$258.00	$97.45
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$385.00	$109.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$410.00	$161.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	102	102	$182.00	$71.52
99213 Established patient office or other outpatient visit, typically 15 minutes	79	76	$179.00	$71.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	58	58	$265.00	$103.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	46	45	$106.00	$42.22
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	42	42	$815.00	$249.44
99231 Follow-up hospital inpatient care per day, typically 15 minutes	41	19	$100.00	$38.77
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	32	32	$471.94	$95.83
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	30	$350.00	$135.87
99221 Initial hospital inpatient care per day, typically 30 minutes	27	26	$258.00	$100.41
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	22	22	$574.00	$185.24
47562 Removal of gallbladder using an endoscope	20	20	$1877.00	$659.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	15	$266.00	$104.77
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	17	15	$385.00	$108.03
45378 Diagnostic exam of large bowel using a flexible endoscope	17	17	$574.00	$185.98
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	16	16	$52.00	$18.59
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	16	16	$574.00	$179.71
43249 Balloon dilation of esophagus using an endoscope	16	16	$460.00	$138.36
49505 Repair of groin hernia (5 years or older)	15	15	$1356.00	$519.60
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	15	15	$953.00	$336.60
99218 Hospital observation care typically 30 minutes	14	14	$252.00	$93.33
45380 Biopsy of large bowel using an endoscope	13	13	$687.00	$172.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	125	102	$179.00	$70.10
99202 New patient office or other outpatient visit, typically 20 minutes	102	102	$182.00	$72.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	89	89	$265.00	$102.97
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	56	53	$455.00	$104.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	49	44	$106.00	$42.41
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	40	40	$815.00	$256.31
99231 Follow-up hospital inpatient care per day, typically 15 minutes	35	18	$100.00	$38.40
45378 Diagnostic exam of large bowel using a flexible endoscope	30	30	$574.00	$176.00
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	28	28	$385.00	$98.58
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	27	27	$558.93	$181.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	26	$266.00	$99.51
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	25	25	$557.72	$181.35
45380 Biopsy of large bowel using an endoscope	21	21	$670.67	$157.42
99221 Initial hospital inpatient care per day, typically 30 minutes	21	20	$258.00	$98.98
47562 Removal of gallbladder using an endoscope	17	17	$1877.00	$625.16
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$350.00	$133.46
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	15	15	$52.00	$17.50
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	15	15	$953.00	$318.20
43249 Balloon dilation of esophagus using an endoscope	14	12	$460.00	$154.04
49505 Repair of groin hernia (5 years or older)	12	12	$1412.50	$536.13
99218 Hospital observation care typically 30 minutes	11	11	$252.00	$90.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	160	139	$179.00	$68.14
99202 New patient office or other outpatient visit, typically 20 minutes	149	149	$182.00	$69.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	83	83	$265.00	$102.41
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	59	58	$455.00	$107.27
99231 Follow-up hospital inpatient care per day, typically 15 minutes	45	21	$100.00	$38.10
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	43	43	$564.53	$175.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	39	$266.00	$102.17
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	41	41	$815.00	$238.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	36	$106.00	$41.22
99221 Initial hospital inpatient care per day, typically 30 minutes	37	35	$258.00	$95.90
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	34	33	$350.00	$132.69
45378 Diagnostic exam of large bowel using a flexible endoscope	34	34	$574.00	$172.27
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	29	29	$385.00	$101.73
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	26	26	$574.00	$184.25
47562 Removal of gallbladder using an endoscope	24	24	$1877.00	$633.82
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	18	18	$926.56	$327.32
45380 Biopsy of large bowel using an endoscope	17	17	$666.82	$168.72
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	17	17	$52.00	$18.26
99218 Hospital observation care typically 30 minutes	14	14	$252.00	$97.31
36590 Removal of peripheral venous catheter for infusion	14	14	$548.00	$170.78
43249 Balloon dilation of esophagus using an endoscope	13	12	$460.00	$116.58
99238 Hospital discharge day management, 30 minutes or less	13	13	$182.00	$70.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	136	136	$182.00	$68.94
99213 Established patient office or other outpatient visit, typically 15 minutes	104	97	$179.00	$67.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	89	89	$265.00	$100.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	88	83	$266.00	$99.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	56	54	$106.00	$40.43
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	53	53	$455.00	$99.76
45378 Diagnostic exam of large bowel using a flexible endoscope	44	44	$574.14	$180.28
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	43	42	$815.00	$246.70
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	39	39	$563.56	$174.39
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	33	33	$385.00	$93.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$410.00	$150.90
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	27	26	$935.37	$285.75
99221 Initial hospital inpatient care per day, typically 30 minutes	25	25	$258.00	$97.64
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	23	$515.00	$194.98
47562 Removal of gallbladder using an endoscope	23	23	$1917.83	$627.26
43249 Balloon dilation of esophagus using an endoscope	22	22	$460.00	$137.82
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$350.00	$131.77
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	21	20	$52.00	$16.01
45380 Biopsy of large bowel using an endoscope	20	20	$687.00	$125.58
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	16	16	$574.00	$181.95
49505 Repair of groin hernia (5 years or older)	14	14	$1356.00	$503.21
99238 Hospital discharge day management, 30 minutes or less	13	13	$182.00	$69.35

Medical Specialties & State Licenses

CMS Verified: 2021-11-09

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OK 14301

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

10095390A (OK)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. John Ground , DO

Surgery

NPI 1861840126

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active June 21, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location June 21, 2013

Registered at 121 PATTON DRIVE, PONCA CITY, OK 74601 (Tel: 5807626676)

📍

Updated Business Mailing Address June 21, 2013

Registered at 121 PATTON DRIVE, PONCA CITY, OK 74601 (Tel: 5807626676)

👤

Provider Name / Credentials Updated June 21, 2013

Recorded as TIMOTHY GILBERT, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 21, 2013

Surgery (License #14301 in OK)

🟢

Initial NPI Registration & Enumeration March 30, 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: 1336100288

Entity Type:

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

Enumeration Date: March 30, 2006

Last Update: November 09, 2021

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

121 Patton Drive

Ponca City, OK 74601

Phone: 5807626676

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.