Individual provider Active NPI

Jerry H Gilbert, MD

  • Interventional Cardiology Physician
  • College Station, TX
National Provider Identifier
1629079017
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
K2336 Issued in TX
Practice address
800 Scott and White Dr
College Station, TX 77845-6440
Phone
(979) 207-4000
Fax
(979) 207-4562
NPI assigned
Aug 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X K2336 TX
Interventional Cardiology Physician 207RI0011X 165158 MT
Interventional Cardiology Physician 207RI0011X K2336 TX Primary
Interventional Cardiology Physician 207RI0011X 14965 WI

Addresses

Primary practice location

800 Scott and White Dr
College Station, TX 77845-6440

Mailing address

PO Box 844658
Dallas, TX 75284-4658
Phone (800) 994-0371

Other practice location 1

115 Airport Rd
Sulphur Springs, TX 75482-2105
Phone (903) 885-7671

Other practice location 2

707 E Marshall Ave
Longview, TX 75601-5545
Phone (903) 315-4880

Other practice location 3

1300 28th St S Ste 4
Great Falls, MT 59405-5296
Phone (406) 455-4320

Other practice location 4

3400 Ministry Pkwy
Weston, WI 54476-5220
Phone (715) 393-1000

Other practice location 5

700 E Marshall Ave
Longview, TX 75601-5580
Phone (903) 315-2000

Other identifiers 1

IdentifierTypeStateIssuer
1511925-02MedicaidTX

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jgilbert3938@epiccwdv.hcadirect.net
Direct Messaging Address jgilbert3938@epiccwdv.hcadirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MN, IL, MT, WI5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20100819000350 TX Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 5799819264 Reassigns benefits to 3 organizations
I20241025001594 MN Practitioner - Cardiovascular Disease (Cardiology) 5799819264
I20250411001563 IL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 5799819264
I20260108001653 MT Practitioner - Interventional Cardiology 5799819264 Reassigns benefits to 1 organization
I20260529000030 WI Practitioner - Interventional CardiologyPractitioner - Internal Medicine 5799819264 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scott and White ClinicGroup PAC ID 8123923604, 2,426 clinicians
Benefis Hospitals IncGroup PAC ID 1153235296, 390 clinicians

Practice addresses (Care Compare)

1280 Arrington Rd
Suite 200
College Station, TX 77845-8696
Phone (979) 207-6550

1300 28TH St S
Suite 2
Great Falls, MT 59405-5296
Phone (406) 455-5000

700 Medical Pkwy
Brenham, TX 77833-5413
Phone (979) 836-6173

700 Scott and White Dr
College Station, TX 77845-6441
Phone (979) 207-0100

Hospital & facility affiliations

  • Decatur Memorial Hospital Hospital, Decatur, IL, CCN 140135
  • Baylor Scott & White Medical Center- College Stati Hospital, College Station, TX, CCN 670088
  • Benefis Hospitals Inc Hospital, Great Falls, MT, CCN 270012
  • Taylorville Memorial Hospital Hospital, Taylorville, IL, CCN 141339
  • Baylor Scott & White Hospital Brenham Hospital, Brenham, TX, CCN 451397

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14965WIMDAddiction (Substance Use Disorder) Counselor
K2336TXMDCardiovascular Disease Physician
165158MTMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph'S Medical Center Current Accepting new patients
Decatur Memorial Hospital Cardiovascular Disease CurrentSince Mar 1, 2025 Accepting new patients
Benefis Hospitals, Inc. CurrentSince Dec 29, 2025 Accepting new patients
Benefis Hospitals Inc CurrentSince Dec 29, 2025 Accepting new patients
Scott & White Clinic CurrentSince Aug 13, 2025 Accepting new patients
St. Joseph'S Medical Center CurrentSince Oct 6, 2024 Accepting new patients
Scott & White Clinic Current Accepting new patients
St Joseph'S Medical Center CurrentSince Oct 6, 2024 Accepting new patients
BHS Physicians Network, Inc CurrentSince Apr 1, 2025 Accepting new patients
Scott & White Clinic CurrentSince Aug 13, 2025 Accepting new patients
BHS Physicians Network, Inc CurrentSince Apr 1, 2025 Accepting new patients
Decatur Memorial Hospital CurrentSince Mar 1, 2025 Accepting new patients
Juan Joel Garza, MD PA Cardiovascular Disease Past Accepting new patients

Locations

2300 N Edward St
Decatur, IL 62526
Phone (217) 876-3000

241 W Weaver Rd
Ste 145B
Forsyth, IL 62535
Phone (217) 876-5220

2024 S 6th St
Brainerd, MN 56401
Phone (218) 828-2880

523 N 3rd St
Brainerd, MN 56401
Phone (218) 828-7394

1300 28th St S
Fl 2
Great Falls, MT 59405
Phone (406) 455-4320

1300 28th St S
Ste 4
Great Falls, MT 59405
Phone (406) 455-4300

1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690

1101 26th St S
Fl 5
Great Falls, MT 59405
Phone (406) 455-2132

1300 28th St S
Ste 2
Great Falls, MT 59405
Phone (406) 731-2362

800 Scott and White Dr
College Station, TX 77845
Phone (979) 207-3300

1280 Arrington Rd
Ste 200
College Station, TX 77845
Phone (979) 207-6550

8811 Village Dr
San Antonio, TX 78217
Phone (210) 297-2000

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459

2401 S 31st St
#200
Temple, TX 76508
Phone (254) 215-0100

Interoperability endpoints

  • Direct secure messaging: jgilbert1443151@direct.sw.org

Organizations & group practices 22

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 22

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1629079017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658",
            "telephone_number": "800-994-0371",
            "fax_number": "254-215-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SCOTT AND WHITE DR",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778456440",
            "telephone_number": "979-207-4000",
            "fax_number": "979-207-4562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Airport Rd",
            "address_purpose": "LOCATION",
            "city": "Sulphur Springs",
            "state": "TX",
            "postal_code": "754822105",
            "country_code": "US",
            "telephone_number": "903-885-7671",
            "fax_number": "903-885-4579",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "707 E Marshall Ave",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756015545",
            "country_code": "US",
            "telephone_number": "903-315-4880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 28th St S Ste 4",
            "address_purpose": "LOCATION",
            "city": "Great Falls",
            "state": "MT",
            "postal_code": "594055296",
            "country_code": "US",
            "telephone_number": "406-455-4320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3400 Ministry Pkwy",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "WI",
            "postal_code": "544765220",
            "country_code": "US",
            "telephone_number": "715-393-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 E Marshall Ave",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756015580",
            "country_code": "US",
            "telephone_number": "903-315-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "JERRY",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "K2336",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MT",
            "license": "165158",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "K2336",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "WI",
            "license": "14965",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1511925-02",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jgilbert3938@epiccwdv.hcadirect.net",
            "affiliation": "N",
            "address_1": "2410 Round Rock Ave",
            "address_2": "STE. 110",
            "city": "Round Rock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786814003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jgilbert3938@epiccwdv.hcadirect.net",
            "affiliation": "N",
            "address_1": "800 Scott and White Dr",
            "city": "COLLEGE STATION",
            "state": "TX",
            "country_code": "US",
            "postal_code": "778456440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

Verify at the official NPI Registry.