2026 NPPES data Surgery Physician NPI 1326001785 MD
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CARL GILBERT, MD

Surgery Physician in EDMOND, Oklahoma. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
73
Medicare Part D claims · 46 beneficiaries · Surgery Physician avg: 169
Generic prescribing
79%
generic claims · 21% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$399.12
18 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: CARL GILBERT, MD is a Surgery Physician ([object Object]) practicing in EDMOND, Oklahoma with a Medicare Part D prescribing footprint of 73 claims across 46 beneficiaries — 21% brand-name prescribing . Industry payments of $399.12 across 18 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: CARL GILBERT, MD filed 73 Medicare Part D claims in 2023 across EDMOND, Oklahoma. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

CARL GILBERT, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

CARL GILBERT, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 04/07/2006

NPI 1326001785

Primary specialty

Surgery Physician

Mid-sized

36,191 US NPIs in this specialty

Medicare Part D claims

73 57% vs specialty avg

2023 prescription claims

Specialty avg: 169

Specialty distribution in Oklahoma

How Surgery Physician compares to other specialties among Oklahoma providers

Oklahoma providers

Surgery Physician share within Oklahoma

1. Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Surgery Physician share within Oklahoma

Specialty board-certification context

Estimated specialty board-certified rate — Surgery Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Surgery Physician ABMS/AOA estimate

Est. board-certified rate (Surgery Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Surgery Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

CARL GILBERT, MD is a Surgery Physician provider practicing in EDMOND, Oklahoma, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1326001785. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

CARL GILBERT, MD appears in the CMS NPPES registry as a Surgery Physician provider holding MD credentials at 4509 INTEGRIS PKWY, EDMOND, OK, 73034, with a listed phone of (405) 657-3195. NPI 1326001785 was issued on 04/07/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GILBERT most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 73 prescription claims written by this provider, covering 46 Medicare beneficiaries and totaling roughly $7K in drug spend, split 21% brand-name and 79% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Surgery Physician is a mid-sized specialty nationwide, with 36,191 enrolled providers across 56 states and an average of 169 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

4509 INTEGRIS PKWY
EDMOND, OK 73034

Provider Details

NPI 1326001785
Specialty Surgery Physician
Credentials MD
Gender Male
NPI Issued 04/07/2006

Hospital and facility affiliations

Facilities where CARL GILBERT, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

HEALOGICS SPECIALTY PHYSICIANS OF OKLAHOMA PLLC
EDMOND, OK

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for CARL GILBERT, MD. Source: openpaymentsdata.cms.gov.

Total received

$399

Largest payer

MIMEDX Group, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Typical

CARL GILBERT, MD — brand share 21.0%
Specialty average (est.)

21% brand-name claims vs 79% generic, on 73 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

73
Total Claims
$7K
Total Drug Cost
46
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
75
Total Day Supply
1,031
Brand vs Generic
21% brand / 79% generic
Brand Drug Cost
$7K
Generic Drug Cost
$600
Antibiotic Claims
49

Patient Demographics

Average Patient Age
70.7 years
Avg HCC Risk Score
2.17
Gender Split
37% female / 63% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Doxycycline Hyclate
27
Santyl
Collagenase Clostridium Hist.
12

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Surgery Physician Overview

How CARL GILBERT, MD fits within the Surgery Physician landscape nationally.

36,191
Surgery Physician Providers in US
56
States with Surgery Physician
169
Avg Claims per Provider

CARL GILBERT, MD's 73 claims are below the specialty average of 169.

Nearby Surgery Physician Providers in Oklahoma

Other clinicians with the same primary specialty enrolled in Oklahoma, drawn from the same CMS NPPES roster as GILBERT.

Compare Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is CARL GILBERT, MD's specialty?
CARL GILBERT, MD specializes in Surgery Physician and practices in EDMOND, Oklahoma. Credentials: MD.
How much does CARL GILBERT, MD prescribe under Medicare Part D?
In 2023, CARL GILBERT, MD wrote 73 Medicare Part D claims totaling $7K in drug costs for 46 beneficiaries.
Where is CARL GILBERT, MD located?
CARL GILBERT, MD is located at 4509 INTEGRIS PKWY, EDMOND, OK, 73034. Phone: (405) 657-3195.
What is CARL GILBERT, MD's NPI number?
CARL GILBERT, MD's National Provider Identifier (NPI) is 1326001785, issued on 04/07/2006.
Does CARL GILBERT, MD prescribe more brand-name or generic drugs?
CARL GILBERT, MD's prescribing is 21% brand-name and 79% generic drugs by claim count, with $7K in brand drug costs.
How many Surgery Physician providers are there in the US?
There are 36,191 Surgery Physician providers across 56 states in the US. The average Surgery Physician provider writes 169 Medicare Part D claims per year.
What drugs does CARL GILBERT, MD prescribe most often?
Based on 2023 Medicare Part D data, CARL GILBERT, MD's most frequently prescribed drugs include Doxycycline Hyclate, Santyl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CARL GILBERT, MD accept Medicare?
CARL GILBERT, MD appears in CMS Medicare data with 73 Part D claims and 46 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CARL GILBERT, MD's credentials?
CARL GILBERT, MD's NPI is 1326001785 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology