Carolyn Gilbertson, M.D.
Family Medicine Physician · Sioux Falls, SD
Carolyn Gilbertson, M.D. is a family medicine physician with a practice address in Sioux Falls, South Dakota, and NPI 1679835979, issued on Jun 12, 2012. Check the license (South Dakota 9648, as entered in NPPES) on the South Dakota Board of Medical and Osteopathic Examiners; the Medicare figures below come from public CMS files.
- Name
- Carolyn Gilbertson
- Credential
- M.D.
- Primary taxonomy
- Family Medicine Physician 207Q00000X
- License number
- 9648 SD
Self-reported in NPPES; status is on the state search - Practice location
- 6110 S Minnesota Ave, Sioux Falls, SD 57108
- Phone
- (605) 328-5800
- Enumerated
- Jun 12, 2012
- Record last updated
- Mar 31, 2022
- Fax
- (605) 328-5814
- Medicare enrollment
- Enrolled (PECOS I20151112003044); accepts Medicare assignment
- Medical or professional school
- Sanford School Of Medicine Of University Of South Dakota, 2012
- Entity
- Type 1 · individual
8 nearest family medicine physician records → All 601 in South Dakota → Look up another NPI →
Also registered at 6110 S Minnesota Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- E. Amundson, MDFamily Medicine Physician1144220914
- Danette Baumann, P.A.Physician Assistant1699915819
- Katelyn Begeman, APRN- CNPFamily Nurse Practitioner1215533625
- Jeremy Beireis, M.D.Family Medicine Physician1386866325
- Sherri Bostwick, MDFamily Medicine Physician1508169731
- Jennifer CypherFamily Nurse Practitioner1477197309
Verify Carolyn Gilbertson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersSouth Dakota Board of Medical and Osteopathic Examiners
Search for license 9648Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
52% fewer Medicare Part D claims than the average family medicine physician in 2024
1,702 Medicare Part D claims for 138 beneficiaries, against an average of 3,544 among the 117,163 providers of this specialty who prescribed in Part D. Brand-name drugs were 7% of claims. 43 claims were for opioids.
Most prescribed
- Atorvastatin Calcium150 claims
- Omeprazole91 claims
- Levothyroxine Sodium80 claims
- Gabapentin58 claims
- Alendronate Sodium49 claims
- Amlodipine Besylate47 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 76.7 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $102.17
6 payments; by number, the most common kind was food and beverage; the largest payer was Lilly USA, LLC. The 55,478 providers of this specialty with any payment received $902.55 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Sanford Medical CenterSioux Falls, SD
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Carolyn Gilbertson among 601 family medicine physician records in South Dakota
Carolyn Gilbertson, M.D. is one of 601 family medicine physician records with a practice address in South Dakota. 79% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2012, is newer than 69% of them.
- NPI issued2012 · 69% of these records are older, 29% newer
- In a Medicare fileYes · 79% of these records are
- In the CMS Doctors and Clinicians fileYes · 65% of these records are
- Graduated2012 · median 2008 among the 393 with a school on file
- Record last updated2022 · 52% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Q00000X and a South Dakota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
195 family medicine physician records list a practice address in Sioux Falls
They are 195 of the 6,563 NPPES records with a practice address in Sioux Falls, and 601 family medicine physician records in South Dakota.
All 601 in South Dakota → Every provider in Sioux Falls → Family Medicine Physician nationwide →
The 8 family medicine physician records with the nearest ZIP codes
- E. Amundson, MDSioux Falls, SD 571081144220914
- Cynthia Comly-Van Andel, M.D.Sioux Falls, SD 571081700879152
- Scott Dierks, MDSioux Falls, SD 571081063438968
- Timothy Donelan, MDSioux Falls, SD 571081730189325
- Dawn Flickema, M.D.Sioux Falls, SD 571081437194636
- Bradley Hruby, MDSioux Falls, SD 571081194725960
- Andrea Miller-Burchett, DOSioux Falls, SD 571081750354791
- Courtney Moose, M.D.Sioux Falls, SD 571081417992652
Common questions
What is Carolyn Gilbertson, M.D.'s NPI number?
Carolyn Gilbertson, M.D.'s National Provider Identifier (NPI) is 1679835979, issued on Jun 12, 2012. An NPI identifies a provider in billing; it is not a license.
Where is Carolyn Gilbertson, M.D. located?
The NPPES record lists a practice address at 6110 S Minnesota Ave, Sioux Falls, SD, 57108. Phone: (605) 328-5800. Providers update this record themselves, so call before visiting.
How can I verify Carolyn Gilbertson, M.D.'s license?
NPPES lists South Dakota license number 9648, as entered by the provider. Search the South Dakota Board of Medical and Osteopathic Examiners at https://www.sdbmoe.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Carolyn Gilbertson, M.D. prescribe under Medicare Part D?
In 2024, Carolyn Gilbertson, M.D. had 1,702 Medicare Part D claims for 138 beneficiaries; the average among family medicine physician prescribers was 3,544. Part D covers Medicare prescriptions only.
What is Carolyn Gilbertson, M.D.'s MIPS final score?
The 2023 MIPS final score is 76.7 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.