NPI registry status
Active
2026 NPPES data Psychiatry Physician NPI 1225190242 MD
Verify on CMS → Kenneth Gilbert, MD
Psychiatry Physician in Champaign, Illinois.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 53,171 in Psychiatry Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
2K
Medicare Part D claims · 84 beneficiaries · Psychiatry Physician avg: 1K
Generic prescribing
95%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Kenneth Gilbert, MD filed 2,367 Medicare Part D claims in 2023 as a Psychiatry Physician in Champaign, Illinois, prescribing 95% generic.
- 2K
- Part D claims, 2023
- 95%
- generic prescribing
- Likely
- board-certified (heuristic)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Kenneth Gilbert, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
2,367 Top 14% higher than 86% of 1,370,886 prescribers
Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Medicare Part D Prescriber Public Use File · 2023
✓
Board certification likely (heuristic, not verified)
Kenneth 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).
What does the federal data show about Kenneth Gilbert, MD?
Quality data not reportedPrimary specialty
Psychiatry Physician
Medicare Part D claims
2,367 128% vs specialty avg
Specialty distribution in Illinois
How Psychiatry Physician compares to other specialties among Illinois providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Psychiatry Physician. Verify directly:
How MIPS and board certification work
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).
Kenneth Gilbert, MD appears in the CMS NPPES registry as a Psychiatry Physician provider holding MD credentials at 3202 B LAKESHORE DR, Champaign, IL, 61822, with a listed phone of (217) 356-4191. NPI 1225190242 was issued on 12/15/2006.
Medicare Part D records for calendar year 2023 show 2,367 prescription claims written by this provider, covering 84 Medicare beneficiaries and totaling roughly $299K in drug spend, split 5% brand-name and 95% generic by claim count, with an opioid prescribing rate of 1.5%.
Psychiatry Physician is a high-volume specialty nationwide, with 53,171 enrolled providers across 56 states and an average of 1,038 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
Provider Details
| NPI | 1225190242 |
|---|---|
| Specialty | Psychiatry Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 12/15/2006 |
Hospital and facility affiliations
Facilities where Kenneth 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.
Community Resource And Counseling Center Inc
Paxton, IL
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
License & disciplinary context - Illinois IDFPR 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~42K Illinois medical licensees in 2023 - they are NOT specific to Kenneth Gilbert, MD. To verify Kenneth Gilbert, MD's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases
IDFPR publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Generic-heavy
Kenneth Gilbert, MD - brand share 5.0%
Psychiatry Physician average
5% brand-name claims vs 95% generic, on 2,367 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.
2,367
Total Claims
$299K
Total Drug Cost
84
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 2,677
- Total Day Supply
- 77,583
- Brand vs Generic
- 5% brand / 95% generic
- Brand Drug Cost
- $233K
- Generic Drug Cost
- $66K
- Opioid Claims
- 36 (1.5% rate)
Patient Demographics
- Average Patient Age
- 55.9 years
- Avg HCC Risk Score
- 1.40
- Gender Split
- 64% female / 36% male
- Age Distribution
- <65: 64, 65-74: 14, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Kenneth Gilbert, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Mirtazapine
Mirtazapine
122 claims
- Lamotrigine
Lamotrigine
105 claims
- Risperidone
Risperidone
90 claims
- Venlafaxine Hcl Er
Venlafaxine Hcl Er
89 claims
- Olanzapine
Olanzapine
88 claims
- Lorazepam
Lorazepam
87 claims
- Trazodone Hcl
Trazodone Hcl
86 claims
- Bupropion Hcl Sr
Bupropion Hcl Sr
84 claims
| Drug | Claims |
|---|---|
| Mirtazapine | 122 |
| Lamotrigine | 105 |
| Risperidone | 90 |
| Venlafaxine Hcl Er Venlafaxine Hcl | 89 |
| Olanzapine | 88 |
| Lorazepam | 87 |
| Trazodone Hcl | 86 |
| Bupropion Hcl Sr Bupropion Hcl | 84 |
| Quetiapine Fumarate | 82 |
| Aripiprazole | 80 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Psychiatry Physician Overview
How Kenneth Gilbert, MD fits within the Psychiatry Physician landscape nationally.
53,171
Psychiatry Physician Providers in US
56
States with Psychiatry Physician
1,038
Avg Claims per Provider
Kenneth Gilbert, MD's 2,367 claims are above the specialty average of 1,038.
Nearby Psychiatry Physician Providers in Illinois
Other clinicians with the same primary specialty enrolled in Illinois, drawn from the same CMS NPPES roster as Gilbert.
Dr. Alexandra Aaronson
M.D.
Chicago, IL
Dr. Anthony Abadir
MD
Oak Park, IL
Dr. Jeff Abbott
M.D.
Chicago, IL
Kathryn Abbott
Chicago, IL
Dr. Gil Abelita
MD
Bloomington, IL
Compare Psychiatry Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Illinois medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Psychiatry Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Kenneth Gilbert, MD's specialty? ▼
Kenneth Gilbert, MD specializes in Psychiatry Physician and practices in Champaign, Illinois. Credentials: MD.
How much does Kenneth Gilbert, MD prescribe under Medicare Part D? ▼
In 2023, Kenneth Gilbert, MD wrote 2,367 Medicare Part D claims totaling $299K in drug costs for 84 beneficiaries.
Where is Kenneth Gilbert, MD located? ▼
Kenneth Gilbert, MD is located at 3202 B LAKESHORE DR, Champaign, IL, 61822. Phone: (217) 356-4191.
What is Kenneth Gilbert, MD's NPI number? ▼
Kenneth Gilbert, MD's National Provider Identifier (NPI) is 1225190242, issued on 12/15/2006.
Does Kenneth Gilbert, MD prescribe more brand-name or generic drugs? ▼
Kenneth Gilbert, MD's prescribing is 5% brand-name and 95% generic drugs by claim count, with $233K in brand drug costs.
Does Kenneth Gilbert, MD prescribe opioids? ▼
Yes, Kenneth Gilbert, MD had 36 opioid claims in 2023 with an opioid prescribing rate of 1.5%.
How many Psychiatry Physician providers are there in the US? ▼
There are 53,171 Psychiatry Physician providers across 56 states in the US. The average Psychiatry Physician provider writes 1,038 Medicare Part D claims per year.
What drugs does Kenneth Gilbert, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Kenneth Gilbert, MD's most frequently prescribed drugs include Mirtazapine, Lamotrigine, Risperidone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Kenneth Gilbert, MD accept Medicare? ▼
Kenneth Gilbert, MD appears in CMS Medicare data with 2,367 Part D claims and 84 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Kenneth Gilbert, MD's credentials? ▼
Kenneth Gilbert, MD's NPI is 1225190242 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
View source datasets and methodology notes
- 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
Compiled from official public sources by the PlainDoctor editorial team.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.