Michael J. Gilbert, MD
Retina Specialist (Ophthalmology) Physician · Bellevue, WA
Michael J. Gilbert, MD is a retina specialist (ophthalmology) physician with a practice address in Bellevue, Washington, and NPI 1932596988, issued on Apr 16, 2015. Check the license (Washington 61043684, as entered in NPPES) on the Washington Medical Commission; the Medicare figures below come from public CMS files.
- Name
- Michael J. Gilbert
- Credential
- MD
- Primary taxonomy
- Retina Specialist (Ophthalmology) Physician 207WX0107X
- License number
- 61043684 WA
Self-reported in NPPES; status is on the state search - Practice location
- 12301 NE 10TH PL Ste 200, Bellevue, WA 98005
- Phone
- (425) 450-2020
- Enumerated
- Apr 16, 2015
- Record last updated
- Jun 18, 2020 (not updated in 6 years: call before relying on the address or phone)
- Fax
- (425) 688-0620
- Medicare enrollment
- Enrolled (PECOS I20200608000769); accepts Medicare assignment
- Medical or professional school
- Creighton University School Of Medicine, 2015
- Entity
- Type 1 · individual
8 nearest retina specialist (ophthalmology) physician records → All 15 in Washington → Look up another NPI →
Also registered at 12301 NE 10TH PL Ste 200
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Michael Gilbert, MDOphthalmology Physician1386646065
- Stephanie Kitamura, O.D.Corneal and Contact Management Optometrist1366444069
- William Waugh, DOOphthalmology Physician1215955901
- Jing ZengOptometrist1184032864
Verify Michael J. Gilbert in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWashington Medical Commission
Search for license 61043684Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
2.5 times the Medicare Part D claims of the average retina specialist (ophthalmology) physician in 2024
1,555 Medicare Part D claims for 318 beneficiaries, against an average of 620 among the 1,449 providers of this specialty who prescribed in Part D. Brand-name drugs were 42% of claims.
Most prescribed
- Latanoprost325 claims
- Dorzolamide-Timolol275 claims
- Brimonidine Tartrate149 claims
- Timolol Maleate87 claims
- Prednisolone Acetate73 claims
- Vyzulta64 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): 78.4 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: $186.30
8 payments; by number, the most common kind was food and beverage; the largest payer was Bausch & Lomb Americas Inc. The 1,253 providers of this specialty with any payment received $7,667.49 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
- Northwest Vision Institute PLLCBellevue, WA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Michael J. Gilbert among 15 retina specialist (ophthalmology) physician records in Washington
Michael J. Gilbert, MD is one of 15 retina specialist (ophthalmology) physician records with a practice address in Washington. 100% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2015, is newer than 73% of them.
- NPI issued2015 · 73% of these records are older, 20% newer
- In a Medicare fileYes · 100% of these records are
- In the CMS Doctors and Clinicians fileYes · 93% of these records are
- Graduated2015 · median 2012 among the 14 with a school on file
- Record last updated2020 · 20% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207WX0107X and a Washington practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Retina Specialist (Ophthalmology) Physician providers in Washington
There are 15 retina specialist (ophthalmology) physician records in Washington.
All 15 in Washington → Every provider in Bellevue → Retina Specialist (Ophthalmology) Physician nationwide →
The 8 retina specialist (ophthalmology) physician records with the nearest ZIP codes
- Brenda Myers Powell, M.D. PH.D.Federal Way, WA 980031356325195
- Rahul Mandiga, M.D.Auburn, WA 980021083800502
- Benjamin Reiss, M.D.Auburn, WA 980021659637668
- Minh TrinhAuburn, WA 980021164926028
- Tony Huynh, MDMountlake Terrace, WA 980431669590782
- George Ko, MDRenton, WA 980551205890514
- David Drucker, M.D.Seattle, WA 981331386669562
- Kinza Ahmad, M.D.Everett, WA 982011174056246
Common questions
What is Michael J. Gilbert, MD's NPI number?
Michael J. Gilbert, MD's National Provider Identifier (NPI) is 1932596988, issued on Apr 16, 2015. An NPI identifies a provider in billing; it is not a license.
Where is Michael J. Gilbert, MD located?
The NPPES record lists a practice address at 12301 NE 10TH PL Ste 200, Bellevue, WA, 98005. Phone: (425) 450-2020. Providers update this record themselves, so call before visiting.
How can I verify Michael J. Gilbert, MD's license?
NPPES lists Washington license number 61043684, as entered by the provider. Search the Washington Medical Commission at https://wahelms.my.site.com/s/license-search. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Michael J. Gilbert, MD prescribe under Medicare Part D?
In 2024, Michael J. Gilbert, MD had 1,555 Medicare Part D claims for 318 beneficiaries; the average among retina specialist (ophthalmology) physician prescribers was 620. Part D covers Medicare prescriptions only.
What is Michael J. Gilbert, MD's MIPS final score?
The 2023 MIPS final score is 78.4 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.