NPPES file of Aug 9, 2026

Sean C. Gilbey, MD

Critical Care Medicine (Internal Medicine) Physician · Austin, TX

Sean C. Gilbey, MD is a critical care medicine (internal medicine) physician with a practice address in Austin, Texas, and NPI 1184628828, issued on Jun 10, 2005. Check the license (Texas K6589, as entered in NPPES) on the Texas Medical Board; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1184628828
Name
Sean C. Gilbey
Credential
MD
Primary taxonomy
Critical Care Medicine (Internal Medicine) Physician 207RC0200X
License number
K6589 TX
Self-reported in NPPES; status is on the state search
Practice location
5920 W William Cannon Dr, Austin, TX 78749
Phone
(512) 441-9799
Enumerated
Jun 10, 2005
Record last updated
Oct 24, 2016 (not updated in 10 years: call before relying on the address or phone)
Fax
(512) 441-9814
Medicaid ID
147946104 TX
Medicare enrollment
Enrolled (PECOS I20070613000495); may accept Medicare assignment
Medical or professional school
Indiana University School Of Medicine, 1995
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 5920 W William Cannon Dr

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. William Bartek, M.DCritical Care Medicine (Internal Medicine) Physician1598722522
  2. Trevor Colm, DCChiropractor1679938609
  3. Brandon Hedgecock, D.D.S.Dentist1043416753
  4. Vinay Parameswara, M.D., M.P.H., PH.D.Internal Medicine Physician1326272246
  5. Michael Warner, MDCritical Care Medicine (Internal Medicine) Physician1801112826

Verify Sean C. Gilbey in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersTexas Medical Board
    Search for license K6589
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Texas license search

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29% more Medicare Part D claims than the average critical care medicine (internal medicine) physician in 2024

901 Medicare Part D claims for 196 beneficiaries, against an average of 696 among the 2,873 providers of this specialty who prescribed in Part D. Brand-name drugs were 60% of claims.

  1. Sean Gilbey901
  2. Specialty average696

Most prescribed

  1. Trelegy Ellipta217 claims
  2. Albuterol Sulfate Hfa171 claims
  3. Montelukast Sodium55 claims
  4. Spiriva Respimat45 claims
  5. Prednisone35 claims
  6. Ipratropium Bromide30 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): 80.8 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.

  1. Qualityout of 100 · 30% of the final score89.2
  2. Costout of 100 · 30%41.7
  3. Promoting interoperabilitynot scored (reweighted)
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $104.27

4 payments; by number, the most common kind was food and beverage; the largest payer was Boehringer Ingelheim Pharmaceuticals, Inc. The 2,708 providers of this specialty with any payment received $2,958.68 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Sean Gilbey$104.27
  2. Specialty average$2,958.68

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

  1. Laura K Gilbey MD PLLCAustin, TX

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Sean C. Gilbey among 413 critical care medicine (internal medicine) physician records in Texas

Sean C. Gilbey, MD is one of 413 critical care medicine (internal medicine) physician records with a practice address in Texas. 90% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.

  • NPI issued2005 · 0% of these records are older, 94% newer
  • In a Medicare fileYes · 90% of these records are
  • In the CMS Doctors and Clinicians fileYes · 84% of these records are
  • Graduated1995 · median 2007 among the 346 with a school on file
  • Record last updated2016 · 40% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RC0200X and a Texas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Critical Care Medicine (Internal Medicine) Physician providers in Texas

There are 413 critical care medicine (internal medicine) physician records in Texas.

The 8 critical care medicine (internal medicine) physician records with the nearest ZIP codes

  1. William Bartek, M.DAustin, TX 787491598722522
  2. Sireesha Gogineni, M.DAustin, TX 787491801974423
  3. Sapan Patel, MDAustin, TX 787491295075661
  4. Subramaniyam Rajan, M.D.Austin, TX 787491922324813
  5. Usha Rao, M.D.Austin, TX 787491952627010
  6. Michael Warner, MDAustin, TX 787491801112826
  7. Jon Belsher, M.D.Austin, TX 787461801810080
  8. Matthew Anderson, MDAustin, TX 787271023221959

Common questions

What is Sean C. Gilbey, MD's NPI number?

Sean C. Gilbey, MD's National Provider Identifier (NPI) is 1184628828, issued on Jun 10, 2005. An NPI identifies a provider in billing; it is not a license.

Where is Sean C. Gilbey, MD located?

The NPPES record lists a practice address at 5920 W William Cannon Dr, Austin, TX, 78749. Phone: (512) 441-9799. Providers update this record themselves, so call before visiting.

How can I verify Sean C. Gilbey, MD's license?

NPPES lists Texas license number K6589, as entered by the provider. Search the Texas Medical Board at https://profile.tmb.state.tx.us/Search.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Sean C. Gilbey, MD prescribe under Medicare Part D?

In 2024, Sean C. Gilbey, MD had 901 Medicare Part D claims for 196 beneficiaries; the average among critical care medicine (internal medicine) physician prescribers was 696. Part D covers Medicare prescriptions only.

What is Sean C. Gilbey, MD's MIPS final score?

The 2023 MIPS final score is 80.8 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.