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Dr. Peter Caldwell Gilbreath , MD

Pediatrics β€’ Austin, TX

Active NPI 1356761373 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

4900 Mueller Boulevard, Suite 3s.066c, Dell Children's Medical Center
Austin, TX 78723

Call 5123240165 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4900 Mueller Boulevard, Suite 3s.066c
Dell Children's Medical Center

Austin, TX 78723

Telephone 5123240165
Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Dell Childrens Medical Group. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

University Of Minnesota Medical School

Graduation Year

2014

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

Years since graduation

12 years (graduated 2014)

CMS Doctors and Clinicians data list 2014 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2014

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Gilbreath has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Gilbreath as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Austin and Texas

469 active clinicians are listed under Pediatrics with a practice address in Austin, TX (5,642 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Austin

0% of these 469 clinicians have the CMS telehealth indicator.

8.5% of these 469 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES TX R1532

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Basic Post Graduate Training Permit -
BP1-0049372 (TX)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20170620002722

Enrollment State Jurisdiction

TX

PECOS Control ID

9335417138

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Dell Childrens Medical Group

1301 Barbara Jordan Blvd, Austin, TX 787233078

Dell Childrens Medical Group

4900 Mueller Blvd, Austin, TX 787233051

Phone: 5123240000

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
NPI 1801230073

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
βœ…
NPI Profile Active September 07, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location September 07, 2017

Registered at 4900 MUELLER BOULEVARD, SUITE 3S.066C, DELL CHILDREN'S MEDICAL CENTER, AUSTIN, TX 78723 (Tel: 5123240165)

πŸ“
Updated Business Mailing Address September 07, 2017

Registered at 4900 MUELLER BOULEVARD, SUITE 3S.066C, DELL CHILDREN'S MEDICAL CENTER, AUSTIN, TX 78723 (Tel: 5123240165)

πŸ‘€
Provider Name / Credentials Updated September 07, 2017

Recorded as PETER GILBREATH, MD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 07, 2017

Pediatrics (license number reported to NPPES: TX R1532)

βœ…
NPI Profile Active April 17, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 17, 2014

Registered at 4900 MUELLER BOULEVARD, SUITE 3S.066C, DELL CHILDREN'S MEDICAL CENTER, AUSTIN, TX 78723 (Tel: 5123240165)

πŸ“
Business Mailing Address (Initial Record) April 17, 2014

Registered at 4900 MUELLER BOULEVARD, SUITE 3S.066C, DELL CHILDREN'S MEDICAL CENTER, AUSTIN, TX 78723 (Tel: 5123240165)

πŸ‘€
Provider Name / Credentials (Initial Record) April 17, 2014

Recorded as PETER GILBREATH, MD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 17, 2014

Pediatrics (license number reported to NPPES: TX BP1-0049372)

🟒
Initial NPI Registration & Enumeration April 17, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1356761373
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 17, 2014
Last Update: September 07, 2017
Sole Proprietor: No

Other Pediatrics Specialists in Austin

All Pediatrics Specialists in Austin

Mailing Address

4900 Mueller Boulevard, Suite 3s.066c, Dell Children's Medical Center

Austin, TX 78723

Phone: 5123240165

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.