Dr. Todd Michael Gilbert , MD
Orthopaedic Surgery โข Provo, UT
1055 N 500 W Ste 121
Provo, UT 846043305
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Dr. Todd Gilbert is listed in NPPES under Orthopaedic Surgery.
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NPI assigned on June 30, 2014; this date does not establish years in practice.
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Published CMS data list 481 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99213 โ Established patient outpatient office visit: 121 service units.
- 99214 โ Established patient outpatient office visit: 98 service units.
- 72100 โ X-ray of lower and sacral spine, 2-3 views: 80 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 10 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 398 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Gabapentin โ 109 prescription fills, including refills.
- Methocarbamol โ 102 prescription fills, including refills.
- Methylprednisolone โ 59 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 9 records in the table ยท Guide: How to read Medicare Part D prescriber data
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Close to the middle for Medicare Part B services among clinicians listed under Orthopaedic Surgery in Provo, UT (2024, 15 clinicians with data). Median for this group: 481. Middle half: 370 to 1,046.
Fewer Medicare Part B services than 60% of clinicians listed under Orthopaedic Surgery in Utah (2024, 157 clinicians with data). Median for this group: 711. Middle half: 349 to 1,865.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 227 in 2020 to 481 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
1055 N 500 W Ste 121
Provo, UT 846043305
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 2 distinct additional practice-address records in Omaha, NE; Salem, UT. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: Revere Health Pc. 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
2014
What Public CMS Data Show
Orthopaedic Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
188 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $73,979 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $58,285 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
492 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$4,413 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $555.53 across 6 records.
By nature of payment
- Food and Beverage: $555.53 across 6 records.
Reporting-company totals (3 largest of 5)
- Centinel Spine, LLC: $209.25 across 1 record.
- VB Spine LLC: $121.78 across 1 record.
- Total Joint Orthopedics, Inc.: $117.67 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
12 years (graduated 2014)
CMS Doctors and Clinicians data list 2014 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished 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.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
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, โDoes your provider accept Medicare as full payment?โ
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.
Enrolled in Medicare (PECOS)
Dr. Gilbert 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.
Can order Medicare-covered services
CMS lists Dr. Gilbert 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.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
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.
Compared with the same specialty in Provo and Utah
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Close to the middle for clinicians listed under Orthopaedic Surgery in Provo, UT (2024, 15 clinicians with data). Median for this group: 481. Middle half: 370 to 1,046.
Fewer Medicare Part B services than 60% of clinicians listed under Orthopaedic Surgery in Utah (2024, 157 clinicians with data). Median for this group: 711. Middle half: 349 to 1,865.
Medicare-allowed amount
Close to the middle for clinicians listed under Orthopaedic Surgery in Provo, UT (2024, 15 clinicians with data). Median for this group: $66,287. Middle half: $29,717 to $95,090.
A higher Medicare-allowed amount than 60% of clinicians listed under Orthopaedic Surgery in Utah (2024, 157 clinicians with data). Median for this group: $60,478. Middle half: $23,375 to $126,080.
Paid by Medicare
Close to the middle for clinicians listed under Orthopaedic Surgery in Provo, UT (2024, 15 clinicians with data). Median for this group: $50,734. Middle half: $22,915 to $73,482.
A higher Medicare payment amount than 60% of clinicians listed under Orthopaedic Surgery in Utah (2024, 157 clinicians with data). Median for this group: $44,051. Middle half: $17,592 to $98,393.
Medicare Part D prescriptions
More Part D prescriptions than 70% of clinicians listed under Orthopaedic Surgery in Provo, UT (2024, 15 clinicians with data). Median for this group: 75. Middle half: 30 to 413.
More Part D prescriptions than 85% of clinicians listed under Orthopaedic Surgery in Utah (2024, 146 clinicians with data). Median for this group: 133. Middle half: 51 to 253.
Part D drug cost
A higher Part D drug cost than 70% of clinicians listed under Orthopaedic Surgery in Provo, UT (2024, 15 clinicians with data). Median for this group: $721. Middle half: $216 to $4,838.
A higher Part D drug cost than 85% of clinicians listed under Orthopaedic Surgery in Utah (2024, 146 clinicians with data). Median for this group: $966. Middle half: $330 to $2,598.
25 active clinicians are listed under Orthopaedic Surgery with a practice address in Provo, UT (266 in Utah).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Provo
4% of these 25 clinicians have the CMS telehealth indicator.
60% of these 25 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 112% from 227 in 2020 to 481 in 2024.
- 2020: 227
- 2021: 586
- 2022: 628
- 2023: 614
- 2024: 481
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Medicare-allowed amount
Medicare-allowed amount increased 207% from $24,097 in 2020 to $73,979 in 2024.
- 2020: $24,097
- 2021: $96,125
- 2022: $77,922
- 2023: $104,090
- 2024: $73,979
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Paid by Medicare
Paid by Medicare increased 205% from $19,122 in 2020 to $58,285 in 2024.
- 2020: $19,122
- 2021: $76,639
- 2022: $60,690
- 2023: $82,107
- 2024: $58,285
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 1890% from 20 in 2020 to 398 in 2024.
- 2020: 20
- 2021: 288
- 2022: 350
- 2023: 473
- 2024: 398
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30-day fills
30-day fills increased 2138% from 22 in 2020 to 492 in 2024.
- 2020: 22
- 2021: 338
- 2022: 402
- 2023: 582
- 2024: 492
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Part D drug cost
Part D drug cost went from $156 in 2020 to $4,413 in 2024.
- 2020: $156
- 2021: $2,501
- 2022: $2,850
- 2023: $4,368
- 2024: $4,413
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Industry payments (Open Payments)
Industry payments (Open Payments) decreased 74% from $2,172.29 in 2021 to $555.53 in 2025.
- 2021: $2,172.29
- 2022: $1,967.40
- 2023: $970.21
- 2024: $30.09
- 2025: $555.53
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): fewer than 11 records totaling $555.53.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Centinel Spine, LLC |
Food and Beverage
Cash or cash equivalent
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PRODISC L | General | $209.25 |
| VB Spine LLC |
Food and Beverage
In-kind items and services
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XIA 3 | General | $121.78 |
| Total Joint Orthopedics, Inc. |
Food and Beverage
Cash or cash equivalent
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โ | General | $117.67 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
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Intracept | General | $52.50 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
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Intracept | General | $35.74 |
| VERTEX PHARMACEUTICALS INCORPORATED |
Food and Beverage
In-kind items and services
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JOURNAVX | General | $18.59 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2019โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2020โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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121 | 89 | $152.60 | $83.39 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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98 | 76 | $215.63 | $118.63 |
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72100
X-ray of lower and sacral spine, 2-3 views
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80 | 43 | $114.90 | $35.68 |
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72110
X-ray of lower and sacral spine, minimum of 4 views
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64 | 63 | $151.67 | $48.09 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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49 | 49 | $281.51 | $158.68 |
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72050
X-ray of upper spine, 4-5 views
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19 | 19 | $156.79 | $45.98 |
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22612
Fusion of spine in lower back
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13 | 13 | $4314.69 | $1501.96 |
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63047
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment
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13 | 13 | $3013.85 | $635.26 |
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22842
Placement of stabilizing device to back, 3-6 spine bone segments
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12 | 12 | $2067.17 | $719.33 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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12 | 12 | $187.67 | $105.51 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Gabapentin | Gabapentin | 109 | 4,685 | $997.46 | 52 |
| Methocarbamol | Methocarbamol | 102 | 1,030 | $748.68 | 76 |
| Methylprednisolone | Methylprednisolone | 59 | 355 | $497.76 | 53 |
| Celecoxib | Celecoxib | 34 | 1,890 | $1,564.15 | 15 |
| Oxycodone Hcl | Oxycodone Hcl | 23 | 170 | $182.02 | 19 |
| Meloxicam | Meloxicam | 22 | 1,090 | $142.24 | 11 |
| Tramadol Hcl | Tramadol Hcl | 22 | 209 | $98.82 | 18 |
| Cephalexin | Cephalexin | 14 | 80 | $72.86 | 12 |
| Mupirocin | Mupirocin | 13 | 146 | $108.60 | 13 |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2020-06-26NUCC Taxonomy Code: 207X00000X
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
NUCC Taxonomy Code: 207X00000X
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - ORTHOPEDIC SURGERY
I20200701000470
UT
0345460838
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
Revere Health Pc
1055 N 500, Provo, UT 846043305
Phone: 8013737350
Secondary Practice Locations
555 W State Road 164
Salem, UT 846535732
Phone: 8013548225
981080 Nebraska Medical Ctr
Omaha, NE 681981080
Phone: 4025592258
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner
Doctor of Nursing Practice, Advanced Practice Registered Nurse, Nurse Practitioner (Certified)
Internal Medicine - Gastroenterology
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant
Radiology - Diagnostic Radiology
Doctor of Medicine (M.D.)
Physician Assistant
Nurse Practitioner - Family
Family Nurse Practitioner (Certified)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 1055 N 500 W STE 121, PROVO, UT 846043305 (Tel: 8013548225)
Orthopaedic Surgery (license number reported to NPPES: NE 7303)
Registered at 1055 N 500 W, ATT: CREDENTIALING, PROVO, UT 84604 (Tel: 8013548225)
Orthopaedic Surgery (license number reported to NPPES: UT 11659143-1205)
NPI status registered as active in NPPES database
Registered at 981080 NEBRASKA MEDICAL CTR, OMAHA, NE 681981080 (Tel: 4025592258)
Registered at 981080 NEBRASKA MEDICAL CTR, OMAHA, NE 681981080
Recorded as TODD GILBERT, M.D.
Orthopaedic Surgery (license number reported to NPPES: NE 7303)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Orthopaedic Surgery Specialists in Provo
- Dr. Jonathan Faux, MD
- Dr. Adam Bergeson, MD
- Dr. Evan Nielsen, MD
- Dr. Wayne Mortensen, MD
- Dr. Brady Wilkinson, MD
- Dr. Scott Jackson, MD
Mailing Address
1055 N 500 W, Att: Credentialing
Provo, UT 84604
Phone: 8013548225