Physician

Abigail Gilbert, MD

According to 2025 Medicare claims, Abigail Gilbert, MD (NPI: 1073748117) practices rheumatology in the Durham-Chapel Hill, NC market, with the plurality of this provider's patient population coming from Orange, NC. This provider's primary affiliated billing organization is UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL (NPI: 1780669200; TIN: 561732213) and primary practice location at 27514-2286. Gilbert is affiliated with the CHESS Genesis, LLC (ACO ID: D0237), participating under the REACH model.

Gilbert's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 177 traditional Medicare patients, billed 341 HCPCS/CPT codes, and received $15,601 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 1,143 prescription claims across 217 beneficiaries totaling $2,790,025 in drug costs, led by Humira(Cf) Pen (Adalimumab). Open Payments data shows 1 records totaling $13. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved up and down with repeated peaks and valleys, starting at $3,547 and ending at $15,601. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $46,840 to $2,790,025. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$11K$22K2017 Medicare payment: $3,547 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $13,072 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $21,572 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $12,539 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $17,866 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $19,245 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $18,395 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $15,601 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
20172730$3,547
2018113162$13,072
2019203278$21,572
2020188228$12,539
2021186256$17,866
2022196262$19,245
2023196245$18,395
2024177341$15,601

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$1.4M$2.8M2015 Drug cost: $46,840 (USD; Tot_Drug_Cst)2016 Drug cost: $40,219 (USD; Tot_Drug_Cst)2017 Drug cost: $89,605 (USD; Tot_Drug_Cst)2018 Drug cost: $211,274 (USD; Tot_Drug_Cst)2019 Drug cost: $549,074 (USD; Tot_Drug_Cst)2020 Drug cost: $1,599,856 (USD; Tot_Drug_Cst)2021 Drug cost: $1,808,891 (USD; Tot_Drug_Cst)2022 Drug cost: $1,918,261 (USD; Tot_Drug_Cst)2023 Drug cost: $2,399,929 (USD; Tot_Drug_Cst)2024 Drug cost: $2,790,025 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20152889$46,840
20161785$40,219
20173078$89,605
201859283$211,274
2019132672$549,074
2020165921$1,599,856
2021169927$1,808,891
20221811,057$1,918,261
20232221,114$2,399,929
20242171,143$2,790,025

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

No connected DME records

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more3232$85
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more1313$74
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more119126$62
G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's111131$12

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Humira(Cf) PenAdalimumab692,058$487,659
Gamunex-CImmune Globul G/Gly/Iga Avg 4613364$455,550
Xeljanz XrTofacitinib Citrate491,710$353,455
StelaraUstekinumab11718$208,755
Enbrel SureclickEtanercept16532$128,419

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.1$13ABIOMED
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Abigail Gilbert, MD?

Tedicare shows public-source Medicare data for Abigail Gilbert, MD (NPI 1073748117), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Abigail Gilbert, MD have ACO affiliation data?

Abigail Gilbert, MD is shown with ACO affiliation data for CHESS Genesis, LLC (REACH, ACO ID D0237).

What billing organization is linked to Abigail Gilbert, MD?

Abigail Gilbert, MD is linked to UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL (billing NPI 1780669200) in the available physician profile data.

Does Abigail Gilbert, MD have Open Payments data?

Abigail Gilbert, MD has 1 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.