Active NPI 1811930118 Individual Practitioner Male Practitioner

Dr. Benjamin Neal Gilbert , MD

Ophthalmology • Chico, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Benjamin Gilbert, MD is a certified Ophthalmology practicing in Chico, CA. With approximately 37 years of clinical experience since graduating from Georgetown University School Of Medicine in 1989, Dr. Gilbert delivers high-quality medical care to the local community at 3401 ESPLANADE.

Dr. Gilbert is affiliated with Chico Eye Center Medical Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, imaging of retina, microfluid analysis of tears. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3401 Esplanade

Chico, CA 959730207

Telephone 5308951727

Fax 5308951506

Associated Practice Facility / Clinic

🏢 Chico Eye Center Medical Group Facility NPI 1093756496

Medicare Profile & Education

Medical School

Georgetown University School Of Medicine

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Chico, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

37 Yrs +11.5 yrs vs City Avg

City Avg: 25.5 Yrs

State Avg: 29.5 Yrs

Regional Practice Density

13 Specialists

Practicing in Chico, CA (3116 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

57.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gilbert (37 Years) 37 Yrs

Chico Specialty Average (25.5 Years) 25.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,241	1,042	$226.00	$136.37
99213 Established patient office or other outpatient visit, typically 15 minutes	796	498	$153.00	$97.09
92134 Imaging of retina	478	441	$89.00	$42.70
83861 Microfluid analysis of tears	348	172	$50.00	$22.03
92014 Established patient complete exam of visual system	330	327	$268.00	$135.12
92250 Photography of the retina	241	237	$123.00	$39.56
92025 Ct scan of cornea	228	197	$82.00	$39.39
92133 Imaging of optic nerve	204	200	$80.00	$38.84
92136 Measurement of corneal curvature and depth of eye	167	120	$170.00	$43.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	134	134	$342.00	$175.63
66984 Removal of cataract with insertion of lens	126	77	$1355.00	$573.93
92083 Exam of visual field with extended testing	124	117	$138.00	$69.54
68761 Closure of tear duct opening using plug	119	103	$459.63	$204.98
67820 Removal of eyelashes using forceps	98	49	$87.00	$20.33
92283 Extended color vision examination	88	88	$150.00	$59.86
66821 Removal of recurring cataract in lens capsule using a laser	77	60	$704.00	$335.10
92004 New patient complete exam of visual system	35	35	$320.00	$160.04
92071 Fitting of contact lens for treatment of eye surface disease	29	15	$80.00	$39.45
92020 Examination of cornea and iris using lens device and slit lamp	26	23	$57.00	$29.63
92285 Photography of content of eyes	23	23	$45.00	$24.68
66982 Complex removal of cataract with insertion of prosthetic lens	19	14	$1679.00	$775.45
92284 Evaluation of eye adaptation to light and dark with interpretation and report	18	18	$151.00	$41.99
92081 Exam of visual field with limited testing	17	17	$74.00	$32.69
15823 Removal of excessive skin and fat of upper eyelid	15	15	$2592.00	$887.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,191	1,042	$226.00	$132.14
99213 Established patient office or other outpatient visit, typically 15 minutes	802	497	$153.00	$93.45
92134 Imaging of retina	507	481	$89.00	$41.55
92014 Established patient complete exam of visual system	341	338	$267.88	$133.22
83861 Microfluid analysis of tears	233	124	$50.00	$22.03
92133 Imaging of optic nerve	223	220	$80.00	$38.60
92025 Ct scan of cornea	202	184	$82.00	$38.09
92250 Photography of the retina	195	189	$123.00	$39.24
92136 Measurement of corneal curvature and depth of eye	158	109	$170.00	$41.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	153	153	$342.00	$171.92
66984 Removal of cataract with insertion of lens	148	87	$1355.00	$562.22
92083 Exam of visual field with extended testing	121	115	$138.00	$66.83
67820 Removal of eyelashes using forceps	93	49	$87.00	$20.98
66821 Removal of recurring cataract in lens capsule using a laser	67	61	$704.00	$321.46
68761 Closure of tear duct opening using plug	46	40	$421.70	$190.74
92004 New patient complete exam of visual system	37	37	$320.00	$154.64
92285 Photography of content of eyes	24	23	$45.00	$23.56
92081 Exam of visual field with limited testing	21	20	$74.00	$32.29
15823 Removal of excessive skin and fat of upper eyelid	18	18	$2592.00	$864.47
92060 Exam to measure eye deviation and range of motion	17	16	$124.00	$67.16
76514 Ultrasound scan of cornea to determine thickness	16	16	$33.00	$11.22
92020 Examination of cornea and iris using lens device and slit lamp	16	15	$57.00	$29.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$225.00	$116.00
92201 Extended exam of the back part of the eye with retinal drawing	12	12	$58.00	$25.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	939	811	$226.00	$133.88
99213 Established patient office or other outpatient visit, typically 15 minutes	729	439	$153.10	$94.61
92134 Imaging of retina	481	458	$89.00	$42.09
92014 Established patient complete exam of visual system	415	413	$267.90	$133.80
83861 Microfluid analysis of tears	311	163	$50.00	$22.23
92136 Measurement of corneal curvature and depth of eye	246	152	$170.00	$43.66
92133 Imaging of optic nerve	236	231	$80.00	$38.85
92025 Ct scan of cornea	214	193	$82.00	$37.92
66984 Removal of cataract with insertion of lens	203	118	$1355.00	$559.30
92250 Photography of the retina	148	146	$123.00	$39.06
92083 Exam of visual field with extended testing	142	137	$138.00	$67.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	101	101	$342.00	$173.89
66821 Removal of recurring cataract in lens capsule using a laser	82	68	$712.59	$326.83
67820 Removal of eyelashes using forceps	43	25	$97.12	$19.94
68761 Closure of tear duct opening using plug	39	30	$399.54	$159.90
92285 Photography of content of eyes	21	21	$45.00	$24.11
92004 New patient complete exam of visual system	21	21	$320.00	$158.82
76514 Ultrasound scan of cornea to determine thickness	16	16	$33.00	$11.46
92020 Examination of cornea and iris using lens device and slit lamp	16	14	$57.00	$29.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$225.00	$116.92
66982 Complex removal of cataract with insertion of prosthetic lens	14	11	$1679.00	$774.35
92081 Exam of visual field with limited testing	13	13	$74.00	$31.34
92201 Extended exam of the back part of the eye with retinal drawing	12	12	$58.00	$25.86
15823 Removal of excessive skin and fat of upper eyelid	11	11	$2592.00	$807.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	864	555	$153.00	$95.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	774	641	$226.00	$135.77
92014 Established patient complete exam of visual system	600	595	$268.00	$134.97
92134 Imaging of retina	496	464	$89.00	$42.81
83861 Microfluid analysis of tears	364	195	$50.00	$22.48
92133 Imaging of optic nerve	267	261	$80.00	$39.43
92025 Ct scan of cornea	202	184	$81.79	$38.84
92136 Measurement of corneal curvature and depth of eye	199	133	$169.66	$48.12
92250 Photography of the retina	185	184	$123.00	$41.79
66984 Removal of cataract with insertion of lens	171	102	$1355.00	$567.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	140	140	$342.00	$175.31
92083 Exam of visual field with extended testing	137	134	$138.00	$68.06
67820 Removal of eyelashes using forceps	90	58	$107.30	$25.97
66821 Removal of recurring cataract in lens capsule using a laser	52	46	$704.00	$328.20
92004 New patient complete exam of visual system	39	39	$320.00	$160.65
68761 Closure of tear duct opening using plug	25	18	$356.16	$140.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$225.00	$117.58
92285 Photography of content of eyes	20	18	$45.00	$24.33
92012 Established patient problem focused exam of visual system	19	19	$187.00	$90.79
92201 Extended exam of the back part of the eye with retinal drawing	16	16	$58.00	$26.15
92081 Exam of visual field with limited testing	14	13	$74.00	$32.19
76514 Ultrasound scan of cornea to determine thickness	13	13	$33.00	$11.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	900	884	$268.00	$134.48
99213 Established patient office or other outpatient visit, typically 15 minutes	577	398	$153.00	$78.73
92134 Imaging of retina	433	403	$89.00	$42.89
83861 Microfluid analysis of tears	425	218	$50.00	$22.33
92012 Established patient problem focused exam of visual system	286	230	$187.00	$94.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	270	239	$226.00	$114.59
92133 Imaging of optic nerve	229	223	$80.00	$39.67
92250 Photography of the retina	165	163	$123.00	$48.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	163	163	$342.00	$172.20
92025 Ct scan of cornea	150	136	$82.00	$38.98
92136 Measurement of corneal curvature and depth of eye	129	85	$170.00	$53.25
66984 Removal of cataract with insertion of lens	120	71	$1355.00	$566.96
92083 Exam of visual field with extended testing	116	114	$138.00	$68.21
67820 Removal of eyelashes using forceps	70	48	$115.59	$32.44
68761 Closure of tear duct opening using plug	46	27	$352.57	$142.33
66821 Removal of recurring cataract in lens capsule using a laser	44	37	$704.00	$333.17
92285 Photography of content of eyes	22	21	$45.00	$22.78
92201 Extended exam of the back part of the eye with retinal drawing	21	21	$58.00	$26.58
76514 Ultrasound scan of cornea to determine thickness	15	14	$33.00	$12.28
92004 New patient complete exam of visual system	15	15	$320.00	$159.31
92081 Exam of visual field with limited testing	14	12	$74.00	$33.40
92071 Fitting of contact lens for treatment of eye surface disease	14	13	$80.00	$39.83
92002 New patient problem focused exam of visual system	14	14	$178.00	$90.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	984	946	$268.00	$133.62
99213 Established patient office or other outpatient visit, typically 15 minutes	701	438	$153.00	$77.31
92134 Imaging of retina	542	494	$89.00	$42.74
83861 Microfluid analysis of tears	297	145	$50.00	$22.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	270	235	$226.00	$113.51
92133 Imaging of optic nerve	237	231	$80.00	$39.13
92012 Established patient problem focused exam of visual system	222	191	$187.00	$93.10
92136 Measurement of corneal curvature and depth of eye	208	146	$170.00	$58.56
66984 Removal of cataract with insertion of lens	207	123	$1355.00	$644.77
92025 Ct scan of cornea	206	180	$82.00	$39.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	189	189	$342.00	$170.39
92250 Photography of the retina	137	134	$123.00	$53.54
92083 Exam of visual field with extended testing	131	129	$136.49	$67.43
67820 Removal of eyelashes using forceps	102	58	$117.71	$42.82
66821 Removal of recurring cataract in lens capsule using a laser	50	41	$704.00	$322.86
92071 Fitting of contact lens for treatment of eye surface disease	25	19	$76.80	$39.79
92285 Photography of content of eyes	23	22	$45.00	$23.10
68761 Closure of tear duct opening using plug	22	19	$375.82	$176.78
0191T Internal insertion of eye fluid drainage device	20	12	$1600.00	$220.11
66711 Destruction of tissue encircling lens using an endoscope	19	12	$1366.00	$626.70
76514 Ultrasound scan of cornea to determine thickness	18	18	$33.00	$12.62
92020 Examination of cornea and iris using lens device and slit lamp	18	16	$57.00	$29.24
66982 Complex removal of cataract with insertion of prosthetic lens	16	12	$1679.00	$835.62
92225 Examination of eye by ophthalmoscope with retinal drawing	14	14	$58.00	$29.23
92004 New patient complete exam of visual system	12	12	$320.00	$159.83
92081 Exam of visual field with limited testing	12	12	$74.00	$33.92
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$303.00	$151.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$225.00	$112.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	954	918	$258.88	$131.90
99213 Established patient office or other outpatient visit, typically 15 minutes	733	451	$148.44	$75.33
92134 Imaging of retina	484	441	$88.25	$43.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	346	304	$215.42	$111.27
83861 Microfluid analysis of tears	254	126	$50.00	$22.03
92133 Imaging of optic nerve	224	219	$80.89	$39.43
92136 Measurement of corneal curvature and depth of eye	214	138	$170.79	$55.56
66984 Removal of cataract with insertion of lens	211	120	$1346.21	$628.62
92012 Established patient problem focused exam of visual system	164	143	$182.12	$91.74
92025 Ct scan of cornea	163	141	$80.39	$39.39
92250 Photography of the retina	161	153	$129.35	$60.27
92083 Exam of visual field with extended testing	123	122	$144.30	$66.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	114	114	$333.70	$168.79
67820 Removal of eyelashes using forceps	78	37	$122.06	$49.14
66821 Removal of recurring cataract in lens capsule using a laser	53	48	$698.43	$329.46
92004 New patient complete exam of visual system	52	52	$308.46	$158.52
68761 Closure of tear duct opening using plug	48	31	$344.29	$142.04
92071 Fitting of contact lens for treatment of eye surface disease	24	16	$77.71	$39.21
66982 Complex removal of cataract with insertion of prosthetic lens	22	16	$1653.00	$781.22
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	21	21	$427.14	$212.24
0191T Internal insertion of eye fluid drainage device	19	11	$1600.00	$216.42
66711 Destruction of tissue encircling lens using an endoscope	19	11	$1347.47	$618.82
92020 Examination of cornea and iris using lens device and slit lamp	17	16	$56.29	$28.02
64612 Injection of chemical for paralysis of nerve muscles on side of face	17	11	$302.59	$141.16
92285 Photography of content of eyes	16	15	$45.13	$18.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$215.67	$110.80
92081 Exam of visual field with limited testing	14	14	$74.00	$36.35
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$291.82	$149.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	959	914	$234.00	$129.22
99213 Established patient office or other outpatient visit, typically 15 minutes	621	384	$133.00	$75.24
92134 Imaging of retina	450	412	$86.00	$42.24
92012 Established patient problem focused exam of visual system	375	277	$162.00	$89.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	311	268	$196.00	$110.80
92133 Imaging of optic nerve	257	255	$84.00	$38.89
92136 Measurement of corneal curvature and depth of eye	232	163	$176.00	$69.53
66984 Removal of cataract with insertion of lens	212	123	$1364.00	$651.73
92083 Exam of visual field with extended testing	170	162	$168.29	$67.60
92250 Photography of the retina	167	158	$154.00	$69.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	119	119	$299.00	$168.58
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	95	92	$81.00	$45.36
92025 Ct scan of cornea	89	72	$72.00	$38.76
68761 Closure of tear duct opening using plug	81	52	$298.02	$133.73
67820 Removal of eyelashes using forceps	78	43	$113.27	$56.83
66821 Removal of recurring cataract in lens capsule using a laser	64	57	$593.00	$324.92
92004 New patient complete exam of visual system	33	33	$280.00	$156.19
76514 Ultrasound scan of cornea to determine thickness	29	28	$29.00	$14.87
66982 Complex removal of cataract with insertion of prosthetic lens	27	18	$1887.00	$789.15
92285 Photography of content of eyes	21	19	$47.00	$19.72
92020 Examination of cornea and iris using lens device and slit lamp	13	12	$51.00	$28.07
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$262.00	$149.12
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$370.00	$211.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$197.00	$111.20

Medical Specialties & State Licenses

CMS Verified: 2022-12-21

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License CA G85718

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00G857180 (CA)

Hospital & Practice Group Affiliations

Chico Eye Center Medical Group

3401 Esplanade, Chico, CA 959730207

Phone: 5308951727

Chico Eye Center Medical Group

605 W E Ave, Chico, CA 959267201

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

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Doctor of Medicine (M.D.)

Dr. Steven Warne , OD

Optometrist

NPI 1154632529

Doctor of Optometry

Dr. Jaskiran Grewal , OD

Optometrist

NPI 1376295808

Doctor of Optometry

Dr. Kristiane Ransbarger , MD

Ophthalmology

NPI 1437337532

Doctor of Medicine (M.D.)

Dr. Marina Rocchi , OD

Optometrist

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Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location April 28, 2023

Registered at 3401 ESPLANADE, CHICO, CA 959730207 (Tel: 5308951727)

📍

Updated Business Mailing Address April 28, 2023

Registered at 3401 ESPLANADE, CHICO, CA 959730207 (Tel: 5308951727)

✅

NPI Profile Active July 01, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location July 01, 2016

Registered at 605 W EAST AVENUE, CHICO, CA 959267201 (Tel: 5308951727)

📍

Updated Business Mailing Address July 01, 2016

Registered at 605 W EAST AVENUE, CHICO, CA 959267201 (Tel: 5308951727)

👤

Provider Name / Credentials Updated July 01, 2016

Recorded as BENJAMIN GILBERT, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2016

Ophthalmology (License #G85718 in CA)

🟢

Initial NPI Registration & Enumeration June 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1811930118

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 14, 2006

Last Update: July 25, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3401 Esplanade

Chico, CA 959730207

Phone: 5308951727

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.