Active NPI 1881074482 Individual Practitioner Male Practitioner

Benjamin T Gilbert , PA-C

Physician Assistant • West Haven, CT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Benjamin Gilbert, PA-C is a certified Physician Assistant practicing in West Haven, CT. With approximately 11 years of clinical experience since completing medical education in 2015, Benjamin Gilbert delivers high-quality medical care to the local community at 500 ELM ST.

Benjamin Gilbert is affiliated with North Shore Lij Urgent Care Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, critical care, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

500 Elm St

West Haven, CT 065164233

Telephone 2032233511

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in West Haven, CT

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

11 Yrs +1.6 yrs vs City Avg

City Avg: 9.4 Yrs

State Avg: 11.2 Yrs

Regional Practice Density

19 Specialists

Practicing in West Haven, CT (2065 Statewide)

Telehealth Adoption Rate

5.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

91.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gilbert (11 Years) 11 Yrs

West Haven Specialty Average (9.4 Years) 9.4 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
99285 Emergency department visit for life threatening or functioning severity	118	115	$1650.37	$147.52
99284 Emergency department visit with moderate level of medical decision making	78	78	$1118.21	$103.60
99291 Critical care, first 30-74 minutes	38	38	$2128.64	$183.42
99283 Emergency department visit with low level of medical decision making	12	12	$589.41	$61.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	61	60	$1086.59	$106.02
99285 Emergency department visit for life threatening or functioning severity	43	42	$1602.34	$154.18
87804 Detection test by immunoassay with direct visual observation for influenza virus	34	17	$33.00	$16.22
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	30	30	$150.00	$48.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$287.16	$95.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	21	$392.52	$104.29
99291 Critical care, first 30-74 minutes	19	19	$2066.64	$187.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$470.46	$136.15
99283 Emergency department visit with low level of medical decision making	14	14	$586.80	$63.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	75	75	$323.23	$154.00
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	66	66	$123.41	$50.49
87804 Detection test by immunoassay with direct visual observation for influenza virus	64	31	$34.81	$16.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$216.66	$103.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	53	50	$219.09	$118.18
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	39	39	$150.00	$34.97
99213 Established patient office or other outpatient visit, typically 15 minutes	28	27	$148.79	$83.86
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	20	20	$448.25	$203.37
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$312.29	$166.22
81002 Urinalysis, manual test	13	13	$6.23	$3.41
71046 X-ray of chest, 2 views	12	12	$69.33	$32.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	59	57	$1487.61	$161.75
99213 Established patient office or other outpatient visit, typically 15 minutes	40	40	$152.00	$81.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$374.00	$155.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	37	$233.00	$120.00
99202 New patient office or other outpatient visit, typically 20 minutes	24	24	$162.00	$68.49
99284 Emergency department visit with moderate level of medical decision making	24	24	$1020.46	$110.93
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	22	22	$85.00	$51.31
99283 Emergency department visit with low level of medical decision making	20	20	$556.00	$65.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$245.00	$101.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$98.00	$52.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99283 Emergency department visit with low level of medical decision making	22	18	$498.36	$58.58
99285 Emergency department visit for life threatening or functioning severity	19	19	$1377.21	$158.61
99284 Emergency department visit with moderate level of medical decision making	16	16	$845.00	$108.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99283 Emergency department visit with low level of medical decision making	17	15	$438.00	$55.05
99285 Emergency department visit for life threatening or functioning severity	15	15	$1475.60	$154.57
99284 Emergency department visit with moderate level of medical decision making	11	11	$623.00	$104.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	20	19	$623.00	$104.39
99283 Emergency department visit with low level of medical decision making	19	18	$438.00	$55.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99283 Emergency department visit with low level of medical decision making	13	13	$398.00	$55.38
99284 Emergency department visit with moderate level of medical decision making	12	12	$566.00	$104.65
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$119.00	$67.98

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CT 003341

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

North Shore Lij Urgent Care Pc

1011 High Ridge Rd, Stamford, CT 069051604

Phone: 4754772330

North Shore Lij Urgent Care Pc

1240 Ulster Ave, Kingston, NY 124011517

Phone: 8455851270

North Shore Lij Urgent Care Pc

205 Main St, Norwalk, CT 068513530

Phone: 4752576057

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Collin Watson , MD

Internal Medicine

NPI 1083896088

Doctor of Medicine (M.D.)

Heather Cerasale , APRN, FNP

Nurse Practitioner - Family

NPI 1407367113

Advanced Practice Registered Nurse, Family Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active June 24, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location June 24, 2015

Registered at 500 ELM ST, WEST HAVEN, CT 065164233 (Tel: 2032233511)

📍

Updated Business Mailing Address June 24, 2015

Registered at 1111 STRATFORD AVE, APARTMENT 511, STRATFORD, CT 066156344 (Tel: 2032233511)

👤

Provider Name / Credentials Updated June 24, 2015

Recorded as BENJAMIN GILBERT, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2015

Physician Assistant (License #003341 in CT)

🟢

Initial NPI Registration & Enumeration June 09, 2015

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: 1881074482

Entity Type:

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

Enumeration Date: June 09, 2015

Last Update: June 24, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1111 Stratford Ave, Apartment 511

Stratford, CT 066156344

Phone: 2032233511

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.