Active NPI 1851406870 Individual Practitioner Male Practitioner

Michael D. Gilbertson , PA-C

Physician Assistant • Rockford, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Michael Gilbertson, PA-C is a certified Physician Assistant practicing in Rockford, IL. With approximately 22 years of clinical experience since completing medical education in 2004, Michael Gilbertson delivers high-quality medical care to the local community at 324 ROXBURY RD.

Michael Gilbertson is affiliated with Orthomidwest, Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, x-ray of shoulder, minimum of 2 views, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

324 Roxbury Rd

Rockford, IL 611075090

Telephone 8153817431

Fax 8153817498

Associated Practice Facility / Clinic

🏢 Orthomidwest, Pllc Facility NPI 1730136474

Medicare Profile & Education

Medical School

Other

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Rockford, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs +11.4 yrs vs City Avg

City Avg: 10.6 Yrs

State Avg: 11.7 Yrs

Regional Practice Density

115 Specialists

Practicing in Rockford, IL (4958 Statewide)

Telehealth Adoption Rate

5.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

97.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gilbertson (22 Years) 22 Yrs

Rockford Specialty Average (10.6 Years) 10.6 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
J1010 Injection, methylprednisolone acetate, 1 mg	5,126	112	$0.75	$0.13
73030 X-ray of shoulder, minimum of 2 views	228	199	$76.44	$10.69
20610 Aspiration and/or injection of fluid from large joint	167	139	$293.47	$54.80
99213 Established patient office or other outpatient visit, typically 15 minutes	133	118	$215.00	$73.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	128	114	$318.00	$102.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	69	69	$320.00	$90.10
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	39	38	$4974.06	$23.18
J1030 Injection, methylprednisolone acetate, 40 mg	39	32	$30.00	$6.19
29827 Repair of shoulder rotator cuff using an endoscope	39	38	$9327.10	$143.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	32	$133.21	$45.69
29828 Release of shoulder biceps tendon using an endoscope	29	28	$5876.93	$67.08
29824 Partial removal of collar bone at shoulder using an endoscope	28	27	$3570.64	$28.22
29823 Removal of extensive shoulder joint tissue using an endoscope	24	24	$4819.79	$16.98
23472 Prosthetic repair of shoulder joint, total shoulder	14	14	$11016.40	$194.56
73564 X-ray of knee, 4 or more views	13	12	$99.19	$21.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73030 X-ray of shoulder, minimum of 2 views	205	183	$94.25	$17.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	166	144	$318.00	$104.74
J1030 Injection, methylprednisolone acetate, 40 mg	155	121	$30.00	$7.63
20610 Aspiration and/or injection of fluid from large joint	144	124	$304.00	$56.13
99213 Established patient office or other outpatient visit, typically 15 minutes	94	87	$215.00	$73.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	66	66	$320.00	$92.28
29827 Repair of shoulder rotator cuff using an endoscope	35	35	$9327.10	$142.39
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	34	34	$4576.15	$23.07
23472 Prosthetic repair of shoulder joint, total shoulder	30	30	$10045.30	$195.50
29828 Release of shoulder biceps tendon using an endoscope	28	28	$5438.75	$61.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	25	$142.00	$45.95
29823 Removal of extensive shoulder joint tissue using an endoscope	20	20	$4391.85	$16.83
73564 X-ray of knee, 4 or more views	17	16	$101.00	$19.07
29824 Partial removal of collar bone at shoulder using an endoscope	16	16	$3282.25	$28.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$490.00	$137.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73030 X-ray of shoulder, minimum of 2 views	140	126	$51.90	$8.72
99213 Established patient office or other outpatient visit, typically 15 minutes	135	105	$215.00	$75.58
20610 Aspiration and/or injection of fluid from large joint	95	84	$225.39	$57.67
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	92	19	$6.00	$1.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	85	83	$318.00	$106.49
J1030 Injection, methylprednisolone acetate, 40 mg	83	66	$21.00	$6.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$320.00	$93.72
29827 Repair of shoulder rotator cuff using an endoscope	50	49	$1397.00	$145.43
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	48	48	$1007.75	$23.72
29828 Release of shoulder biceps tendon using an endoscope	41	41	$1102.75	$62.70
29823 Removal of extensive shoulder joint tissue using an endoscope	39	38	$968.50	$17.13
23472 Prosthetic repair of shoulder joint, total shoulder	20	20	$2027.00	$198.88
29824 Partial removal of collar bone at shoulder using an endoscope	19	19	$632.50	$28.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73030 X-ray of shoulder, minimum of 2 views	151	141	$52.59	$8.93
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	108	24	$6.00	$1.20
20610 Aspiration and/or injection of fluid from large joint	97	88	$221.84	$56.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	96	96	$320.00	$94.15
99213 Established patient office or other outpatient visit, typically 15 minutes	88	78	$215.00	$76.43
J1030 Injection, methylprednisolone acetate, 40 mg	81	68	$21.00	$5.70
29827 Repair of shoulder rotator cuff using an endoscope	49	47	$1397.00	$147.99
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	47	46	$1007.75	$24.31
29823 Removal of extensive shoulder joint tissue using an endoscope	42	41	$968.50	$16.99
29828 Release of shoulder biceps tendon using an endoscope	38	37	$1102.75	$65.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	23	$318.00	$108.66
29824 Partial removal of collar bone at shoulder using an endoscope	20	19	$632.50	$28.45
23472 Prosthetic repair of shoulder joint, total shoulder	14	14	$2027.00	$200.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73030 X-ray of shoulder, minimum of 2 views	119	107	$50.87	$8.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	80	80	$320.00	$90.63
29827 Repair of shoulder rotator cuff using an endoscope	68	65	$1397.00	$150.43
J1030 Injection, methylprednisolone acetate, 40 mg	65	53	$21.00	$6.03
29823 Removal of extensive shoulder joint tissue using an endoscope	63	60	$968.50	$29.32
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	62	62	$1007.75	$24.87
20610 Aspiration and/or injection of fluid from large joint	57	53	$226.88	$56.48
23472 Prosthetic repair of shoulder joint, total shoulder	57	54	$2027.00	$204.93
29828 Release of shoulder biceps tendon using an endoscope	52	52	$1102.75	$65.82
99213 Established patient office or other outpatient visit, typically 15 minutes	39	38	$215.00	$62.12
29824 Partial removal of collar bone at shoulder using an endoscope	35	35	$632.50	$28.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$318.00	$91.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73030 X-ray of shoulder, minimum of 2 views	86	79	$56.74	$8.12
29827 Repair of shoulder rotator cuff using an endoscope	68	67	$1397.00	$143.82
29823 Removal of extensive shoulder joint tissue using an endoscope	66	64	$968.50	$21.92
J1030 Injection, methylprednisolone acetate, 40 mg	64	58	$21.00	$6.33
23472 Prosthetic repair of shoulder joint, total shoulder	62	59	$2027.00	$203.38
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	62	61	$1007.74	$24.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$320.00	$90.53
20610 Aspiration and/or injection of fluid from large joint	58	57	$221.14	$53.30
29828 Release of shoulder biceps tendon using an endoscope	52	51	$1102.74	$62.85
99213 Established patient office or other outpatient visit, typically 15 minutes	49	45	$215.00	$61.78
29824 Partial removal of collar bone at shoulder using an endoscope	35	35	$632.50	$28.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	29	$318.00	$90.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$129.00	$37.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73030 X-ray of shoulder, minimum of 2 views	109	100	$54.07	$8.00
J1030 Injection, methylprednisolone acetate, 40 mg	83	74	$19.46	$6.65
20610 Aspiration and/or injection of fluid from large joint	74	72	$234.39	$52.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	70	70	$294.03	$89.28
29827 Repair of shoulder rotator cuff using an endoscope	58	58	$1282.41	$141.16
29823 Removal of extensive shoulder joint tissue using an endoscope	51	51	$882.32	$20.71
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	51	51	$901.30	$23.95
29828 Release of shoulder biceps tendon using an endoscope	46	46	$1029.23	$63.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	43	$308.33	$88.69
23472 Prosthetic repair of shoulder joint, total shoulder	40	38	$1759.50	$198.35
29824 Partial removal of collar bone at shoulder using an endoscope	30	30	$632.13	$28.46
99213 Established patient office or other outpatient visit, typically 15 minutes	30	29	$205.53	$58.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73030 X-ray of shoulder, minimum of 2 views	53	51	$53.00	$7.98
23472 Prosthetic repair of shoulder joint, total shoulder	52	51	$1492.00	$199.88
29827 Repair of shoulder rotator cuff using an endoscope	51	50	$1270.75	$141.57
29823 Removal of extensive shoulder joint tissue using an endoscope	47	47	$735.00	$22.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$219.00	$88.88
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	37	36	$705.50	$24.52
20610 Aspiration and/or injection of fluid from large joint	34	32	$274.99	$50.45
J1030 Injection, methylprednisolone acetate, 40 mg	34	32	$13.00	$5.82
29828 Release of shoulder biceps tendon using an endoscope	34	33	$891.25	$61.10
29824 Partial removal of collar bone at shoulder using an endoscope	27	27	$737.50	$28.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$214.00	$88.23
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$144.00	$60.04

Medical Specialties & State Licenses

CMS Verified: 2023-08-21

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085-002343

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Rr Medicare

P00271757 (IL)

Hospital & Practice Group Affiliations

Orthomidwest, Pllc

770 Beloit Rd, Belvidere, IL 610081745

Phone: 8153989491

Orthomidwest, Pllc

324 Roxbury Rd, Rockford, IL 611075090

Phone: 8153989491

Orthomidwest, Pllc

5875 E Riverside Blvd, Rockford, IL 611144937

Phone: 8153989491

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Liza Shirani , MD

Anesthesiology

NPI 1003158403

Doctor of Medicine (M.D.)

Mariola Grzeszczyk , APRN

Nurse Practitioner

NPI 1003425463

Advanced Practice Registered Nurse

Dr. William Weems , MD

Anesthesiology

NPI 1003856295

Doctor of Medicine (M.D.)

Dr. Douglas Pacaccio , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1013005867

Doctor of Podiatric Medicine

Dr. Kelly Brinkman , DPT

Physical Therapist

NPI 1023398179

Doctor of Physical Therapy

Amanda Foit , NP

Nurse Practitioner

NPI 1023426475

Nurse Practitioner

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address August 21, 2023

Registered at PO BOX 735263, CHICAGO, IL 606735263

✅

NPI Profile Active June 05, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location June 05, 2014

Registered at 324 ROXBURY RD, ROCKFORD, IL 611075090 (Tel: 8153817431)

📍

Updated Business Mailing Address June 05, 2014

Registered at BOX 78534, MILWAUKEE, WI 53278 (Tel: 8153817431)

👤

Provider Name / Credentials Updated June 05, 2014

Recorded as MICHAEL GILBERTSON, P.A.-C.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2014

Physician Assistant (License #085-002343 in IL)

🟢

Initial NPI Registration & Enumeration August 20, 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: 1851406870

Entity Type:

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

Enumeration Date: August 20, 2006

Last Update: August 21, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 735263

Chicago, IL 606735263

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

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