Active NPI 1265438550 Individual Practitioner Male Practitioner

Michael E Gilbert , PA-C

Physician Assistant • Louisville, KY

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Michael Gilbert, PA-C is a certified Physician Assistant practicing in Louisville, KY. With approximately 35 years of clinical experience since completing medical education in 1991, Michael Gilbert delivers high-quality medical care to the local community at 3615 NEWBURG RD.

Michael Gilbert is affiliated with Aptiva Health and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, established patient outpatient office visit, 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

3615 Newburg Rd

Louisville, KY 402183368

Telephone 5029090772

Fax 8558590123

Associated Practice Facility / Clinic

🏢 Aptiva Health Facility NPI 1669967881

Medicare Profile & Education

Medical School

Other

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Louisville, KY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs +25.4 yrs vs City Avg

City Avg: 9.6 Yrs

State Avg: 12.7 Yrs

Regional Practice Density

345 Specialists

Practicing in Louisville, KY (1973 Statewide)

Telehealth Adoption Rate

6.4% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

83.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gilbert (35 Years) 35 Yrs

Louisville Specialty Average (9.6 Years) 9.6 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
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	429	46	$100.00	$0.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	131	68	$447.71	$99.98
20610 Aspiration and/or injection of fluid from large joint	80	37	$548.44	$60.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$650.00	$131.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	436	49	$100.00	$1.05
20610 Aspiration and/or injection of fluid from large joint	87	40	$517.24	$59.76
99213 Established patient office or other outpatient visit, typically 15 minutes	63	49	$345.24	$68.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	39	$445.00	$95.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$550.00	$88.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	191	30	$84.19	$1.14
99213 Established patient office or other outpatient visit, typically 15 minutes	68	44	$216.18	$72.53
20610 Aspiration and/or injection of fluid from large joint	53	30	$427.36	$60.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	11	$300.00	$95.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$341.67	$90.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	108	65	$236.11	$58.99
J1040 Injection, methylprednisolone acetate, 80 mg	105	51	$58.00	$10.22
99213 Established patient office or other outpatient visit, typically 15 minutes	89	74	$206.84	$70.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	76	63	$293.42	$99.87
72100 X-ray of lower and sacral spine, 2-3 views	31	28	$102.00	$29.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$451.37	$136.36
J1030 Injection, methylprednisolone acetate, 40 mg	24	15	$34.13	$5.30
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	14	11	$85.71	$1.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	280	60	$33.00	$5.89
99213 Established patient office or other outpatient visit, typically 15 minutes	165	121	$208.00	$59.05
20610 Aspiration and/or injection of fluid from large joint	128	66	$205.28	$56.95
72100 X-ray of lower and sacral spine, 2-3 views	45	38	$102.00	$28.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	36	$305.65	$83.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$467.00	$126.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$306.00	$87.37
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	24	13	$3426.00	$1180.68
72040 X-ray of upper spine, 2-3 views	17	17	$91.00	$29.76
73564 X-ray of knee, 4 or more views	13	12	$124.62	$34.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	374	83	$34.00	$6.12
99213 Established patient office or other outpatient visit, typically 15 minutes	203	148	$207.00	$58.25
20610 Aspiration and/or injection of fluid from large joint	167	89	$250.02	$58.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	49	$305.00	$86.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$467.00	$131.11
72100 X-ray of lower and sacral spine, 2-3 views	44	41	$102.00	$27.93
72110 X-ray of lower and sacral spine, minimum of 4 views	28	27	$140.00	$39.10
72050 X-ray of upper spine, 4 or 5 views	24	24	$125.00	$36.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$306.00	$87.08
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	21	13	$3469.76	$1068.29
73030 X-ray of shoulder, minimum of 2 views	16	15	$85.00	$24.98
73564 X-ray of knee, 4 or more views	15	15	$136.80	$40.89
72170 X-ray of pelvis, 1-2 views	12	11	$87.00	$25.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	341	88	$33.60	$6.43
99213 Established patient office or other outpatient visit, typically 15 minutes	170	116	$205.00	$56.65
20610 Aspiration and/or injection of fluid from large joint	164	90	$231.48	$54.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	66	59	$305.00	$81.17
72100 X-ray of lower and sacral spine, 2-3 views	32	27	$102.00	$25.36
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	28	20	$3405.00	$501.15
72050 X-ray of upper spine, 4 or 5 views	28	26	$122.00	$35.12
73564 X-ray of knee, 4 or more views	26	21	$112.15	$31.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$468.00	$131.74
20550 Injection into tendon or ligament	24	17	$182.00	$35.60
72110 X-ray of lower and sacral spine, minimum of 4 views	23	22	$140.00	$33.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$305.00	$82.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	296	82	$15.10	$5.65
99213 Established patient office or other outpatient visit, typically 15 minutes	162	119	$205.00	$56.50
20610 Aspiration and/or injection of fluid from large joint	155	95	$217.34	$51.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	54	$305.00	$82.37
72110 X-ray of lower and sacral spine, minimum of 4 views	39	33	$135.15	$37.47
72100 X-ray of lower and sacral spine, 2-3 views	34	32	$98.09	$25.85
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	25	15	$1397.52	$564.28
72050 X-ray of upper spine, 4 or 5 views	25	24	$122.00	$32.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$468.00	$130.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$305.00	$81.95
73564 X-ray of knee, 4 or more views	18	16	$108.00	$30.42
73030 X-ray of shoulder, minimum of 2 views	17	15	$78.00	$22.25

Medical Specialties & State Licenses

CMS Verified: 2021-09-30

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License KY PA730

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

Medicaid State Provider ID

7100139730 (KY)

Hospital & Practice Group Affiliations

Aptiva Health

737 N Hwy 31e Byp, Mt Washington, KY 400477548

Phone: 5029090772

Aptiva Health

3615 Newburg Rd, Louisville, KY 402183368

Phone: 5029090772

Aptiva Health

3611 Newburg Rd, Louisville, KY 402183368

Phone: 5029090772

Aptiva Health

529 Westport Rd, Elizabethtown, KY 427012923

Phone: 5029090772

Aptiva Health

300 S 13th St, Louisville, KY 402031778

Phone: 5025831011

Secondary Practice Locations

230 Fountain Ct Ste 140

Lexington, KY 405091896

Phone: 5029090772

10100 Linn Station Rd

Louisville, KY 402233861

Phone: 5029090772

300 S 13th St

Louisville, KY 402031778

Phone: 5025831011

Practice Associates & Co-Workers

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

33 Associated Practitioners

Dr. Hannah Richardson , PsyD

Clinical Neuropsychologist

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Doctor of Psychology (Psy.D.)

Anthony Kolter , PT

Physical Therapist

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Physical Therapist

Alice Elliott

Massage Therapist

NPI 1043663164

Sydney Cawvey , PT

Physical Therapist

NPI 1104592773

Physical Therapist

Matthew Holbrook , LPA

Psychologist

NPI 1235884180

Brooke Stacy

Massage Therapist

NPI 1285281113

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location September 30, 2021

Registered at 3615 NEWBURG RD, LOUISVILLE, KY 402183368 (Tel: 5029090772)

📍

Updated Business Mailing Address September 30, 2021

Registered at 3615 NEWBURG RD, LOUISVILLE, KY 402183368 (Tel: 5029090772)

✅

NPI Profile Active November 07, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location November 07, 2016

Registered at 9300 STONESTREET RD, STE 200, LOUISVILLE, KY 402722863 (Tel: 5029358061)

📍

Updated Business Mailing Address November 07, 2016

Registered at PO BOX 776351, CHICAGO, IL 606776351 (Tel: 5025899490)

👤

Provider Name / Credentials Updated November 07, 2016

Recorded as MICHAEL GILBERT, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 07, 2016

Physician Assistant (License #PA730 in KY)

🟢

Initial NPI Registration & Enumeration June 22, 2005

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1265438550

Entity Type:

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

Enumeration Date: June 22, 2005

Last Update: September 30, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3615 Newburg Rd

Louisville, KY 402183368

Phone: 5029090772

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.