Active NPI 1033274436 Individual Practitioner Male Practitioner

D. Scott Gilbert , PA-C

Physician Assistant • Somerville, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

D. Gilbert, PA-C is a certified Physician Assistant practicing in Somerville, MA. With approximately 25 years of clinical experience since completing medical education in 2001, D. Gilbert delivers high-quality medical care to the local community at 40 HOLLAND ST.

D. Gilbert is affiliated with Atrius Health Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, aspiration and/or injection of fluid from large joint, injection, methylprednisolone acetate, 40 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

40 Holland St

Somerville, MA 021442705

Telephone 6176547111

Fax 6176296248

Associated Practice Facility / Clinic

🏢 Harvard Vanguard Medical Associates Facility NPI 1881756419

Medicare Profile & Education

Medical School

Other

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Somerville, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs +14.7 yrs vs City Avg

City Avg: 10.3 Yrs

State Avg: 10.0 Yrs

Regional Practice Density

20 Specialists

Practicing in Somerville, MA (4746 Statewide)

Telehealth Adoption Rate

25.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gilbert (25 Years) 25 Yrs

Somerville Specialty Average (10.3 Years) 10.3 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	9,320	72	$0.30	$0.13
20610 Aspiration and/or injection of fluid from large joint	171	103	$249.04	$67.04
J1030 Injection, methylprednisolone acetate, 40 mg	108	43	$17.00	$6.34
99213 Established patient office or other outpatient visit, typically 15 minutes	97	79	$268.21	$84.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	42	$351.74	$118.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$346.00	$103.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	17	$170.00	$53.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	361	83	$17.00	$7.65
20610 Aspiration and/or injection of fluid from large joint	163	89	$272.25	$72.40
99213 Established patient office or other outpatient visit, typically 15 minutes	91	78	$263.38	$84.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$346.00	$104.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	22	$346.00	$119.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	344	88	$17.00	$6.50
20610 Aspiration and/or injection of fluid from large joint	156	91	$266.61	$72.51
99213 Established patient office or other outpatient visit, typically 15 minutes	103	90	$238.00	$86.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$346.00	$106.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	21	$346.00	$122.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$148.00	$53.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	360	104	$17.00	$5.69
20610 Aspiration and/or injection of fluid from large joint	190	113	$250.32	$69.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	98	87	$320.65	$123.89
99213 Established patient office or other outpatient visit, typically 15 minutes	73	52	$220.74	$85.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	60	60	$321.47	$107.41
J1040 Injection, methylprednisolone acetate, 80 mg	32	24	$31.00	$10.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	263	85	$17.00	$6.05
20610 Aspiration and/or injection of fluid from large joint	119	85	$259.20	$67.44
99213 Established patient office or other outpatient visit, typically 15 minutes	88	72	$202.00	$71.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	46	$300.00	$103.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$300.00	$102.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	386	94	$17.00	$6.33
20610 Aspiration and/or injection of fluid from large joint	186	93	$228.96	$62.36
99213 Established patient office or other outpatient visit, typically 15 minutes	114	93	$202.00	$69.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	57	$297.00	$101.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$297.00	$101.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	524	131	$15.00	$6.67
20610 Aspiration and/or injection of fluid from large joint	260	133	$174.73	$61.79
99213 Established patient office or other outpatient visit, typically 15 minutes	136	111	$185.00	$68.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	133	115	$271.00	$101.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	77	77	$273.31	$100.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	596	142	$8.01	$5.69
20610 Aspiration and/or injection of fluid from large joint	300	143	$124.16	$60.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	113	101	$205.50	$98.46
99213 Established patient office or other outpatient visit, typically 15 minutes	85	66	$139.74	$67.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	74	74	$205.26	$99.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$84.00	$40.80
36415 Insertion of needle into vein for collection of blood sample	11	11	$6.00	$2.94

Medical Specialties & State Licenses

CMS Verified: 2020-10-30

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

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

Atrius Health Inc

100 2nd Ave, Needham, MA 024942809

Phone: 7817264800

Atrius Health Inc

40 Holland St, Somerville, MA 021442705

Phone: 6176296000

Atrius Health Inc

133 Brookline Ave, Boston, MA 022153904

Phone: 6174211000

Practice Associates & Co-Workers

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

14 Associated Practitioners

Dr. Andrew Chapman , MD

Orthopaedic Surgery

NPI 1144214776

Doctor of Medicine (M.D.)

Dr. Avi Grunin , MD

Pediatrics - Sports Medicine

NPI 1215195318

Doctor of Medicine (M.D.)

Dr. Louis Bley , MD

Orthopaedic Surgery

NPI 1285724526

Doctor of Medicine (M.D.)

Dr. Jill Ashcraft , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1316205909

Doctor of Podiatric Medicine

Dr. Martin Dolan , MD

Orthopaedic Surgery

NPI 1326088386

Doctor of Medicine (M.D.)

Natalie Oswald , PA-C

Physician Assistant

NPI 1346656360

Physician Assistant (Certified)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address October 30, 2020

Registered at 40 HOLLAND ST, SOMERVILLE, MA 021442705 (Tel: 6176547111)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 40 HOLLAND ST, SOMERVILLE, MA 021442705 (Tel: 6176296000)

📍

Updated Business Mailing Address July 08, 2007

Registered at 147 MILK ST, BOSTON, MA 021094806

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as D. GILBERT, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant

🟢

Initial NPI Registration & Enumeration December 26, 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: 1033274436

Entity Type:

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

Enumeration Date: December 26, 2006

Last Update: October 30, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

40 Holland St

Somerville, MA 021442705

Phone: 6176547111

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.