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Active NPI 1275504243 Individual Practitioner Female Practitioner

Tonya T Gilbert , PA-C

Physician Assistant • Novi, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Tonya Gilbert, PA-C is a certified Physician Assistant practicing in Novi, MI. With approximately 32 years of clinical experience since completing medical education in 1994, Tonya Gilbert delivers high-quality medical care to the local community at 41800 W 11 MILE RD STE 109.

Tonya Gilbert is affiliated with Unc Physicians Network Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

41800 W 11 Mile Rd Ste 109

Novi, MI 483751818

Telephone 9107056102
Associated Practice Facility / Clinic
🏢 Theoria Medical Facility NPI 1609362375

Medicare Profile & Education

Medical School

Other

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Novi, MI

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
32 Yrs +20.3 yrs vs City Avg
City Avg: 11.7 Yrs
State Avg: 12.2 Yrs
Regional Practice Density
71 Specialists

Practicing in Novi, MI (7057 Statewide)

Telehealth Adoption Rate
12.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
60.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gilbert (32 Years) 32 Yrs
Novi Specialty Average (11.7 Years) 11.7 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
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes
45 40 $150.00 $59.72
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes
21 15 $150.00 $59.75
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
18 17 $214.00 $86.23

Medical Specialties & State Licenses

CMS Verified: 2025-02-05
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NC 0010-01792

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License MI MG134090

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License PA MA050618

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
1275504243 (PA)

Hospital & Practice Group Affiliations

Unc Physicians Network Llc

509 N Brightleaf Blvd, Smithfield, NC 275774407

Phone: 9199387558

Unc Physicians Network Llc

940 Martin Luther King Jr Blvd, Chapel Hill, NC 275142601

Phone: 9199425123

Secondary Practice Locations

509 N Brightleaf Blvd

Smithfield, NC 275774407

Phone: 9199387558

Practice Associates & Co-Workers

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

35 Associated Practitioners
Denver Moses , NP

Nurse Practitioner - Primary Care

NPI 1003607961

Nurse Practitioner

Lydia Washington , MSN, FNP-C

Nurse Practitioner - Family

NPI 1033545272

Master of Science in Nursing, Family Nurse Practitioner (Certified)

Dr. Garrett Smith , MD

Internal Medicine

NPI 1053519298

Doctor of Medicine (M.D.)

Beatrice Florant Charles , NP

Nurse Practitioner - Family

NPI 1063239267

Nurse Practitioner

Lisa Finley , CNP

Nurse Practitioner - Family

NPI 1063456739

Certified Nurse Practitioner

Juliana Mwose , APRN

Nurse Practitioner

NPI 1134424708

Advanced Practice Registered Nurse

Career & Practice History Timeline

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

12 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 05, 2025

Physician Assistant (License #MG134090 in MI)

📍
Updated Practice Location September 20, 2024

Registered at 41800 W 11 MILE RD STE 109, NOVI, MI 483751818 (Tel: 9107056102)

📍
Updated Business Mailing Address September 20, 2024

Registered at 4504 ALEXANDER VALLEY DR APT 202, CHARLOTTE, NC 282701510 (Tel: 9107056102)

📍
Updated Practice Location August 19, 2024

Registered at 4504 ALEXANDER VALLEY DR APT 202, CHARLOTTE, NC 282701510 (Tel: 9107056102)

📍
Updated Practice Location September 04, 2019

Registered at 14425 GREEN BIRCH DR, PINEVILLE, NC 281349041 (Tel: 1097056102)

📍
Updated Business Mailing Address September 04, 2019

Registered at 14425 GREEN BIRCH DR, PINEVILLE, NC 281349041 (Tel: 9107056102)

NPI Profile Active July 29, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location July 29, 2008

Registered at 1604 BURTNER RD, NATRONA HEIGHTS, PA 150652845 (Tel: 7242303030)

📍
Updated Business Mailing Address July 29, 2008

Registered at 1604 BURTNER RD, NATRONA HEIGHTS, PA 150652845 (Tel: 7242303030)

👤
Provider Name / Credentials Updated July 29, 2008

Recorded as TONYA GILBERT, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 29, 2008

Physician Assistant (License #MA050618 in PA)

🟢
Initial NPI Registration & Enumeration January 30, 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: 1275504243
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 30, 2006
Last Update: February 05, 2025
Sole Proprietor: No

Mailing Address

4504 Alexander Valley Dr Apt 202

Charlotte, NC 282701510

Phone: 9107056102

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.