Active NPI 1407262868 Individual Practitioner Male Practitioner

James Timothy Gilbert , PA-C

Physician Assistant • Ada, OK

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

James Gilbert, PA-C is a certified Physician Assistant practicing in Ada, OK. With approximately 12 years of clinical experience since completing medical education in 2014, James Gilbert delivers high-quality medical care to the local community at 1921 STONECIPHER DR.

James Gilbert is affiliated with Williams Medical Group Practice, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19), detection test by immunoassay with direct visual observation for influenza virus, detection test by immunoassay with direct visual observation for streptococcus, group a (strep). Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1921 Stonecipher Dr

Ada, OK 748203439

Telephone 5804363980

Fax 5804216283

Associated Practice Facility / Clinic

🏢 Chickasaw Nation Division Of Health Facility NPI 1396923280

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Ada, OK

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

12 Yrs -1.5 yrs vs City Avg

City Avg: 13.5 Yrs

State Avg: 14.2 Yrs

Regional Practice Density

34 Specialists

Practicing in Ada, OK (1911 Statewide)

Telehealth Adoption Rate

11.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gilbert (12 Years) 12 Yrs

Ada Specialty Average (13.5 Years) 13.5 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
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	62	61	$325.00	$38.81
87804 Detection test by immunoassay with direct visual observation for influenza virus	40	20	$27.00	$16.22
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	32	30	$27.00	$15.79
87502 Detection test by nucleic acid for multiple types influenza virus	20	20	$154.00	$89.86
81003 Automated urinalysis test	17	17	$4.00	$2.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	94	91	$27.00	$16.06
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	78	76	$196.54	$40.13
87502 Detection test by nucleic acid for multiple types influenza virus	73	70	$154.00	$91.75
87804 Detection test by immunoassay with direct visual observation for influenza virus	55	28	$27.00	$16.22
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	53	52	$99.72	$33.97
81003 Automated urinalysis test	42	41	$4.00	$2.20
87400 Detection test for Influenza virus, A or B	24	12	$23.00	$13.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	23	$168.00	$90.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$254.00	$130.56
99213 Established patient office or other outpatient visit, typically 15 minutes	18	17	$150.00	$71.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$167.00	$75.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	40	40	$100.00	$41.19
87502 Detection test by nucleic acid for multiple types influenza virus	30	30	$154.00	$93.88
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	23	13	$204.00	$54.67
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	18	17	$27.00	$16.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	129	54	$204.00	$56.87
99239 Hospital discharge day management, more than 30 minutes	34	34	$304.00	$86.02
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	22	$387.00	$110.50
99217 Hospital observation care on day of discharge	11	11	$206.00	$58.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	191	77	$204.00	$59.80
99239 Hospital discharge day management, more than 30 minutes	46	41	$304.00	$88.35
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	34	32	$387.00	$114.11
99217 Hospital observation care on day of discharge	23	21	$206.00	$59.90
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	18	12	$331.44	$86.52
99219 Hospital observation care, typically 50 minutes	11	11	$384.00	$112.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	148	56	$204.00	$57.68
99217 Hospital observation care on day of discharge	23	23	$214.96	$57.92
99239 Hospital discharge day management, more than 30 minutes	23	22	$304.00	$84.78
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$387.00	$109.33
99219 Hospital observation care, typically 50 minutes	16	16	$408.00	$108.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	163	57	$204.00	$58.91
99239 Hospital discharge day management, more than 30 minutes	32	32	$304.00	$88.30
99217 Hospital observation care on day of discharge	17	17	$218.12	$59.97
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	15	$387.00	$109.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	124	55	$184.40	$57.76
99239 Hospital discharge day management, more than 30 minutes	22	22	$286.00	$87.28
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	16	$356.41	$111.82
99217 Hospital observation care on day of discharge	15	15	$206.00	$56.28
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	14	11	$250.00	$85.26

Medical Specialties & State Licenses

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

Williams Medical Group Practice, Llc

12 E Macarthur St, Shawnee, OK 748042135

Phone: 4052751001

Williams Medical Group Practice, Llc

4296 N Harrison St, Shawnee, OK 748041413

Phone: 4057884102

Williams Medical Group Practice, Llc

4296 N Harrison St, Shawnee, OK 748041413

Phone: 4057884102

Williams Medical Group Practice, Llc

220 S Van Buren St, Enid, OK 737035812

Phone: 5802349355

Williams Medical Group Practice, Llc

12 E Macarthur St, Shawnee, OK 748042135

Phone: 4052751001

Williams Medical Group Practice, Llc

220 S Van Buren St, Enid, OK 737035812

Phone: 5802349355

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Joshua Mayo , DDS

Dentist

NPI 1003170887

Doctor of Dental Surgery

Akilah Dunn , APRN-CNP

Nurse Practitioner - Family

NPI 1003505033

Advanced Practice Registered Nurse - Certified Nurse Practitioner

Dr. Lucretia Barker , MD

Obstetrics & Gynecology

NPI 1003817172

Doctor of Medicine (M.D.)

Tanya Hatter

Pharmacy Technician

NPI 1013088616

Travis Teel , PA

Physician Assistant

NPI 1013210830

Physician Assistant

Laura Byous-Schaefer , APRN-CNM

Midwife

NPI 1013509728

APRNCNM

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 06, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location January 06, 2015

Registered at 1921 STONECIPHER DR, ADA, OK 748203439 (Tel: 5804363980)

📍

Updated Business Mailing Address January 06, 2015

Registered at 1921 STONECIPHER DR, ADA, OK 748203439 (Tel: 5804363980)

👤

Provider Name / Credentials Updated January 06, 2015

Recorded as JAMES GILBERT, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2015

Physician Assistant

🟢

Initial NPI Registration & Enumeration July 07, 2014

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: 1407262868

Entity Type:

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

Enumeration Date: July 07, 2014

Last Update: January 06, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1921 Stonecipher Dr

Ada, OK 748203439

Phone: 5804363980

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.