MICHAEL E GILBERT PA-C
NPI 1265438550
Physician Assistant in Louisville, KY

Active since June 22, 2005PECOS EnrolledAccepts Medicare Assignment
3615 NEWBURG RD, LOUISVILLE, KY 40218(502) 909-0772(855) 859-0123 Get Directions Write a Review

NPPES record last updated: September 30, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 30, 2021, Jan 12, 2021, Mar 21, 2019 and 1 more (4 updates tracked since 2016).

About Michael E Gilbert Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL E GILBERT PA-C (NPI 1265438550) is an individual physician assistant in Louisville, Kentucky, licensed in Kentucky (PA730) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Hardin, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1265438550
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMICHAEL E GILBERTCredential: PA-C
Location Address3615 NEWBURG RDLouisville, KY 40218-3368
Mailing Address3615 Newburg RdLouisville, KY 40218-3368 · (502) 909-0772 · Fax (855) 859-0123
Fax(855) 859-0123
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateJune 22, 2005
Last NPPES UpdateSeptember 30, 20214 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2021
NPI 1265438550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in KY · PA730
Definition

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.

3615 NEWBURG RD, Louisville, KY 40218

Secondary Practice Locations 3

Location 1230 Fountain Ct Ste 140Lexington, KY 40509-1896 · Phone (502) 909-0772 · Fax (855) 859-0123
Location 210100 Linn Station RdLouisville, KY 40223-3861 · Phone (502) 909-0772 · Fax (855) 859-0123
Location 3300 S 13th StLouisville, KY 40203-1778 · Phone (502) 583-1011 · Fax (855) 859-0123

Other Identifiers 1

Medicaid7100139730KY

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Michael E Gilbert Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193857092
PECOS Enrollment IDI20100712000574
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
429 services46 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
131 services68 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
80 services37 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
22 services22 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Health Hardin

Acute Care Hospitals · Elizabethtown, KY
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number180012
Location913 North Dixie AvenueElizabethtown, KY 42701 · Hardin County
Emergency services

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40218 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) A4595
DME-Other DME · category DE000N
1 supplier12 claims12 services$13.57 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinical Neuropsychologist
3615 NEWBURG RD
LOUISVILLE, KY 40218
Physical Therapist
3615 NEWBURG RD
LOUISVILLE, KY 40218
Physical Therapist
3615 NEWBURG RD
LOUISVILLE, KY 40218
Massage Therapist
3615 NEWBURG RD
LOUISVILLE, KY 40218
Orthopaedic Surgery
3615 NEWBURG RD
LOUISVILLE, KY 40218
Physical Therapist
3615 NEWBURG RD
LOUISVILLE, KY 40218
Specialist/Technologist (Athletic Trainer)
3615 NEWBURG RD
LOUISVILLE, KY 40218
Physical Therapist
3615 NEWBURG RD
LOUISVILLE, KY 40218

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Gilbert's NPI number?

The NPI number for Michael Gilbert is 1265438550. It was assigned to this individual provider in the NPPES registry on June 22, 2005.

Where is Michael Gilbert located?

Michael Gilbert practices at 3615 Newburg Rd, Louisville, KY 40218. The listed phone number is (502) 909-0772.

What is Michael Gilbert's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Michael Gilbert enrolled in Medicare?

Yes. Michael Gilbert is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Michael Gilbert accept?

Health plans from CareSource list Michael Gilbert as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Michael Gilbert affiliated with any hospitals?

According to CMS data, Michael Gilbert is affiliated with Baptist Health Hardin and Norton Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Michael Gilbert was last updated on September 30, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.