TONYA T GILBERT PA-C
NPI 1275504243
Physician Assistant in Novi, MI

Active since January 30, 2006PECOS EnrolledAccepts Medicare Assignment
41800 W 11 MILE RD STE 109, NOVI, MI 48375(910) 705-6102 Get Directions Write a Review

NPPES record last updated: February 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 5, 2025, Sep 20, 2024, Sep 11, 2024 and 2 more (5 updates tracked since 2019).

About Tonya T Gilbert Pa-c NPPES

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

TONYA T GILBERT PA-C (NPI 1275504243) is an individual physician assistant in Novi, Michigan, licensed in North Carolina (0010-01792) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Smithfield, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1275504243
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTONYA T GILBERTCredential: PA-C
Location Address41800 W 11 MILE RD STE 109Novi, MI 48375-1818
Mailing Address4504 Alexander Valley Dr Apt 202Charlotte, NC 28270-1510 · (910) 705-6102
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateJanuary 30, 2006
Last NPPES UpdateFebruary 5, 20255 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2025
NPI 1275504243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in NC · 0010-01792 Licensed in MI · MG134090 Licensed in PA · MA050618
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.
41800 W 11 MILE RD STE 109, Novi, MI 48375

Secondary Practice Location 1

Location 1509 N Brightleaf BlvdSmithfield, NC 27577-4407 · Phone (919) 938-7558 · Fax (919) 934-7554

Other Identifiers 1

Medicaid1275504243PA

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

Tonya T 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 ID6709826787
PECOS Enrollment IDI20090804000276
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 3

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
45 services40 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
21 services15 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
18 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48375 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

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.

Nurse Practitioner (Primary Care)
41800 W 11 MILE RD STE 109
NOVI, MI 48375
Nurse Practitioner (Family)
41800 W 11 MILE RD STE 109
NOVI, MI 48375
Internal Medicine
41800 W 11 MILE RD STE 109
NOVI, MI 48375
Nurse Practitioner (Family)
41800 W 11 MILE RD STE 109
NOVI, MI 48375
Nurse Practitioner (Family)
41800 W 11 MILE RD STE 109
NOVI, MI 48375
Internal Medicine
41800 W 11 MILE RD STE 109
NOVI, MI 48375
Internal Medicine
41800 W 11 MILE RD STE 109
NOVI, MI 48375
Nurse Practitioner
41800 W 11 MILE RD STE 109
NOVI, MI 48375

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 Tonya Gilbert's NPI number?

The NPI number for Tonya Gilbert is 1275504243. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Where is Tonya Gilbert located?

Tonya Gilbert practices at 41800 W 11 Mile Rd Ste 109, Novi, MI 48375. The listed phone number is (910) 705-6102.

What is Tonya Gilbert's specialty?

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

Is Tonya Gilbert enrolled in Medicare?

Yes. Tonya 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 Tonya Gilbert accept?

Health plans from Blue Cross and Blue Shield of NC and McLaren Health Plan Community list Tonya 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.

When was this NPI record last updated?

The NPPES record for Tonya Gilbert was last updated on February 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.