TONYA T GILBERT PA-C
NPI 1275504243
Physician Assistant in Raleigh, NC
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 Raleigh, North Carolina, licensed in North Carolina (0010-01792) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1994).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Other Identifiers 1
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.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27609 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RALEIGH, NC 27609
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 4030 Wake Forest Rd # 349, Raleigh, NC 27609. The listed phone number is (980) 221-7944.
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 August 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.
# Tonya T Gilbert, PA-C · NPI 1275504243
Physician Assistant physician in Raleigh, North Carolina. Individual provider, active in the CMS NPPES registry since January 30, 2006.
## Identity
- **NPI:** 1275504243 (Entity type: Individual)
- **Enumerated:** January 30, 2006
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 0010-01792 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 4030 WAKE FOREST RD # 349, Raleigh, NC 27609-0010
- **Phone:** (980) 221-7944
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 1994
## Record status
- **NPPES last updated:** August 10, 2026
- **Other identifiers:** Medicaid 1275504243 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1275504243) · Data from the CMS NPPES public registry.