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KAITLIN DANIELLE GILBERT PA-C
NPI 1275943938
Physician Assistant in Fredericksburg, VA

Active since May 04, 2014PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1031 CARE WAY, FREDERICKSBURG, VA 22401(540) 371-7600 Get Directions Write a Review

NPPES record last updated: December 19, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kaitlin Danielle Gilbert Pa-c NPPES

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

KAITLIN DANIELLE GILBERT PA-C (NPI 1275943938) is an individual physician assistant in Fredericksburg, Virginia, licensed in Virginia (0110-006973) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS, is affiliated with Sycamore Shoals Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1275943938
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKAITLIN DANIELLE GILBERTCredential: PA-C
Location Address1031 CARE WAYFredericksburg, VA 22401-8425
Mailing Address1031 Care WayFredericksburg, VA 22401-8425 · (540) 371-7600
Phone(540) 371-7600
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 4, 2014
Last NPPES UpdateDecember 19, 2019
✔ NPI 1275943938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in VA · 0110-006973
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.
Also ListedDental HygienistTaxonomy 124Q00000X · License 7580C1 (AL), 7381 (TN)
1031 CARE WAY, Fredericksburg, VA 22401
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, UnitedHealthcare.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

Kaitlin Danielle 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 ID1759716053
PECOS Enrollment IDI20210809002163
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 8

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 hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
72 services57 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.
45 services45 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
42 services29 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
38 services37 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
30 services30 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
29 services29 patients

Hospital Affiliations CMS Care Compare 3

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

Sycamore Shoals Hospital

Acute Care Hospitals · Elizabethton, TN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440018
Location1501 West Elk AvenueElizabethton, TN 37643 · Carter County
Emergency services

Johnson City Medical Center

Acute Care Hospitals · Johnson City, TN
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440063
Location400 N State Of Franklin RdJohnson City, TN 37604 · Washington County
Emergency services Birthing friendly

Franklin Woods Community Hospital

Acute Care Hospitals · Johnson City, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440184
Location300 Med Tech ParkwayJohnson City, TN 37604 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22401 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40

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.

CHERYL ASHANTI PA-C
Physician Assistant
1031 CARE WAY
FREDERICKSBURG, VA 22401
Fredericksburg City (540) 371-7600
LAUREN CRONISE SEARLS DO
Internal Medicine (Gastroenterology)
1031 CARE WAY
FREDERICKSBURG, VA 22401
Fredericksburg City (540) 371-7600
DR. FRANK J DETRANE M.D.
Internal Medicine (Gastroenterology)
1031 CARE WAY
FREDERICKSBURG, VA 22401
Fredericksburg City (540) 371-7600
REHAN AHMED
Physician Assistant
1031 CARE WAY
FREDERICKSBURG, VA 22401
Fredericksburg City (540) 371-7600
STEPHANIE ROSAS PA-C
Physician Assistant
1031 CARE WAY
FREDERICKSBURG, VA 22401
Fredericksburg City (540) 371-7600
AKASH AJMERA M.D.
Internal Medicine (Gastroenterology)
1031 CARE WAY
FREDERICKSBRG, VA 22401
Fredericksburg City (540) 371-2046
MEDSTAR MEDICAL GROUP II LLC
General Practice
1031 CARE WAY
FREDERICKSBURG, VA 22401
Fredericksburg City (202) 877-7108
MONICA SPELLMAN PA
Physician Assistant
1031 CARE WAY
FREDERICKSBURG, VA 22401
Fredericksburg City (540) 371-7600

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 Kaitlin Gilbert's NPI number?

The NPI number for Kaitlin Gilbert is 1275943938. It was assigned to this individual provider in the NPPES registry on May 4, 2014.

Where is Kaitlin Gilbert located?

Kaitlin Gilbert practices at 1031 Care Way, Fredericksburg, VA 22401. The listed phone number is (540) 371-7600.

What is Kaitlin Gilbert's specialty?

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

Is Kaitlin Gilbert enrolled in Medicare?

Yes. Kaitlin 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 Kaitlin Gilbert accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Kaitlin 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 Kaitlin Gilbert affiliated with any hospitals?

According to CMS data, Kaitlin Gilbert is affiliated with Sycamore Shoals Hospital, Johnson City Medical Center and Franklin Woods Community Hospital.

When was this NPI record last updated?

The NPPES record for Kaitlin Gilbert was last updated on December 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.