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BENJAMIN T GILBERT PA-C
NPI 1881074482
Physician Assistant in West Haven, CT

Active since June 09, 2015PECOS EnrolledAccepts Medicare Assignment
500 ELM ST, WEST HAVEN, CT 06516(203) 223-3511 Get Directions Write a Review

NPPES record last updated: June 24, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Benjamin T Gilbert Pa-c NPPES

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

BENJAMIN T GILBERT PA-C (NPI 1881074482) is an individual physician assistant in West Haven, Connecticut, licensed in Connecticut (003341) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1881074482
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBENJAMIN T GILBERTCredential: PA-C
Location Address500 ELM STWest Haven, CT 06516-4233
Mailing Address1111 Stratford Ave, Apartment 511Stratford, CT 06615-6344 · (203) 223-3511
Phone(203) 223-3511
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 9, 2015
Last NPPES UpdateJune 24, 2015
✔ NPI 1881074482 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 CT · 003341
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.
500 ELM ST, West Haven, CT 06516
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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

Benjamin 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 ID3971811183
PECOS Enrollment IDI20151007001278, I20251210000844
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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
118 services115 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
78 services78 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
38 services38 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06516 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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 2

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

COLLIN C WATSON M.D.
Internal Medicine
500 ELM ST
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 479-3600
HEATHER CERASALE APRN, FNP
Nurse Practitioner (Family)
500 ELM ST
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 479-3600

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 Benjamin Gilbert's NPI number?

The NPI number for Benjamin Gilbert is 1881074482. It was assigned to this individual provider in the NPPES registry on June 9, 2015.

Where is Benjamin Gilbert located?

Benjamin Gilbert practices at 500 Elm St, West Haven, CT 06516. The listed phone number is (203) 223-3511.

What is Benjamin Gilbert's specialty?

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

Is Benjamin Gilbert enrolled in Medicare?

Yes. Benjamin 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.

When was this NPI record last updated?

The NPPES record for Benjamin Gilbert was last updated on June 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.