Tonya Gilbert, PA-C
NPI 1275504243 · Physician Assistant · Novi, MI
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tonya Gilbert, PA-C is a Physician Assistant provider in Novi, MI (NPI 1275504243).
Provider details
- NPI number
- 1275504243
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- MG134090 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
84 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Nursing Facility Care With Straightforward Level of Medical Decision Making, Per Day, If Using Time, 20 Minutes Or More99308 | 45 | $60 |
| Subsequent Nursing Facility Care With Straightforward Level of Medical Decision Making, Per Day, If Using Time, 20 Minutes Or More99308 | 21 | $60 |
| Subsequent Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes99309 | 18 | $86 |
Typical Medicare-allowed amounts for these services range $60–$86 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$102 across 3 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 509 N Brightleaf BlvdSmithfield, NC 27577-4407Phone: (919) 938-7558Fax: (919) 934-7554
Registry dates
- Enumerated
- 2006-01-30
- Last updated
- 2025-02-05
- Certified
- 2025-02-05
Frequently asked questions
- What is Tonya Gilbert's NPI number?
- Tonya Gilbert's National Provider Identifier (NPI) is 1275504243, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tonya Gilbert's specialty?
- Tonya Gilbert is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Tonya Gilbert located?
- Tonya Gilbert's practice location on file with NPPES is 41800 W 11 Mile Rd Ste 109, Novi, MI 48375-1818.
- What is Tonya Gilbert's phone number?
- The practice phone number listed in the NPPES registry for Tonya Gilbert is (910) 705-6102.
- Does Tonya Gilbert accept Medicare?
- Tonya Gilbert is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tonya Gilbert's NPI active?
- Yes — Tonya Gilbert's NPI (1275504243) is active in the NPPES registry as of the last update on 2025-02-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.