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    OpenPayerNPI Medicare & MedicaidKenneth Gilbert
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    Kenneth Gilbert — Billing Profile & Reimbursement Data

    NPI 1801867189 · North Easton, MA · Plastic Surgery Physician

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    Kenneth Gilbert is a plastic surgery physician provider located in North Easton, Massachusetts. This profile covers 12 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationKenneth Gilbert
    Address31 Roche Bros Way Ste 200
    CityNorth Easton
    StateMA
    ZIP02356
    TaxonomyPlastic Surgery Physician
    NPI EnumeratedJanuary 27, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$95.9K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    12032This CPT® code is used for the intermediate repair of wounds to the scalp, axillae, trunk and/or extremities (excluding hands and feet) that are 2.6 to 7.5 cm in size.170$240$39.7K
    11602The provider excises a cancerous (malignant) lesion, including margins, of 1.1 to 2.0 cm in diameter, from the skin of the trunk, arms, or legs.120$100$12K
    12051This CPT® code is used for the intermediate repair of wounds to the face, ears, eyelids, nose, lips, and/or mucous membranes that are 2.5 cm or less in size.30$220$7.3K
    12031This CPT® code is used for the intermediate repair of wounds to the scalp, axillae, trunk, and/or extremities (excluding hands and feet) that are 2.5 cm or less in size.40$200$7.2K
    12052This CPT® code is used for the intermediate repair of wounds to the face, ears, eyelids, nose, lips and/or mucous membranes that are 2.6 to 5.0 cm in size.20$250$5.8K
    11642The provider excises a cancerous (malignant) lesion, including margins, of 1.1 to 2.0 cm in diameter, from the skin of the face, ears, eyelids, nose, lips.40$110$4.7K
    12042This CPT® code is used for the intermediate repair of superficial wounds to the neck, hands, feet, and/or external genitalia that are 2.6 to 7.5 cm in size.20$230$4.6K
    11622The provider excises a cancerous (malignant) lesion, including margins, of 1.1 to 2.0 cm in diameter, from the skin of the scalp, neck, hands, feet, or genitalia (sex organs).30$110$3.7K
    11603The provider excises a cancerous (malignant) lesion, including margins, of 2.1 to 3.0 cm in diameter, from the skin of the trunk, arms, or legs.30$120$3.2K
    11604The provider excises a cancerous (malignant) lesion, including margins, of 3.1 to 4.0 cm in diameter, from the skin of the trunk, arms, or legs.10$190$2.7K

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    12032821030$210$10.4K
    12052355040$140$7.3K
    12042284030$150$4.9K
    1203123020$180$3.9K
    11602617020$110$3.7K
    1205193020$130$3.6K
    116033210020$120$3.5K
    11604132020$170$3.4K
    1164242020$110$3.4K
    1162231020$100$2.5K

    Showing 1–10 of 12

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Kenneth Gilbert, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Anu JayaramanMADermatology Physician$748.5K$0
    Kyung Hee ChangMAMOHS-Micrographic Surgery Physician$526.4K$0
    John CrokeMADermatology Physician$435K$0
    Kerri LiskaMAPhysician Assistant$265.8K$0
    Daniel LooMADermatology Physician$116.8K$0
    Edward HermanCTDermatology Physician$92.2K$0

    Nearby Providers

    Other providers in the same ZIP code as Kenneth Gilbert, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Town Of EastonMAAmbulance$306.3K$695.1K
    James FitzgeraldMAUrology Physician$422.1K$0
    Jason FanueleMAOrthopaedic Surgery Physician$349.6K$0
    Padraic MccahillMAUrology Physician$334.4K$0
    Ryan FrankelMAUrology Physician$304K$0
    David WormanMASpecialist$291.7K$0
    Natalya LopushnyanMAUrology Physician$280.8K$0
    Anthony WongMAPain Medicine Physician$244.6K$0
    Jonathan BrajtbordMAUrology Physician$227K$0
    Kambiz NegahbanMAOphthalmology Physician$214.6K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Massachusetts Distribution
    Kenneth Gilbert — 3 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts