Medicare Enrolled
Dr. Benjamin Gilbert, MD
Ophthalmology · Chico, CA
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Gilbert from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Gilbert
Dr. Benjamin Gilbert is an ophthalmology specialist in Chico, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Gilbert performed 4,654 Medicare services across 3,859 unique beneficiaries.
Between the years covered by Open Payments, Dr. Gilbert received a total of $3,071 from 28 pharmaceutical and/or device companies across 90 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in ophthalmology. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Gilbert is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 19 years in practice
▲ Top 21% volume in CA
$3,071 industry payments
Medicare Practice Summary
Medicare Utilization ↗4,654
Medicare services
Top 21% in CA for ophthalmology
3,859
Unique beneficiaries
$77
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~245 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
1,191 | $88 | $226 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
802 | $66 | $153 |
| Retinal imaging (OCT scan) This procedure involves imaging the retina to visualize its structure. It is used to examine the back of the eye. |
507 | $30 | $89 |
| Comprehensive eye exam, established patient A comprehensive examination of the visual system performed for a patient who has previously been seen by the provider. |
341 | $82 | $268 |
| Microfluid analysis of tears A laboratory test that analyzes tear fluid using microfluidic technology to measure specific biomarkers. This procedure helps evaluate the composition of tears for diagnostic purposes. |
233 | $22 | $50 |
| Optic nerve imaging (OCT scan) Imaging of the optic nerve. |
223 | $28 | $80 |
| CT scan of cornea A computed tomography scan used to create detailed images of the cornea, the clear front part of the eye. |
202 | $26 | $82 |
| Retinal photography (fundus photo) This procedure involves taking photographs of the retina, the light-sensitive tissue at the back of the eye. It is used to document the condition of the eye's interior structures. |
195 | $27 | $123 |
| Corneal topography and eye depth measurement This procedure measures the curvature and depth of the cornea, the clear front surface of the eye. |
158 | $31 | $170 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
153 | $103 | $342 |
| Cataract surgery with lens implant Surgical removal of the clouded natural lens of the eye and replacement with an artificial prosthetic lens to restore vision. |
148 | $450 | $1,355 |
| Visual field test, extended A test that maps your complete field of vision to detect blind spots or peripheral vision loss. Extended testing provides a more detailed assessment than a standard visual field exam. |
121 | $47 | $138 |
| Eyelash removal with forceps This procedure involves the manual removal of eyelashes using forceps. It is a mechanical extraction method performed on the eyelid area. |
93 | $15 | $87 |
| Laser removal of recurring cataract A laser procedure to remove a recurring cataract within the lens capsule. |
67 | $256 | $704 |
| Tear duct plug insertion A procedure to insert a small plug into the tear duct opening to help retain tears on the eye surface. |
46 | $151 | $422 |
| Comprehensive eye exam, new patient A comprehensive examination of the visual system performed for a new patient. |
37 | $96 | $320 |
| Eye photography Photographic imaging of the interior structures of the eye. |
24 | $16 | $45 |
| Visual field test, limited A test that measures your side (peripheral) vision. This limited version assesses a restricted portion of your visual field. |
21 | $22 | $74 |
| Removal of excessive skin and fat of upper eyelid | 18 | $683 | $2,592 |
| Eye deviation and range of motion exam An examination to measure eye deviation and assess the range of motion of the eyes. |
17 | $38 | $124 |
| Ultrasound scan of cornea to determine thickness An ultrasound procedure used to measure the thickness of the cornea. |
16 | $7 | $33 |
| Eye drainage system examination An examination of the internal drainage system of the eye to assess how fluid flows and drains from the eye. |
16 | $22 | $57 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
13 | $93 | $225 |
| Extended eye exam with retinal drawing A detailed examination of the back of the eye that includes creating a drawing of the retina. |
12 | $19 | $58 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
3.2% high complexity
20.4% medium
76.5% routine
Industry Payment Transparency
Open Payments through 2024 ↗$3,071
Total received (2018-2024)
Avg $439/year across 7 years
Top 34% in CA for ophthalmology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
28
Companies
90
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$3,071 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$648
2023
$355
2022
$237
2021
$395
2020
$271
2019
$149
2018
$1,016
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
RxSight Inc
$209
Glaukos Corporation
$162
ABBVIE INC.
$133
Boston Scientific Corporation
$44
Alcon Vision LLC
$41
Oyster Point Pharma, Inc.
$22
Mallinckrodt Hospital Products Inc.
$22
Tarsus Pharmaceuticals, Inc.
$15
Top 3 companies account for 77.8% of 2024 payments
All-time payments by company (2018-2024) ›
Alcon Laboratories Inc
$919
RxSight Inc
$330
ABBVIE INC.
$276
Aerie Pharmaceuticals, Inc.
$206
Glaukos Corporation
$185
Johnson & Johnson Surgical Vision, Inc.
$183
Alcon Vision LLC
$168
Allergan, Inc.
$120
Eyevance Pharmaceuticals LLC
$102
Merz Pharmaceuticals, LLC
$80
MacuLogix, Inc.
$70
Johnson & Johnson Vision Care, Inc.
$61
Boston Scientific Corporation
$44
Horizon Therapeutics plc
$33
Dompe US, Inc.
$30
Novartis Pharmaceuticals Corporation
$29
Oyster Point Pharma, Inc.
$22
Lombart Brothers, Inc.
$22
Mallinckrodt Hospital Products Inc.
$22
Thea Pharma Inc.
$21
Bausch & Lomb, a division of Bausch Health US, LLC
$21
SUN PHARMACEUTICAL INDUSTRIES INC.
$20
Carl Zeiss Meditec, Inc.
$20
Sun Pharmaceutical Industries Inc.
$19
BIOTISSUE HOLDINGS, INC.
$18
Sight Sciences, Inc.
$17
Bausch & Lomb Americas Inc.
$17
Tarsus Pharmaceuticals, Inc.
$15
Top 3 companies account for 49.7% of all-time payments
Associated products mentioned in payments ›
ACTHAR · AcrySof · AcrySof IQ PanOptix · AcrySof IQ VIVITY · Acuvue · AdaptDx · BIOTRUE ONE DAY · CALLISTO eye · CEQUA · Centurion · Cequa · Clareon · DURYSTA · Flarex · LUMIGAN · LenSx · OMNI Surgical System · OPD-III · Oxervate · PROKERA · RXSIGHT CONTACT LENS · Rhopressa · Rocklatan · SOFPORT AO · TECNIS IOL · TEPEZZA · TYRVAYA · Tecnis IOL · Tecnis Multifocal Family of 1-piece IOLS · Tecnis Simplicity · Tobradex ST · VUITY · WaveWriter Alpha Prime 16 · Whitestart Phacoemulsficiation System · XDEMVY · XEN GLAUCOMA TREATMENT SYSTEM · XIIDRA · Xeomin · Zerviate · iDose · iStent Trabecular Micro-Bypass System Model iS3 · iStent inject W · rhopressa · rocklatan
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Ophthalmologists within 10 mi
17
Per 100K population
8.1
County median income
$68,574
Nearest hospital
ENLOE HEALTH
9.1 mi
9.1 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Gilbert is a clinical cardiology specialist, with above-average Medicare volume (top 21% in CA), with low-engagement industry engagement, with 19 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Gilbert experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Gilbert performed 1,191 office visit, established patient (30-39 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Gilbert receive payments from pharmaceutical companies?
Yes. Dr. Gilbert received a total of $3,071 from 28 companies across 90 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Gilbert's costs compare to other ophthalmologists in Chico?
Dr. Gilbert's average Medicare payment per service is $77. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Gilbert) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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