DR. ROBERT RANDALL GIBSON (MD) – Family Medicine Physician, NPI 1700904406

DR. ROBERT RANDALL GIBSON (MD) is a healthcare provider. based in Kotzebue, Alaska. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. A51581 (CA). The NPI Number for DR. ROBERT RANDALL GIBSON (MD) is 1700904406

Main info

Male
Sole Proprietor
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROBERT RANDALL GIBSON (MD)
NPI
1700904406
Phone
(907) 442-7148
Address
PO BOX 470
Enumeration Date
27 March 2007
Last Update Date
8 August 2025

Doctor Profile

Medical School Name
UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Secondary Phone
9078864741
Graduation Year
1987 (39 years ago)
PAC ID
3678516218
Group Practice PAC ID
5890691315
Professional Enrollment ID
I20050606000438
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience80
Completeness85
Years active:19State licenses:3Digital endpointsOther names

Provider Addresses for DR. ROBERT RANDALL GIBSON (MD)

  • PO BOX 470

    KOTZEBUE, AK 997520470

    Phone: (907) 442-7148

    Type: Mailing

  • 212 CARLANNA LAKE RD STE 100

    KETCHIKAN, AK 999015642

    Phone: (907) 228-8140

    Type: Location

  • 14345 CANYON RD

    ANCHORAGE, AK 995166980

    Phone: (907) 952-2695

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2024-01-29 • Largest payer in this snapshot: Exact Sciences Corporation ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-29

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-01-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050606000438IFamily PracticeTXTBD
I20110113000177IFamily PracticeAKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes3431$0
99214Established patient office or other outpatient visit, 30-39 minutes3028$0
36415Insertion of needle into vein for collection of blood sample2926$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count1414$0
80053Blood test, comprehensive group of blood chemicals1312$0
View full utilization report →

Insurance plans in this area (ZIP 99752)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5890691315View full group profile
NameSpecialtyState
Nurse PractitionerTX
Physician AssistantDC
Family PracticeID
Registered Dietitian Or Nutrition ProfessionalAK
Family PracticeAK
Emergency MedicinePA
-AK
Physical Therapist In Private PracticeAK
P S Y C H I A T R YLA
Physical Therapist In Private PracticeAK

Reviews

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Frequently asked questions

Does DR. ROBERT RANDALL GIBSON (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. ROBERT RANDALL GIBSON (MD) uses 1700904406.
Is DR. ROBERT RANDALL GIBSON (MD) listed as active for patients and plans?
The listing shows DR. ROBERT RANDALL GIBSON (MD) as active in the NPI system.
What healthcare role does DR. ROBERT RANDALL GIBSON (MD) hold?
Scheduling teams often label DR. ROBERT RANDALL GIBSON (MD) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. ROBERT RANDALL GIBSON (MD) on a map?
Expect Kotzebue, Alaska as a primary anchor for DR. ROBERT RANDALL GIBSON (MD) unless the record lists multiple sites.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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