DOUGLAS W GIBSON (MD) – Diagnostic Radiology Physician, NPI 1447245030

DOUGLAS W GIBSON (MD) is a healthcare provider. based in Farmington, Connecticut. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 017099 (CT). The NPI Number for DOUGLAS W GIBSON (MD) is 1447245030

Main info

Male
55 Years Of Experience
Accepts Medicare Assignment
Name
DOUGLAS W GIBSON (MD)
NPI
1447245030
Phone
(860) 679-7503
Address
263 FARMINGTON AVE
Enumeration Date
20 September 2005
Last Update Date
26 September 2022

Doctor Profile

Medical School Name
GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8606793692
Graduation Year
1971 (55 years ago)
PAC ID
4082656525
Group Practice PAC ID
3678472016
Professional Enrollment ID
I20050525000640
Address ID
CT060300001FA263XXAVEX300

Contacts

Secure Messaging
dgibson10758@direct.med.uchc.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

805 DIAGNOSTIC RADIOLOGY in CT

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Provider Addresses for DOUGLAS W GIBSON (MD)

  • University of Connecticut Health Center, 263, Farmington Avenue, Oakland Gardens, Farmington, Capitol Planning Region, Connecticut, 06030, United States

    PROVIDER ENROLLMENT

    FARMINGTON, CT 060302212

    Phone: (860) 679-7503

    Fax: (860) 679-1610

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2005-05-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20050525000640IDiagnostic RadiologyCTTBD

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
71046X-ray of chest, 2 views943819$0
71045X-ray of chest, 1 view910592$0
74018X-ray of abdomen, 1 view264159$0
72100X-ray of lower and sacral spine, 2-3 views178160$0
73030X-ray of shoulder, minimum of 2 views126114$0
View full utilization report →

Insurance plans in this area (ZIP 06030)

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Provider's Procedures

DOUGLAS W GIBSON (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYCT71010X-ray of chest, 1 view, front637448
DIAGNOSTIC RADIOLOGYCT73630X-ray of foot, minimum of 3 views1111
DIAGNOSTIC RADIOLOGYCT74177CT scan of abdomen and pelvis with contrast5959
DIAGNOSTIC RADIOLOGYCT93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers3939

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: 3678472016View full group profile
NameSpecialtyState
N E U R O S U R G E R YNY
E N D O C R I N O L O G YVA
Orthopedic SurgeryCT
Orthopedic SurgeryCT
Endocrinology, Internal MedicineCT
Critical Care (Intensivists)CT
Hospitalist, Internal MedicineCT
Gynecological OncologyNY
Physician AssistantCT
Hand Surgery, Orthopedic SurgeryCT

Reviews

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Frequently asked questions

Can I cross-check DOUGLAS W GIBSON (MD) using NPI 1447245030?
NPI 1447245030 belongs to DOUGLAS W GIBSON (MD); compare other details if you need extra assurance.
Is DOUGLAS W GIBSON (MD) still an active registrant?
DOUGLAS W GIBSON (MD) carries an active NPI according to the public dataset.
What kind of doctor is DOUGLAS W GIBSON (MD)?
DOUGLAS W GIBSON (MD) is associated with Diagnostic Radiology Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with DOUGLAS W GIBSON (MD)?
Directory geography for DOUGLAS W GIBSON (MD) centers on Farmington, Connecticut.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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