DR. KACEY COTOLI GIBSON (D.O.) – Family Medicine Physician, NPI 1366640310
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,722 FAMILY PRACTICE in FL
Provider Addresses for DR. KACEY COTOLI GIBSON (D.O.)
1200 Gulf Breeze Pkwy Ste B
Gulf Breeze, FL 325614855
Phone: (850) 916-3680
Fax: (850) 916-3689
Type: Location
VA Gulf Coast Veterans Health Care System - Joint Ambulatory Care Center, 790, Veterans Way, Pensacola, Escambia County, Florida, 32507, United States
PENSACOLA, FL 325071000
Phone: (850) 912-2000
Type: Mailing
3250 Zemke Ave
MacDill AFB, FL 33621
Phone: (813) 828-2273
Type: Location
4511 N DAVIS HWY
# 1-C
PENSACOLA, FL 325032720
Phone: (850) 477-3252
Fax: (850) 477-2659
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 191 Open Payments records for all available years, with a total value of $3,025.
Total Amount is formed as General ($3,025) + Research ($0) + Ownership ($0) = $3,025.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($754).
Total Amount
$3,025
General + Research + Ownership
Payments
191
Total payment records
General Amount
$3,025
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $754 |
| PFIZER INC. | $376 |
| Novo Nordisk Inc | $359 |
| Lilly USA, LLC | $315 |
| AstraZeneca Pharmaceuticals LP | $186 |
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: 2011-06-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110613000691 | I | Family Practice | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 860 | 248 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 731 | 356 | $0 |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 513 | 185 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 239 | 239 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 55 | 23 | $0 |
Insurance plans in this area (ZIP 32561)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | FL | 81002 | Urinalysis, manual test | 19 | 17 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| - | FL | |
| Family Practice | FL | |
| Physician Assistant | AL | |
| - | FL | |
| Family Practice | FL | |
| Physician Assistant | FL | |
| - | FL |
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