DR. LEE L GIBSON (D.O.) – Emergency Medicine Physician, NPI 1780608778

DR. LEE L GIBSON (D.O.) is a healthcare provider. based in Fort white, Florida. specializing in Emergency Medicine Physician. They hold the professional credentials D.O.. They hold a License No. OS5067 (FL). The NPI Number for DR. LEE L GIBSON (D.O.) is 1780608778

Main info

Male
Sole Proprietor
41 Years Of Experience
Accepts Medicare Assignment
Name
DR. LEE L GIBSON (D.O.)
NPI
1780608778
Phone
(386) 497-1240
Address
PO BOX 118
Enumeration Date
26 July 2006
Last Update Date
14 January 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5737545531
Graduation Year
1985 (41 years ago)
PAC ID
3476585365
Group Practice PAC ID
2466740402
Professional Enrollment ID
I20120425000043
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. LEE L GIBSON (D.O.)

  • PO BOX 118

    FORT WHITE, FL 320380118

    Phone: (386) 497-1240

    Type: Mailing

  • 190, Southwest Natures Court, Hollingsworth Bluff, Fort White, Columbia County, Florida, 32038, United States

    FORT WHITE, FL 320382357

    Phone: (386) 961-4728

    Type: Location

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: 2012-04-25

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
I20050831000166IEmergency MedicineFLTBD
I20120425000043IEmergency MedicineMOTBD

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
99284Emergency department visit with moderate level of medical decision making5654$0
99285Emergency department visit with high level of medical decision making4746$0
View full utilization report →

Insurance plans in this area (ZIP 32038)

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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: 2466740402View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm DR. LEE L GIBSON (D.O.)'s NPI?
Yes. DR. LEE L GIBSON (D.O.) is listed with NPI 1780608778 in the public NPI dataset.
Is DR. LEE L GIBSON (D.O.) still practicing?
DR. LEE L GIBSON (D.O.) is currently listed as active in the public NPI registry.
What taxonomy line describes DR. LEE L GIBSON (D.O.)?
For research purposes, treat DR. LEE L GIBSON (D.O.) as Emergency Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. LEE L GIBSON (D.O.)?
DR. LEE L GIBSON (D.O.)'s geographic hint is Fort White, Florida in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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