CODY J. GIBBS (NP-C) – Nurse Practitioner, NPI 1205335510

CODY J. GIBBS (NP-C) is a healthcare provider. based in Farmington, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. 209017218 (IL). The NPI Number for CODY J. GIBBS (NP-C) is 1205335510

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
CODY J. GIBBS (NP-C)
NPI
1205335510
Phone
(309) 245-2406
Address
601 E Fort St
Enumeration Date
2 February 2018
Last Update Date
13 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3096470201
Graduation Year
2017 (9 years ago)
PAC ID
4183985336
Group Practice PAC ID
2769375021
Professional Enrollment ID
I20180302001251
Address ID
IL615202608CA180XXSTXX400

Contacts

Secure Messaging
cody.gibbs@gmgil.eclinicaldirectplus.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:8State licenses:1Other namesUpdated within 12 months

11,632 NURSE PRACTITIONER in IL

Provider Addresses for CODY J. GIBBS (NP-C)

  • 601 E Fort St

    Farmington, IL 615311338

    Phone: (309) 245-2406

    Fax: (309) 649-6880

    Type: Location

  • Graham Medical Group, 180, South Main Street, Canton, Fulton County, Illinois, 61520, United States

    CANTON, IL 615202608

    Phone: (309) 647-0201

    Fax: (309) 649-6880

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 174 Open Payments records for all available years, with a total value of $3,037.

Total Amount is formed as General ($3,037) + Research ($0) + Ownership ($0) = $3,037.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Supernus Pharmaceuticals, Inc. ($514).

Total Amount

$3,037

General + Research + Ownership

Payments

174

Total payment records

General Amount

$3,037

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2018-03-02

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
I20180302001251INurse PractitionerILTBD

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 minutes1514$0
View full utilization report →

Insurance plans in this area (ZIP 61531)

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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: 2769375021View full group profile
NameSpecialtyState
-IL
Emergency MedicineIL
Nurse PractitionerIL
Vascular Surgery, General SurgeryIL
Nurse PractitionerIL
Nurse PractitionerIL
Vascular SurgeryIL
Family PracticeIL
Nurse PractitionerIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

How do payers reference CODY J. GIBBS (NP-C)?
For CODY J. GIBBS (NP-C), use NPI 1205335510 as the unique 10-digit identifier.
Is CODY J. GIBBS (NP-C) shown as active in public data?
Registry records indicate CODY J. GIBBS (NP-C) maintains an active NPI.
What expertise is attributed to CODY J. GIBBS (NP-C)?
CODY J. GIBBS (NP-C)'s specialty line reads Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with CODY J. GIBBS (NP-C)?
Directory geography for CODY J. GIBBS (NP-C) centers on Farmington, Illinois.
When was this NPI issued?
Enumeration for CODY J. GIBBS (NP-C) is noted as February 2, 2018 where the registry provides it.

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