MARK GIBSON (M.D.) – Emergency Medicine Physician, NPI 1275561524

MARK GIBSON (M.D.) is a healthcare provider. based in Chicago, Illinois. specializing in Emergency Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 036093663 (IL). The NPI Number for MARK GIBSON (M.D.) is 1275561524

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
MARK GIBSON (M.D.)
NPI
1275561524
Phone
(877) 852-4669
Address
PO BOX 66973
Enumeration Date
28 June 2006
Last Update Date
1 June 2011

Doctor Profile

Medical School Name
RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Secondary Phone
8159422932
Graduation Year
1994 (32 years ago)
PAC ID
9335242932
Group Practice PAC ID
1850372459
Professional Enrollment ID
I20070320000599
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 MARK GIBSON (M.D.)

  • PO BOX 66973

    SLOT 303125

    CHICAGO, IL 606660973

    Phone: (877) 852-4669

    Type: Mailing

  • Morris Hospital, 150, West High Street, Morris, Grundy County, Illinois, 60450, United States

    MORRIS, IL 604501463

    Phone: (815) 942-2932

    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: 2007-03-20

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
I20070320000599IEmergency MedicineILTBD

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
99285Emergency department visit with high level of medical decision making157151$0
99284Emergency department visit with moderate level of medical decision making146124$0
99291Critical care, first 30-74 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 60666)

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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: 1850372459View full group profile
NameSpecialtyState
Family PracticeIL
Nurse PractitionerIL
Nurse PractitionerIL
Internal Medicine, Pediatric MedicineIL
-IL
Nurse PractitionerIL
Orthopedic SurgeryNY
Nurse PractitionerIL
Family PracticeIL
Allergy/Immunology, Internal MedicineIL

Reviews

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Frequently asked questions

How do I look up MARK GIBSON (M.D.) by NPI?
Use NPI 1275561524 when you need to reference MARK GIBSON (M.D.) in forms, claims, or directories.
Is MARK GIBSON (M.D.) active in the national directory?
MARK GIBSON (M.D.)'s public NPI profile is in an active state.
Can you summarize MARK GIBSON (M.D.)'s specialty in plain language?
Clinically, the directory lists MARK GIBSON (M.D.) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for MARK GIBSON (M.D.)?
We surface Chicago, Illinois for MARK GIBSON (M.D.) based on available NPPES addresses.
Is MARK GIBSON (M.D.) a real provider?
This page reflects official NPPES data for NPI 1275561524. Always confirm identity and privileges with the practice and licensing boards.

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