DR. JASON GIBBS ETHINGTON (M.D.) – Ophthalmology Physician, NPI 1295962074

DR. JASON GIBBS ETHINGTON (M.D.) is a healthcare provider. based in Niles, Illinois. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D.. They hold a License No. 125.056717 (IL). The NPI Number for DR. JASON GIBBS ETHINGTON (M.D.) is 1295962074

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. JASON GIBBS ETHINGTON (M.D.)
NPI
1295962074
Phone
(773) 993-0279
Address
7421 N MILWAUKEE AVE
Enumeration Date
18 June 2009
Last Update Date
24 April 2023

Doctor Profile

Medical School Name
LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Secondary Phone
7737750811
Graduation Year
2013 (13 years ago)
PAC ID
5092949479
Group Practice PAC ID
1456489228
Professional Enrollment ID
I20131018001009
Address ID
IL607143707NI7421XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

958 OPHTHALMOLOGY in IL

Provider Addresses for DR. JASON GIBBS ETHINGTON (M.D.)

  • 7421 N MILWAUKEE AVE

    NILES, IL 607143707

    Phone: (773) 993-0279

    Type: Mailing

  • 3321, North Wolcott Avenue, Roscoe Village, North Center, Chicago, Lake View Township, Cook County, Illinois, 60657, United States

    APT 2

    CHICAGO, IL 606572020

    Phone: (608) 347-3825

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 43 Open Payments records for all available years, with a total value of $1,289.

Total Amount is formed as General ($1,289) + Research ($0) + Ownership ($0) = $1,289.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Alcon Vision LLC ($275).

Total Amount

$1,289

General + Research + Ownership

Payments

43

Total payment records

General Amount

$1,289

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

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: 2013-10-18

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
I20131018001009IOphthalmologyILTBD

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
92014Established patient complete exam of visual system778758$0
J0178Injection, aflibercept, 1 mg73859$0
92134Imaging of retina674258$0
92012Established patient problem focused exam of visual system581317$0
67028Injection of drug into eye38760$0
View full utilization report →

Insurance plans in this area (ZIP 60714)

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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: 1456489228View full group profile
NameSpecialtyState
O P T O M E T R YIL
O P H T H A L M O L O G YIL
O P H T H A L M O L O G YIL
-IL
O P H T H A L M O L O G YIL

Reviews

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Frequently asked questions

How do I look up DR. JASON GIBBS ETHINGTON (M.D.) by NPI?
Use NPI 1295962074 when you need to reference DR. JASON GIBBS ETHINGTON (M.D.) in forms, claims, or directories.
Is DR. JASON GIBBS ETHINGTON (M.D.) active in the national directory?
DR. JASON GIBBS ETHINGTON (M.D.)'s public NPI profile is in an active state.
What kind of provider is DR. JASON GIBBS ETHINGTON (M.D.)?
The page reflects Ophthalmology Physician for DR. JASON GIBBS ETHINGTON (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for DR. JASON GIBBS ETHINGTON (M.D.)?
We surface Niles, Illinois for DR. JASON GIBBS ETHINGTON (M.D.) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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