DR. SANDY YEVETTE GIBSON (D.O.) – Family Medicine Physician, NPI 1780799387
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,037 FAMILY PRACTICE in IL
Provider Addresses for DR. SANDY YEVETTE GIBSON (D.O.)
17805 Halsted St
Homewood, IL 604302011
Phone: (888) 824-0200
Type: Location
7905 Calumet Ave
Munster, IN 463212549
Phone: (219) 836-5800
Fax: (219) 836-3048
Type: Location
5841 S Maryland Ave
Chicago, IL 606371443
Phone: (888) 824-0200
Type: Location
Provident Hospital of Cook County, 500, East 51st Street, Washington Park, Chicago, Hyde Park Township, Cook County, Illinois, 60615, United States
CHICAGO, IL 606152400
Phone: (312) 572-2000
Fax: (312) 572-2669
Type: Location
1834, Cornell Road, Flossmoor, Bloom Township, Cook County, Illinois, 60422, United States
FLOSSMOOR, IL 604221913
Phone: (708) 206-1882
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 51 Open Payments records for all available years, with a total value of $106,184.
Total Amount is formed as General ($106,184) + Research ($0) + Ownership ($0) = $106,184.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($106,184).
Total Amount
$106,184
General + Research + Ownership
Payments
51
Total payment records
General Amount
$106,184
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Takeda Pharmaceuticals U.S.A., Inc. | $106,184 |
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: 2023-09-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-12-31 (891 days ago).
Enrollment records
6
Earliest due date
2023-12-31
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 |
|---|---|---|---|---|
| I20070406000155 | I | Family Practice | IL | 2023-12-31 |
| I20220714000177 | I | Family Practice | IN | TBD |
| I20230516000887 | I | Family Practice | FL | TBD |
| I20230809002224 | I | Family Practice | GA | TBD |
| I20230824003480 | I | Family Practice | KS | TBD |
| I20230918004335 | I | Family Practice | AR | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 |
|---|---|---|---|---|
| 99441 | Telephone medical discussion with physician, 5-10 minutes | 1,251 | 1,004 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 107 | 106 | $0 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 95 | 88 | $0 |
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 42 | 42 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 34 | 34 | $0 |
Insurance plans in this area (ZIP 60430)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | IL | |
| N E U R O L O G Y | IL | |
| General Surgery | IN | |
| Pediatric Medicine, Emergency Medicine | IL | |
| - | IL | |
| - | IL | |
| Cardiovascular Disease (Cardiology) | IL | |
| - | IL | |
| Nurse Practitioner | MI | |
| Interventional Cardiology, Internal Medicine, Cardiovascular Disease (Cardiology) | IL |
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