ALEAH PENDERGRAFF GIBSON (M.D.) – Family Medicine Physician, NPI 1780792903

ALEAH PENDERGRAFF GIBSON (M.D.) is a healthcare provider. based in Greendale, Indiana. specializing in FAMILY PRACTICE, EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 01062453A (IN). The NPI Number for ALEAH PENDERGRAFF GIBSON (M.D.) is 1780792903

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
ALEAH PENDERGRAFF GIBSON (M.D.)
NPI
1780792903
Phone
(877) 670-7264
Address
1640 FLOSSIE DR
Enumeration Date
28 August 2006
Last Update Date
8 February 2024

Doctor Profile

Medical School Name
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Secondary Phone
8124963285
Graduation Year
2005 (21 years ago)
PAC ID
8921000928
Group Practice PAC ID
2163326240
Professional Enrollment ID
I20070205000094
Address ID
IN470258424GR1640XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,862 FAMILY PRACTICE in IN

Provider Addresses for ALEAH PENDERGRAFF GIBSON (M.D.)

  • 1640 FLOSSIE DR

    GREENDALE, IN 470258424

    Phone: (877) 670-7264

    Fax: (812) 539-1824

    Type: Location

  • Boom Box Buns, 1324, Main Street, Main Street Business District, Over-the-Rhine, Cincinnati, Hamilton County, Ohio, 45202, United States

    CINCINNATI, OH 452635283

    Phone: (877) 670-7264

    Fax: (812) 539-1824

    Type: Mailing

  • 204, Bridgeway Street, Utah, Aurora, Center Township, Dearborn County, Indiana, 47001, United States

    AURORA, IN 47001

    Phone: (812) 926-3133

    Fax: (812) 926-1668

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 110 Open Payments records for all available years, with a total value of $1,919.

Total Amount is formed as General ($1,919) + Research ($0) + Ownership ($0) = $1,919.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: ABBVIE INC. ($323).

Total Amount

$1,919

General + Research + Ownership

Payments

110

Total payment records

General Amount

$1,919

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

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: 2007-02-05

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
I20070205000094IFamily PracticeINTBD

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 minutes233132$0
99214Established patient office or other outpatient visit, 30-39 minutes13584$0
83036Hemoglobin a1c level9856$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit8181$0
36415Insertion of needle into vein for collection of blood sample6356$0
View full utilization report →

Insurance plans in this area (ZIP 47025)

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Provider's Procedures

ALEAH PENDERGRAFF GIBSON (M.D.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEIN83036Hemoglobin A1C level3123
FAMILY MEDICINEIN90670Pneumococcal vaccine for injection into muscle1616

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: 2163326240View full group profile
NameSpecialtyState
Internal MedicineKY
Family PracticeOH
H O S P I T A L I S TOH
Family PracticeKY
Family PracticeOH
G A S T R O E N T E R O L O G YKY
-KY
Family PracticeOH
-FL
Nurse PractitionerKY

Reviews

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Frequently asked questions

How do payers reference ALEAH PENDERGRAFF GIBSON (M.D.)?
For ALEAH PENDERGRAFF GIBSON (M.D.), use NPI 1780792903 as the unique 10-digit identifier.
Is there an active status for ALEAH PENDERGRAFF GIBSON (M.D.)?
For scheduling context, ALEAH PENDERGRAFF GIBSON (M.D.) is shown as active in the registry.
What kind of doctor is ALEAH PENDERGRAFF GIBSON (M.D.)?
ALEAH PENDERGRAFF GIBSON (M.D.) is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is ALEAH PENDERGRAFF GIBSON (M.D.) associated with Greendale?
Public fields place ALEAH PENDERGRAFF GIBSON (M.D.) around Greendale, Indiana. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for ALEAH PENDERGRAFF GIBSON (M.D.) is noted as August 28, 2006 where the registry provides it.

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