JACQUELINE S GIBSON (MD) – Internal Medicine Physician, NPI 1033128871

JACQUELINE S GIBSON (MD) is a healthcare provider. based in Lexington, Kentucky. specializing in Internal Medicine Physician. They hold the professional credentials MD. They hold a License No. 25302 (KY). The NPI Number for JACQUELINE S GIBSON (MD) is 1033128871

Main info

Female
40 Years Of Experience
Accepts Medicare Assignment
Name
JACQUELINE S GIBSON (MD)
NPI
1033128871
Phone
(859) 257-7910
Address
138 LEADER AVE
Enumeration Date
7 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Secondary Phone
8592579800
Graduation Year
1986 (40 years ago)
PAC ID
4385722719
Group Practice PAC ID
5698689909
Professional Enrollment ID
I20080424000615
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 JACQUELINE S GIBSON (MD)

  • 138, Leader Avenue, North Elizabeth Street, Lexington, Fayette County, Kentucky, 40508, United States

    LEXINGTON, KY 405083215

    Phone: (859) 257-7910

    Fax: (859) 257-7899

    Type: Mailing

  • 740, South Limestone, North Elizabeth Street, Lexington, Fayette County, Kentucky, 40508, United States

    LEXINGTON, KY 405360001

    Phone: (859) 323-5661

    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: 2008-04-24

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
I20080424000615IInternal MedicineKYTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes3528$0
99213Established patient office or other outpatient visit, 20-29 minutes1818$0
View full utilization report →

Insurance plans in this area (ZIP 40508)

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Provider's Procedures

JACQUELINE S GIBSON (MD) performs procedures in Internal Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEKY90670Pneumococcal vaccine for injection into muscle2222

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: 5698689909View full group profile
NameSpecialtyState
Diagnostic RadiologyKY
A N E S T H E S I O L O G YFL
Pediatric MedicineKY
Internal MedicineKY
H O S P I T A L I S TOH
Critical Care (Intensivists), Pulmonary DiseaseKY
Interventional Radiology, Diagnostic RadiologyKY
Internal MedicineKY
Thoracic Surgery, Cardiac SurgeryKY
Pediatric Medicine, Internal MedicineKY

Reviews

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Frequently asked questions

Where can patients find JACQUELINE S GIBSON (MD)'s NPI?
You can confirm JACQUELINE S GIBSON (MD) with NPI 1033128871; it appears in the national provider directory.
Is JACQUELINE S GIBSON (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does JACQUELINE S GIBSON (MD) work in?
You can think of JACQUELINE S GIBSON (MD) as practicing within Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is JACQUELINE S GIBSON (MD)'s primary listing?
We display Lexington, Kentucky because that is what the record indicates for JACQUELINE S GIBSON (MD).
What if Lexington, Kentucky seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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