CRYSTAL D GIBSON (PA C) – Physician Assistant, NPI 1174578835
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,728 PHYSICIAN ASSISTANT in KY
Provider Addresses for CRYSTAL D GIBSON (PA C)
200 MEDICAL CENTER DR STE 1A
HAZARD, KY 417019477
Phone: (606) 439-5220
Fax: (606) 439-5221
Type: Mailing
200 Medical Center Dr Ste 1A
Hazard, KY 417019477
Phone: (606) 439-5220
Fax: (606) 439-5221
Type: Location
Hazard Post Office, Main Street, Hazard, Perry County, Kentucky, 41729, United States
HAZARD, KY 417021988
Phone: (606) 439-1300
Fax: (606) 439-1400
Type: Mailing
101 TOWN AND COUNTRY LN
SUITE 100
HAZARD, KY 417019524
Phone: (606) 439-1300
Fax: (606) 439-1400
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $172.
Total Amount is formed as General ($172) + Research ($0) + Ownership ($0) = $172.
Last reported payment date: 2024-08-22 • Largest payer in this snapshot: ABBVIE INC. ($54).
Total Amount
$172
General + Research + Ownership
Payments
10
Total payment records
General Amount
$172
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $54 |
| Corcept Therapeutics | $39 |
| PFIZER INC. | $38 |
| Janssen Pharmaceuticals, Inc | $15 |
| Astellas Pharma US Inc | $14 |
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: 2004-03-29
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040329000907 | I | Physician Assistant | KY | TBD |
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.
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 |
|---|---|---|---|---|
| 87210 | Smear for infectious agents | 14 | 12 | $0 |
Insurance plans in this area (ZIP 41701)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | KY | 81002 | Urinalysis, manual test | 16 | 16 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WV | |
| General Surgery | MN | |
| Physician Assistant | WV | |
| - | KY | |
| Diagnostic Radiology | WV | |
| Interventional Cardiology | MD | |
| Cardiovascular Disease (Cardiology), Cardiac Electrophysiology | OH | |
| Endocrinology, Internal Medicine | NY | |
| Orthopedic Surgery | MS | |
| Nurse Practitioner | KY |
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