SHIRLEY K. GIBSON (MD) – Internal Medicine Physician, NPI 1770509713

SHIRLEY K. GIBSON (MD) is a healthcare provider. based in Burkesville, Kentucky. specializing in FAMILY PRACTICE, PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. 38599 (KY). The NPI Number for SHIRLEY K. GIBSON (MD) is 1770509713

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
SHIRLEY K. GIBSON (MD)
NPI
1770509713
Phone
(270) 864-1472
Address
PO BOX 1080
Enumeration Date
14 July 2006
Last Update Date
2 December 2019

Doctor Profile

Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Secondary Phone
6063874251
Graduation Year
2001 (25 years ago)
PAC ID
7214985274
Group Practice PAC ID
6305947789
Professional Enrollment ID
I20050106000115
Address ID
KY426021646AL606XXRDXX300
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

1,720 FAMILY PRACTICE in KY

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Provider Addresses for SHIRLEY K. GIBSON (MD)

  • PO BOX 1080

    BURKESVILLE, KY 427171080

    Phone: (270) 864-1472

    Fax: (270) 864-1693

    Type: Mailing

  • Burkesville Road, Albany, Clinton County, Kentucky, 42602, United States

    ALBANY, KY 426021612

    Phone: (606) 387-0675

    Fax: (606) 387-3149

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 40 Open Payments records for all available years, with a total value of $676.

Total Amount is formed as General ($676) + Research ($0) + Ownership ($0) = $676.

Last reported payment date: 2024-10-31 • Largest payer in this snapshot: ABBVIE INC. ($172).

Total Amount

$676

General + Research + Ownership

Payments

40

Total payment records

General Amount

$676

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-31

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: 2005-01-06

PECOS data refreshed: 2026-06-15

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
I20050106000115IFamily PracticeKYTBD

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
83036Hemoglobin a1c level9643$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes8329$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes4537$0
99238Hospital discharge day management, 30 minutes or less4435$0
81003Automated urinalysis test4226$0
View full utilization report →

Insurance plans in this area (ZIP 42717)

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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: 6305947789View full group profile
NameSpecialtyState
Nurse PractitionerKY
Nurse PractitionerKY
Certified Nurse Midwife (Cnm)KY
Clinical Social WorkerKY
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
O B S T E T R I C S/ G Y N E C O L O G YKY
O B S T E T R I C S/ G Y N E C O L O G YKY

Reviews

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Frequently asked questions

What is SHIRLEY K. GIBSON (MD)'s NPI number?
SHIRLEY K. GIBSON (MD)'s NPI is 1770509713 — the number used across U.S. healthcare to identify this provider.
Would SHIRLEY K. GIBSON (MD) appear as active to a payer?
You can treat SHIRLEY K. GIBSON (MD) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for SHIRLEY K. GIBSON (MD)?
At a glance, SHIRLEY K. GIBSON (MD) is tied to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with SHIRLEY K. GIBSON (MD)?
Directory geography for SHIRLEY K. GIBSON (MD) centers on Burkesville, Kentucky.
Can I trust this NPI listing for SHIRLEY K. GIBSON (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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