DR. SIMON A. L. GIBBS (M.D.) – Surgery Physician, NPI 1275713760

DR. SIMON A. L. GIBBS (M.D.) is a healthcare provider. based in Waterville, Maine. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. 017545 (ME). The NPI Number for DR. SIMON A. L. GIBBS (M.D.) is 1275713760

Main info

Male
39 Years Of Experience
Name
DR. SIMON A. L. GIBBS (M.D.)
NPI
1275713760
Phone
(207) 861-3000
Address
222 KENNEDY MEMORIAL DR
Enumeration Date
13 November 2007
Last Update Date
8 December 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2074874000
Graduation Year
1987 (39 years ago)
PAC ID
3577643857
Group Practice PAC ID
3476462797
Professional Enrollment ID
I20071228000298
Address ID
ME049673707PI447XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

219 GENERAL SURGERY in ME

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Provider Addresses for DR. SIMON A. L. GIBBS (M.D.)

  • 222, Kennedy Memorial Drive, Waterville, Kennebec County, Maine, 04901, United States

    WATERVILLE, ME 049014526

    Phone: (207) 861-3000

    Fax: (207) 873-2385

    Type: Mailing

  • 180, Kennedy Memorial Drive, Waterville, Kennebec County, Maine, 04901, United States

    SUITE 304

    WATERVILLE, ME 049014540

    Phone: (207) 861-7874

    Fax: (207) 861-4646

    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: 2007-12-28

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
I20071228000298IGeneral SurgeryMETBD

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
99203New patient office or other outpatient visit, 30-44 minutes3939$0
99213Established patient office or other outpatient visit, 20-29 minutes2623$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope2121$0
45380Biopsy of large bowel using a flexible endoscope1717$0
G0105Colorectal cancer screening; colonoscopy on individual at high risk1212$0
View full utilization report →

Insurance plans in this area (ZIP 04901)

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Provider's Procedures

DR. SIMON A. L. GIBBS (M.D.) performs procedures in GENERAL SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GENERAL SURGERYME45378Diagnostic examination of large bowel using an endoscope3030

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: 3476462797View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)ME
Family PracticeMT
Nurse PractitionerNH
Nurse PractitionerME
Family Practice, Osteopathic Manipulative MedicineME
P O D I A T R YME
Family PracticeME
-ME
Certified Registered Nurse Anesthetist (Crna)ME
Internal Medicine, Cardiovascular Disease (Cardiology)ME

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. SIMON A. L. GIBBS (M.D.)?
DR. SIMON A. L. GIBBS (M.D.) — NPI 1275713760 — is the standard way to identify this listing.
Does the file indicate DR. SIMON A. L. GIBBS (M.D.) is practicing under active NPI?
Directory data currently reports DR. SIMON A. L. GIBBS (M.D.) as active.
What is DR. SIMON A. L. GIBBS (M.D.)'s specialty?
The listing groups DR. SIMON A. L. GIBBS (M.D.) with Surgery Physician. Clinical services aligned with this taxonomy classification.
What area does DR. SIMON A. L. GIBBS (M.D.) serve?
DR. SIMON A. L. GIBBS (M.D.)'s listing highlights Waterville, Maine; more addresses can appear in NPPES.
Is the information about DR. SIMON A. L. GIBBS (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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