DR. GLEN R GIBSON (MD) – Surgical Oncology Physician, NPI 1609874973

DR. GLEN R GIBSON (MD) is a healthcare provider. based in Belfast, Maine. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. D0062550 (MD). The NPI Number for DR. GLEN R GIBSON (MD) is 1609874973

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. GLEN R GIBSON (MD)
NPI
1609874973
Phone
(443) 481-6538
Address
PO BOX 12622
Enumeration Date
12 July 2005
Last Update Date
5 December 2013

Doctor Profile

Medical School Name
TUFTS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4434813717
Graduation Year
1997 (29 years ago)
PAC ID
0840193926
Group Practice PAC ID
2860447315
Professional Enrollment ID
I20050921000254
Address ID
MD214013081AN2003XPKWY303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

826 GENERAL SURGERY in MD

Provider Addresses for DR. GLEN R GIBSON (MD)

  • PO BOX 12622

    BELFAST, ME 049154017

    Phone: (443) 481-6538

    Fax: (443) 481-6515

    Type: Mailing

  • 2003 MEDICAL PKWY

    SUITE 301

    ANNAPOLIS, MD 214017992

    Phone: (410) 266-9966

    Fax: (410) 266-6819

    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: 2026-02-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20050921000254IGeneral SurgeryMDTBD
I20260217004263IGeneral SurgeryDCTBD

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 minutes184140$0
99204New patient office or other outpatient visit, 45-59 minutes103103$0
99203New patient office or other outpatient visit, 30-44 minutes3737$0
99213Established patient office or other outpatient visit, 20-29 minutes3631$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3315$0
View full utilization report →

Insurance plans in this area (ZIP 04915)

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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: 2860447315View full group profile
NameSpecialtyState
Internal MedicineMD
Physician AssistantMD
Vascular Surgery, General SurgeryMD
-MD
-MD
-ME
Internal MedicineME
Endocrinology, Internal MedicineME
-ME
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)MD

Reviews

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Frequently asked questions

Can I use this page to confirm DR. GLEN R GIBSON (MD)'s NPI?
Yes. DR. GLEN R GIBSON (MD) is listed with NPI 1609874973 in the public NPI dataset.
Does CMS list DR. GLEN R GIBSON (MD) as active?
Yes — DR. GLEN R GIBSON (MD) is active in the NPI listing used on this page.
What is DR. GLEN R GIBSON (MD)'s specialty?
The listing groups DR. GLEN R GIBSON (MD) with Surgical Oncology Physician. Clinical services aligned with this taxonomy classification.
Does DR. GLEN R GIBSON (MD) list a practice location?
Patients near Belfast, Maine may find DR. GLEN R GIBSON (MD) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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