KATHRYN MICHELE GIBBONS (MD) – Anatomic Pathology Physician, NPI 1053843649

KATHRYN MICHELE GIBBONS (MD) is a healthcare provider. based in Detroit, Michigan. specializing in PATHOLOGY. They hold the professional credentials MD. They hold a License No. 4301503537 (MI). The NPI Number for KATHRYN MICHELE GIBBONS (MD) is 1053843649

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
KATHRYN MICHELE GIBBONS (MD)
NPI
1053843649
Phone
Not provided
Address
2799 W GRAND BLVD
Enumeration Date
1 April 2017
Last Update Date
20 July 2022

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4192513232
Graduation Year
2017 (9 years ago)
PAC ID
3577835859
Group Practice PAC ID
3577597277
Professional Enrollment ID
I20230511000358
Address ID
OH436082673TO2222XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

573 PATHOLOGY in MI

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Provider Addresses for KATHRYN MICHELE GIBBONS (MD)

  • Henry Ford Hospital, 2799, West Grand Boulevard, New Center, Detroit, Wayne County, Michigan, 48202, United States

    DETROIT, MI 482022608

    Phone:

    Type: Mailing

  • 3621 S STATE ST

    ANN ARBOR, MI 481081633

    Phone: (734) 647-5299

    Type: Mailing

  • 1500 E MEDICAL CENTER DR

    ANN ARBOR, MI 481095000

    Phone: (734) 936-4000

    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: 2023-05-11

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
I20230511000358IPathologyOHTBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity784353$0
88341Special stained specimen slides to examine tissue, each additional procedure19744$0
88307Pathology examination of tissue using a microscope, moderately high complexity11960$0
88331Pathology examination of specimen during surgery, first tissue block10639$0
88342Special stained specimen slides to examine tissue, initial procedure7971$0
View full utilization report →

Insurance plans in this area (ZIP 48202)

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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: 3577597277View full group profile
NameSpecialtyState
-OH
P A T H O L O G YOH
P A T H O L O G YOH
P A T H O L O G YAZ
-OH
P A T H O L O G YMI
P A T H O L O G YOH
P A T H O L O G YOH

Reviews

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Frequently asked questions

What identifier follows KATHRYN MICHELE GIBBONS (MD) across health systems?
The NPI 1053843649 uniquely identifies KATHRYN MICHELE GIBBONS (MD) in U.S. healthcare data.
Is KATHRYN MICHELE GIBBONS (MD) currently accepting referrals based on NPI status?
Registry metadata lists KATHRYN MICHELE GIBBONS (MD) as active.
Which specialty label fits KATHRYN MICHELE GIBBONS (MD)?
NPPES ties KATHRYN MICHELE GIBBONS (MD) to Anatomic Pathology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KATHRYN MICHELE GIBBONS (MD)?
KATHRYN MICHELE GIBBONS (MD) is associated with Detroit, Michigan in the same public data insurers reference.
Why is information missing for KATHRYN MICHELE GIBBONS (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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