DR. SCOTT C. GIBSON (M.D.) – Emergency Medical Services (Emergency Medicine) Physician, NPI 1073554325

DR. SCOTT C. GIBSON (M.D.) is a healthcare provider. based in Kalamazoo, Michigan. specializing in Emergency Medical Services (Emergency Medicine) Physician. They hold the professional credentials M.D.. They hold a License No. 4301063448 (MI). The NPI Number for DR. SCOTT C. GIBSON (M.D.) is 1073554325

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. SCOTT C. GIBSON (M.D.)
NPI
1073554325
Phone
(269) 343-3900
Address
125 S KALAMAZOO MALL
Enumeration Date
9 June 2006
Last Update Date
24 March 2010

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
2696573141
Graduation Year
1991 (35 years ago)
PAC ID
7214822980
Group Practice PAC ID
1456265891
Professional Enrollment ID
I20050115000087
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

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Provider Addresses for DR. SCOTT C. GIBSON (M.D.)

  • 125, Kalamazoo Mall, Kalamazoo, Kalamazoo County, Michigan, 49007, United States

    SUITE 204

    KALAMAZOO, MI 490074832

    Phone: (269) 343-3900

    Fax: (269) 343-5640

    Mailing address matches the actual address.

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: 2005-01-15

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
I20050115000087IEmergency MedicineMITBD

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
99284Emergency department visit with moderate level of medical decision making2020$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1918$0
99285Emergency department visit with high level of medical decision making1919$0
View full utilization report →

Insurance plans in this area (ZIP 49007)

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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: 1456265891View full group profile
NameSpecialtyState
Emergency MedicineMI
Emergency MedicineOH
Family Practice, Emergency MedicineMI
Emergency MedicineMI
Emergency MedicineIL
-MI
Emergency MedicineMI
Emergency MedicineOH
Emergency MedicineMI
Emergency MedicineMI

Reviews

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Frequently asked questions

What identifier follows DR. SCOTT C. GIBSON (M.D.) across health systems?
The NPI 1073554325 uniquely identifies DR. SCOTT C. GIBSON (M.D.) in U.S. healthcare data.
Is DR. SCOTT C. GIBSON (M.D.)'s NPI status active today?
Active status means DR. SCOTT C. GIBSON (M.D.)'s NPI record is not deactivated in the public file.
What does the directory say DR. SCOTT C. GIBSON (M.D.) does?
Insurance directories may phrase it differently, but here DR. SCOTT C. GIBSON (M.D.) maps to Emergency Medical Services (Emergency Medicine) Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. SCOTT C. GIBSON (M.D.)?
DR. SCOTT C. GIBSON (M.D.) is associated with Kalamazoo, Michigan in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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