JAMES GIBSON (MD) – Surgery Physician, NPI 1124061684
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JAMES GIBSON (MD)
PO BOX 802843
KANSAS CITY, MO 641802843
Phone:
Type: Mailing
525 Branson Landing Blvd Ste 307
Branson, MO 656162126
Phone: (417) 875-3000
Type: Location
Springfield Post Office, 830-832, Stratford Road, Springfield, Greet, Birmingham, West Midlands, England, B11 4SH, United Kingdom
SPRINGFIELD, MO 658089007
Phone: (417) 875-3000
Type: Mailing
1001, East Primrose Street, Springfield, Greene County, Missouri, 65807, United States
SPRINGFIELD, MO 658075155
Phone: (417) 875-3000
Fax: (417) 875-3245
Type: Location
3015 S RIDGE DR
SPRINGFIELD, MO 658093729
Phone: (417) 887-2342
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $88.
Total Amount is formed as General ($88) + Research ($0) + Ownership ($0) = $88.
Last reported payment date: 2023-05-23 • Largest payer in this snapshot: Davol Inc. ($88).
Total Amount
$88
General + Research + Ownership
Payments
1
Total payment records
General Amount
$88
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Davol Inc. | $88 |
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: 2005-08-22
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050822000200 | I | General Surgery | MO | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 64180)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NC | |
| - | MO | |
| Nurse Practitioner | MO | |
| - | AR | |
| - | MO | |
| - | MO | |
| Physician Assistant | MO | |
| Physician Assistant | MO | |
| - | MO | |
| - | MO |
Reviews
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