DR. DARA TANIA GIBSON (M.D.) – Obstetrics & Gynecology Physician, NPI 1215201439

DR. DARA TANIA GIBSON (M.D.) is a healthcare provider. based in Saint louis, Missouri. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 04-35593 (KS). The NPI Number for DR. DARA TANIA GIBSON (M.D.) is 1215201439

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. DARA TANIA GIBSON (M.D.)
NPI
1215201439
Phone
(620) 688-6566
Address
PO BOX 505262
Enumeration Date
6 March 2012
Last Update Date
7 April 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8647201988
Graduation Year
2008 (18 years ago)
PAC ID
7618123118
Group Practice PAC ID
3577713072
Professional Enrollment ID
I20220404001684
Address ID
TX770704347HO18220249X400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

382 OBSTETRICS/GYNECOLOGY in KS

Provider Addresses for DR. DARA TANIA GIBSON (M.D.)

  • PO BOX 505262

    SAINT LOUIS, MO 631505262

    Phone: (620) 688-6566

    Fax: (620) 688-6577

    Type: Mailing

  • 1717 W 8TH ST

    COFFEYVILLE, KS 67337

    Phone: (620) 251-0777

    Fax: (620) 251-4173

    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 $29.

Total Amount is formed as General ($29) + Research ($0) + Ownership ($0) = $29.

Last reported payment date: 2023-11-14 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($29).

Total Amount

$29

General + Research + Ownership

Payments

1

Total payment records

General Amount

$29

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-14

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2022-04-04

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
I20220404001684IObstetrics/GynecologyTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63150)

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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: 3577713072View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YTX
O B S T E T R I C S/ G Y N E C O L O G YSC
-TX
-TX
O B S T E T R I C S/ G Y N E C O L O G YTX
O B S T E T R I C S/ G Y N E C O L O G YTX
Certified Nurse Midwife (Cnm)TX
-TX
O B S T E T R I C S/ G Y N E C O L O G YPA
-TX

Reviews

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Frequently asked questions

What number should I use to identify DR. DARA TANIA GIBSON (M.D.) for billing?
Administrative and clinical systems typically use NPI 1215201439 for DR. DARA TANIA GIBSON (M.D.).
Is DR. DARA TANIA GIBSON (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. DARA TANIA GIBSON (M.D.) as active.
What does the directory say DR. DARA TANIA GIBSON (M.D.) does?
Insurance directories may phrase it differently, but here DR. DARA TANIA GIBSON (M.D.) maps to Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. DARA TANIA GIBSON (M.D.)?
DR. DARA TANIA GIBSON (M.D.) shows a connection to Saint Louis, Missouri in registry-derived data.
Why is information missing for DR. DARA TANIA GIBSON (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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