LYNNE GIBBS (D.C.) – Chiropractor, NPI 1285005454

LYNNE GIBBS (D.C.) is a healthcare provider. based in Ellisville, Missouri. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. 2015026851 (MO). The NPI Number for LYNNE GIBBS (D.C.) is 1285005454

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
LYNNE GIBBS (D.C.)
NPI
1285005454
Phone
(636) 628-7909
Address
177 CLARKSON EXECUTIVE PARK
Enumeration Date
14 October 2015
Last Update Date
18 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6362272100
Graduation Year
2015 (11 years ago)
PAC ID
3577823426
Group Practice PAC ID
5698660322
Professional Enrollment ID
I20180214000907
Address ID
MO630175529CH1851XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,129 CHIROPRACTIC in MO

Provider Addresses for LYNNE GIBBS (D.C.)

  • 177 CLARKSON EXECUTIVE PARK

    ELLISVILLE, MO 630112176

    Phone: (636) 628-7909

    Type: Location

  • 485 WILDWOOD PKWY STE 4

    BALLWIN, MO 630112667

    Phone: (636) 345-5100

    Fax: (636) 216-0346

    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: 2018-02-14

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
I20180214000907IChiropracticMOTBD

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 63011)

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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: 5698660322View full group profile

Reviews

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Frequently asked questions

How do I look up LYNNE GIBBS (D.C.) by NPI?
Use NPI 1285005454 when you need to reference LYNNE GIBBS (D.C.) in forms, claims, or directories.
Is LYNNE GIBBS (D.C.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize LYNNE GIBBS (D.C.)'s specialty in plain language?
Clinically, the directory lists LYNNE GIBBS (D.C.) with Chiropractor. Clinical services aligned with this taxonomy classification.
What location metadata exists for LYNNE GIBBS (D.C.)?
The page summarizes Ellisville, Missouri for LYNNE GIBBS (D.C.); expand the address list for detail.
Is LYNNE GIBBS (D.C.) a real provider?
This page reflects official NPPES data for NPI 1285005454. Always confirm identity and privileges with the practice and licensing boards.

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