ANNA KATHERINE CLARK GIBSON (M.D.) – Surgery Physician, NPI 1700801073
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
787 GENERAL SURGERY in MO
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Provider Addresses for ANNA KATHERINE CLARK GIBSON (M.D.)
Glenn Hendren Drive, Liberty, Clay County, Missouri, 64068-1901, United States
LIBERTY, MO 640683388
Phone: (816) 781-3515
Type: Location
Jack in the Box, South 18th Street, Kansas City, Wyandotte County, Kansas, 66102, United States
KANSAS CITY, MO 641219672
Phone: (816) 407-4200
Fax: (816) 781-6973
Type: Mailing
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 $14.
Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.
Last reported payment date: 2023-05-17 • Largest payer in this snapshot: Kerecis Limited ($14).
Total Amount
$14
General + Research + Ownership
Payments
1
Total payment records
General Amount
$14
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Kerecis Limited | $14 |
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: 2005-09-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050906000897 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 93971 | Ultrasound study of one arm or leg veins with compression and maneuvers | 47 | 27 | $0 |
| 76942 | Ultrasonic guidance for needle placement | 40 | 20 | $0 |
| 36471 | Injection of chemical agent into multiple incompetent veins of leg | 40 | 20 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 16 | 11 | $0 |
| 93970 | Ultrasound study of arm or leg veins with compression and maneuvers | 13 | 13 | $0 |
Insurance plans in this area (ZIP 64068)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | MO | |
| - | MO | |
| Cardiovascular Disease (Cardiology) | TX | |
| Pediatric Medicine, Internal Medicine | MO | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology | MO | |
| Qualified Audiologist | MO | |
| Nurse Practitioner | MO | |
| Internal Medicine, Hospitalist | OK | |
| Nurse Practitioner | MO | |
| Infectious Disease | MO |
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