MS. KATHLEEN E GIBBONS (C.R.N.A.) – Certified Registered Nurse Anesthetist, NPI 1174524235

MS. KATHLEEN E GIBBONS (C.R.N.A.) is a healthcare provider. based in Middleburg heights, Ohio. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials C.R.N.A.. They hold a License No. 166540 (OH). The NPI Number for MS. KATHLEEN E GIBBONS (C.R.N.A.) is 1174524235

Main info

Female
42 Years Of Experience
Accepts Medicare Assignment
Name
MS. KATHLEEN E GIBBONS (C.R.N.A.)
NPI
1174524235
Phone
(440) 743-8400
Address
15345 BAGLEY RD
Enumeration Date
10 August 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3308105797
Graduation Year
1984 (42 years ago)
PAC ID
1658334891
Group Practice PAC ID
6204339864
Professional Enrollment ID
I20041109000003
Address ID
OH441263608FA22715DRXX400
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

3,016 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in OH

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Provider Addresses for MS. KATHLEEN E GIBBONS (C.R.N.A.)

  • Big Creek Surgery Center, 15345, Bagley Road, Middleburg Heights, Cuyahoga County, Ohio, 44130, United States

    MIDDLEBURG HEIGHTS, OH 441304825

    Phone: (440) 743-8400

    Fax: (440) 743-8401

    Type: Location

  • PO BOX 567

    CHAGRIN FALLS, OH 440220567

    Phone: (216) 464-5160

    Fax: (216) 464-5982

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $284.

Total Amount is formed as General ($284) + Research ($0) + Ownership ($0) = $284.

Last reported payment date: 2024-08-20 • Largest payer in this snapshot: GENZYME CORPORATION ($86).

Total Amount

$284

General + Research + Ownership

Payments

15

Total payment records

General Amount

$284

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-20

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: 2004-11-09

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
I20041109000003ICertified Registered Nurse Anesthetist (Crna)OHTBD

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
00811Anesthesia for other procedure on large bowel using an endoscope6969$0
00103Anesthesia for procedure on eyelid6762$0
00142Anesthesia for lens surgery6143$0
00812Anesthesia for exam of colon using an endoscope2828$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2121$0
View full utilization report →

Insurance plans in this area (ZIP 44130)

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Provider's Procedures

MS. KATHLEEN E GIBBONS (C.R.N.A.) performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETOH01402Anesthesia for open or endoscopic total knee joint replacement2019

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: 6204339864View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)AZ
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH

Reviews

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Frequently asked questions

Where can patients find MS. KATHLEEN E GIBBONS (C.R.N.A.)'s NPI?
You can confirm MS. KATHLEEN E GIBBONS (C.R.N.A.) with NPI 1174524235; it appears in the national provider directory.
Is MS. KATHLEEN E GIBBONS (C.R.N.A.) currently active in the NPI registry?
CMS-published data lists MS. KATHLEEN E GIBBONS (C.R.N.A.) as an active registrant.
Can you summarize MS. KATHLEEN E GIBBONS (C.R.N.A.)'s specialty in plain language?
Clinically, the directory lists MS. KATHLEEN E GIBBONS (C.R.N.A.) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What location shows for MS. KATHLEEN E GIBBONS (C.R.N.A.)?
We surface Middleburg Heights, Ohio for MS. KATHLEEN E GIBBONS (C.R.N.A.) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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