DAVID CHARLES GIBSON (DO) – Emergency Medicine Physician, NPI 1467741553

DAVID CHARLES GIBSON (DO) is a healthcare provider. based in Kettering, Ohio. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. 34-010859 (OH). The NPI Number for DAVID CHARLES GIBSON (DO) is 1467741553

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
DAVID CHARLES GIBSON (DO)
NPI
1467741553
Phone
(800) 875-0136
Address
4750 HEMPSTEAD STATION DR
Enumeration Date
30 March 2011
Last Update Date
4 December 2025

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
4706447000
Graduation Year
2011 (15 years ago)
PAC ID
0143454819
Group Practice PAC ID
3476554320
Professional Enrollment ID
I20141106001324
Address ID
GA301412068HI2518XPKWY500

Contacts

SOAP Endpoint
https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness95
Years active:15State licenses:1Other names

2,674 EMERGENCY MEDICINE in OH

Provider Addresses for DAVID CHARLES GIBSON (DO)

  • 4750 HEMPSTEAD STATION DR

    KETTERING, OH 454295164

    Phone: (800) 875-0136

    Fax: (937) 619-4150

    Type: Mailing

  • 2213 CHERRY ST

    TOLEDO, OH 436082603

    Phone: (419) 251-6522

    Type: Location

  • 5665 NEW NORTHSIDE DR

    ATLANTA, GA 303285831

    Phone: (770) 874-5400

    Fax: (770) 874-5433

    Type: Mailing

  • 2518 JIMMY LEE SMITH PKWY

    HIRAM, GA 301412068

    Phone: (470) 644-7000

    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: 2014-11-06

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20141106001324IEmergency MedicineGATBD

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
99285Emergency department visit with high level of medical decision making409388$0
99284Emergency department visit with moderate level of medical decision making139137$0
99291Critical care, first 30-74 minutes8181$0
View full utilization report →

Insurance plans in this area (ZIP 45429)

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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: 3476554320View full group profile
NameSpecialtyState
Emergency MedicineGA
Emergency MedicineGA
Emergency MedicineLA
Emergency MedicineGA
Nurse PractitionerGA
Emergency MedicineGA
Emergency MedicineFL
Emergency MedicineFL
Emergency MedicineMN
Emergency MedicineGA

Reviews

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Frequently asked questions

What is the 10-digit NPI for DAVID CHARLES GIBSON (DO)?
DAVID CHARLES GIBSON (DO) — NPI 1467741553 — is the standard way to identify this listing.
Does the file indicate DAVID CHARLES GIBSON (DO) is practicing under active NPI?
Directory data currently reports DAVID CHARLES GIBSON (DO) as active.
What is DAVID CHARLES GIBSON (DO)'s primary classification?
Emergency Medicine Physician is the headline specialty for DAVID CHARLES GIBSON (DO) here. Clinical services aligned with this taxonomy classification.
Does DAVID CHARLES GIBSON (DO) list a practice location?
Patients near Kettering, Ohio may find DAVID CHARLES GIBSON (DO) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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