DR. GARY R GIBSON (MD) – Internal Medicine Physician, NPI 1821097486

DR. GARY R GIBSON (MD) is a healthcare provider. based in Cortland, Ohio. specializing in Internal Medicine Physician. They hold the professional credentials MD. They hold a License No. 35048883 (OH). The NPI Number for DR. GARY R GIBSON (MD) is 1821097486

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
DR. GARY R GIBSON (MD)
NPI
1821097486
Phone
(330) 637-0356
Address
310 WINDSOR DR
Enumeration Date
18 July 2005
Deactivation Date
18 March 2006
Reactivation Date
5 April 2006
Last Update Date
6 January 2011

Doctor Profile

Medical School Name
CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Secondary Phone
3308843235
Graduation Year
1980 (46 years ago)
PAC ID
1456484674
Group Practice PAC ID
2860688728
Professional Enrollment ID
I20100809000268
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

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Provider Addresses for DR. GARY R GIBSON (MD)

  • 310, Windsor Drive, Cortland, Trumbull County, Ohio, 44410, United States

    CORTLAND, OH 444102705

    Phone: (330) 637-0356

    Fax: (330) 637-0361

    Mailing address matches the actual address.

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: 2010-08-09

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
I20100809000268IInternal MedicineOHTBD

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 44410)

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Provider's Procedures

DR. GARY R GIBSON (MD) performs procedures in Internal Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEOH17003Destruction of 2-14 skin growths1313
INTERNAL MEDICINEOH81002Urinalysis, manual test113103
INTERNAL MEDICINEOH85610Blood test, clotting time38946

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: 2860688728View full group profile

Reviews

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Frequently asked questions

Does DR. GARY R GIBSON (MD) have a public NPI I can cite?
Public records show DR. GARY R GIBSON (MD) under NPI 1821097486.
Is DR. GARY R GIBSON (MD) currently accepting referrals based on NPI status?
Registry metadata lists DR. GARY R GIBSON (MD) as active.
What services align with DR. GARY R GIBSON (MD)'s listing?
DR. GARY R GIBSON (MD)'s public classification highlights Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. GARY R GIBSON (MD) in Cortland, Ohio?
For routing, start with Cortland, Ohio for DR. GARY R GIBSON (MD), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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