DR. JORDAN GIBBON (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1164914826

DR. JORDAN GIBBON (DPM) is a healthcare provider. based in Marlow, Oklahoma. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 374 (OK). The NPI Number for DR. JORDAN GIBBON (DPM) is 1164914826

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. JORDAN GIBBON (DPM)
NPI
1164914826
Phone
Not provided
Address
205 W STEELE ST
Enumeration Date
30 May 2018
Last Update Date
18 October 2021

Doctor Profile

Medical School Name
BARRY UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
5802523400
Graduation Year
2018 (8 years ago)
PAC ID
7012319809
Group Practice PAC ID
5698840775
Professional Enrollment ID
I20210715004408
Address ID
OK735332954DU2945XAVEX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

285 PODIATRY in MO

Provider Addresses for DR. JORDAN GIBBON (DPM)

  • 205 W STEELE ST

    MARLOW, OK 730551233

    Phone:

    Type: Mailing

  • 12303 DE PAUL DR

    BRIDGETON, MO 630442512

    Phone: (314) 344-6000

    Type: Location

  • 2945 W ELK AVE STE 100

    DUNCAN, OK 735331541

    Phone: (580) 252-3400

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 27 Open Payments records for all available years, with a total value of $1,595.

Total Amount is formed as General ($1,595) + Research ($0) + Ownership ($0) = $1,595.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Pylant Medical ($612).

Total Amount

$1,595

General + Research + Ownership

Payments

27

Total payment records

General Amount

$1,595

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

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: 2021-07-15

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
I20210715004408IPodiatryOKTBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg984144$0
99214Established patient office or other outpatient visit, 30-39 minutes500303$0
73630X-ray of foot, minimum of 3 views457276$0
99204New patient office or other outpatient visit, 45-59 minutes381381$0
99213Established patient office or other outpatient visit, 20-29 minutes212169$0
View full utilization report →

Insurance plans in this area (ZIP 73055)

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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: 5698840775View full group profile
NameSpecialtyState
Nurse PractitionerOK
-WA
Physician AssistantOK
-OK
O B S T E T R I C S/ G Y N E C O L O G YOK
Nurse PractitionerOK
Nurse PractitionerOK
O T O L A R Y N G O L O G YMT
-OK
Qualified AudiologistOK

Reviews

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Frequently asked questions

Is DR. JORDAN GIBBON (DPM) listed with a National Provider Identifier?
Yes — DR. JORDAN GIBBON (DPM) has NPI 1164914826 on file in the registry.
Would DR. JORDAN GIBBON (DPM) appear as active to a payer?
You can treat DR. JORDAN GIBBON (DPM) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is DR. JORDAN GIBBON (DPM)?
DR. JORDAN GIBBON (DPM) is associated with Foot & Ankle Surgery Podiatrist in the directory — Clinical services aligned with this taxonomy classification.
Is DR. JORDAN GIBBON (DPM) located near Marlow?
DR. JORDAN GIBBON (DPM) currently maps to Marlow, Oklahoma in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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