DR. KENNETH WAYNE GIBSON (DO) – Family Medicine Physician, NPI 1245241413

DR. KENNETH WAYNE GIBSON (DO) is a healthcare provider. based in Hulbert, Oklahoma. specializing in FAMILY PRACTICE, ADDICTION MEDICINE. They hold the professional credentials DO. They hold a License No. OS9095 (FL). The NPI Number for DR. KENNETH WAYNE GIBSON (DO) is 1245241413

Main info

Male
Sole Proprietor
45 Years Of Experience
Accepts Medicare Assignment
Name
DR. KENNETH WAYNE GIBSON (DO)
NPI
1245241413
Phone
(918) 772-3390
Address
PO BOX 751
Enumeration Date
11 August 2006
Last Update Date
4 June 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9187722879
Graduation Year
1981 (45 years ago)
PAC ID
1557382223
Group Practice PAC ID
3678482635
Professional Enrollment ID
I20051208000901
Address ID
OK744418916HU124XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,775 FAMILY PRACTICE in OK

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Provider Addresses for DR. KENNETH WAYNE GIBSON (DO)

  • PO BOX 751

    HULBERT, OK 744418902

    Phone: (918) 772-3390

    Type: Mailing

  • 124, East Main Street, Hulbert, Cherokee County, Oklahoma, 74441, United States

    HULBERT, OK 744418902

    Phone: (918) 772-3390

    Fax: (918) 772-1233

    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: 2005-12-08

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
I20051208000901IFamily PracticeOKTBD

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
J1100Injection, dexamethasone sodium phosphate, 1 mg10924$0
83036Hemoglobin a1c level10448$0
96372Injection of drug or substance under skin or into muscle5936$0
81002Urinalysis, manual test4328$0
J1030Injection, methylprednisolone acetate, 40 mg2724$0
View full utilization report →

Insurance plans in this area (ZIP 74441)

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Provider's Procedures

DR. KENNETH WAYNE GIBSON (DO) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEOK81002Urinalysis, manual test5142

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: 3678482635View full group profile
NameSpecialtyState
Nurse PractitionerOK
Nurse PractitionerOK
Family Practice, Internal MedicineOK
Nurse PractitionerOK
Nurse PractitionerOK
Nurse PractitionerOK
Physician AssistantOK
Nurse PractitionerOK
O B S T E T R I C S/ G Y N E C O L O G YNY
Nurse PractitionerOK

Reviews

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Frequently asked questions

What unique ID ties claims to DR. KENNETH WAYNE GIBSON (DO)?
NPI 1245241413 is assigned to DR. KENNETH WAYNE GIBSON (DO) under the national enumeration system.
Does this profile mean DR. KENNETH WAYNE GIBSON (DO) is currently active?
Yes — DR. KENNETH WAYNE GIBSON (DO) appears active in the national provider directory.
What does DR. KENNETH WAYNE GIBSON (DO) treat or focus on?
Patients typically see DR. KENNETH WAYNE GIBSON (DO) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. KENNETH WAYNE GIBSON (DO)?
We surface Hulbert, Oklahoma for DR. KENNETH WAYNE GIBSON (DO) based on available NPPES addresses.
How can I contact DR. KENNETH WAYNE GIBSON (DO)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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