EVAN JOSEPH GIBSON-O'GRADY (MD) – Emergency Medicine Physician, NPI 1265098206

EVAN JOSEPH GIBSON-O'GRADY (MD) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 036.161099 (IL). The NPI Number for EVAN JOSEPH GIBSON-O'GRADY (MD) is 1265098206

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
EVAN JOSEPH GIBSON-O'GRADY (MD)
NPI
1265098206
Phone
Not provided
Address
1020 SANSOM ST STE 1651B
Enumeration Date
15 May 2019
Last Update Date
19 October 2022

Doctor Profile

Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Secondary Phone
7739477500
Graduation Year
2019 (7 years ago)
PAC ID
0446581912
Group Practice PAC ID
8527493105
Professional Enrollment ID
I20221107001557
Address ID
IL606493954CH7531XAVEX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

3,391 EMERGENCY MEDICINE in PA

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Provider Addresses for EVAN JOSEPH GIBSON-O'GRADY (MD)

  • 1651, Sansom Street, Rittenhouse Square, Philadelphia, Philadelphia County, Pennsylvania, 19103, United States

    PHILADELPHIA, PA 191075002

    Phone:

    Type: Mailing

  • 7531 S STONY ISLAND AVE

    CHICAGO, IL 606493993

    Phone: (773) 947-7500

    Type: Mailing

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: 2022-11-07

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
I20221107001557IEmergency MedicineILTBD

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 making8177$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only4040$0
99284Emergency department visit with moderate level of medical decision making3736$0
View full utilization report →

Insurance plans in this area (ZIP 19107)

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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: 8527493105View full group profile

Reviews

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Frequently asked questions

What number should I use to identify EVAN JOSEPH GIBSON-O'GRADY (MD) for billing?
Administrative and clinical systems typically use NPI 1265098206 for EVAN JOSEPH GIBSON-O'GRADY (MD).
Does the public listing show EVAN JOSEPH GIBSON-O'GRADY (MD) as active?
EVAN JOSEPH GIBSON-O'GRADY (MD)'s NPI record reflects an active status in NPPES.
How should patients interpret EVAN JOSEPH GIBSON-O'GRADY (MD)'s specialty?
The extract shows Emergency Medicine Physician for EVAN JOSEPH GIBSON-O'GRADY (MD). Clinical services aligned with this taxonomy classification.
Is EVAN JOSEPH GIBSON-O'GRADY (MD) tied to Philadelphia, Pennsylvania?
If you are local to Philadelphia, Pennsylvania, EVAN JOSEPH GIBSON-O'GRADY (MD) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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