RICHARD GIBBONS – Medical Physician Assistant, NPI 1790760221
Medical Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
9,691 PHYSICIAN ASSISTANT in PA
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Provider Addresses for RICHARD GIBBONS
Adagio Medical Office, 3530, Peach Street, South Suburban Erie, Erie, Erie County, Pennsylvania, 16508, United States
SUITE LL1
ERIE, PA 165082768
Phone:
Type: Mailing
Saint Vincent Hospital, 232, West 25th Street, Little Italy, Erie, Erie County, Pennsylvania, 16544, United States
ERIE, PA 165440002
Phone: (814) 452-5000
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.
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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: 2007-11-19
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20071119000431 | I | Physician Assistant | NY | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 64 | 57 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 16 | 15 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 16 | 16 | $0 |
Insurance plans in this area (ZIP 16508)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | NY | |
| Physician Assistant | NY | |
| Internal Medicine, Nephrology | NY | |
| Family Practice | NY | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NY | |
| Family Practice | WI | |
| - | NY | |
| - | NY | |
| - | NY | |
| Emergency Medicine | NY |
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