THOMAS M JR. GULIBON (O.D.) – Optometrist, NPI 1790788149

THOMAS M JR. GULIBON (O.D.) is a healthcare provider. based in Phoenixville, Pennsylvania. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OEG000234 (PA). The NPI Number for THOMAS M JR. GULIBON (O.D.) is 1790788149

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
THOMAS M JR. GULIBON (O.D.)
NPI
1790788149
Phone
(610) 933-3498
Address
720 MAIN ST
Enumeration Date
31 May 2005
Last Update Date
16 December 2024

Doctor Profile

Medical School Name
PENNSYLVANIA COLLEGE OF OPTOMETRY
Secondary Phone
6108661000
Graduation Year
1995 (31 years ago)
PAC ID
6608069398
Group Practice PAC ID
2961838032
Professional Enrollment ID
I20101026001287
Address ID
PA180455529EA4753XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:21State licenses:1Digital endpointsOther names

1,771 OPTOMETRY in PA

Provider Addresses for THOMAS M JR. GULIBON (O.D.)

  • 720 MAIN ST

    PHOENIXVILLE, PA 194603844

    Phone: (610) 933-3498

    Fax: (610) 933-5052

    Type: Mailing

  • 4753 FREEMANSBURG AVE

    EASTON, PA 180455529

    Phone: (610) 866-1000

    Fax: (610) 866-9583

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $446.

Total Amount is formed as General ($446) + Research ($0) + Ownership ($0) = $446.

Last reported payment date: 2024-10-10 • Largest payer in this snapshot: CooperVision Inc. ($239).

Total Amount

$446

General + Research + Ownership

Payments

8

Total payment records

General Amount

$446

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-10

Latest reported date

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: 2010-10-26

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
I20101026001287IOptometryPATBD

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
99212Established patient office or other outpatient visit, 10-19 minutes2121$0
92250Photography of the retina1515$0
99202New patient office or other outpatient visit, 15-29 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 19460)

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Provider's Procedures

THOMAS M JR. GULIBON (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYPA92012Eye and medical examination for diagnosis and treatment, established patient11792
OPTOMETRYPA92083Measurement of field of vision during daylight conditions1211

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: 2961838032View full group profile
NameSpecialtyState
O P T O M E T R YPA
O P T O M E T R YPA
O P T O M E T R YPA

Reviews

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Frequently asked questions

Can I cross-check THOMAS M JR. GULIBON (O.D.) using NPI 1790788149?
NPI 1790788149 belongs to THOMAS M JR. GULIBON (O.D.); compare other details if you need extra assurance.
Is there an active status for THOMAS M JR. GULIBON (O.D.)?
For scheduling context, THOMAS M JR. GULIBON (O.D.) is shown as active in the registry.
What clinical focus is listed for THOMAS M JR. GULIBON (O.D.)?
At a glance, THOMAS M JR. GULIBON (O.D.) is tied to Optometrist. Clinical services aligned with this taxonomy classification.
Is THOMAS M JR. GULIBON (O.D.) located near Phoenixville?
THOMAS M JR. GULIBON (O.D.) currently maps to Phoenixville, Pennsylvania in this extract.
Can I trust this NPI listing for THOMAS M JR. GULIBON (O.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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