MR. SAMUEL A GIBSON (PA-C) – Physician Assistant, NPI 1881628311
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,691 PHYSICIAN ASSISTANT in PA
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Provider Addresses for MR. SAMUEL A GIBSON (PA-C)
Orthopedic Associates of Meadville, 11277, Vernon Place, Meadville, Crawford County, Pennsylvania, 16335, United States
SUITE 200
MEADVILLE, PA 163353717
Phone: (814) 724-1252
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $330.
Total Amount is formed as General ($330) + Research ($0) + Ownership ($0) = $330.
Last reported payment date: 2024-11-07 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($89).
Total Amount
$330
General + Research + Ownership
Payments
16
Total payment records
General Amount
$330
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-07
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2009-09-24
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 |
|---|---|---|---|---|
| I20090924000218 | I | Physician Assistant | OH | 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 |
|---|---|---|---|---|
| 20610 | Aspiration and/or injection of fluid from large joint | 438 | 207 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 376 | 242 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 30 | 29 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 21 | 21 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 14 | 14 | $0 |
Insurance plans in this area (ZIP 16335)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology) | OH | |
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| Nurse Practitioner | OH | |
| Physician Assistant | PA | |
| - | PA | |
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| Physician Assistant | OH | |
| Physician Assistant | OH | |
| Internal Medicine | OH | |
| Nurse Practitioner | OH |
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