MRS. ALYCIA D GIBSON (PAC) – Medical Physician Assistant, NPI 1073544516
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,134 PHYSICIAN ASSISTANT in TN
Provider Addresses for MRS. ALYCIA D GIBSON (PAC)
405 TYSON AVE STE B
GRACE CLINIC, INC
PARIS, TN 382424836
Phone: (731) 644-3339
Fax: (731) 644-9930
Type: Location
4407 HIGHWAY 140 S
MC KENZIE, TN 382015121
Phone: (731) 243-4826
Type: Mailing
239 TYSON AVE
PARIS, TN 382424544
Phone: (731) 644-8208
Fax: (731) 644-8551
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $51.
Total Amount is formed as General ($51) + Research ($0) + Ownership ($0) = $51.
Last reported payment date: 2024-09-26 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($32).
Total Amount
$51
General + Research + Ownership
Payments
2
Total payment records
General Amount
$51
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Pacira Pharmaceuticals Incorporated | $32 |
| Solventum Corporation | $19 |
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: 2006-09-23
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20060923000015 | I | Physician Assistant | TN | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 484 | 138 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 373 | 128 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 349 | 141 | $0 |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 341 | 128 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 282 | 99 | $0 |
Insurance plans in this area (ZIP 38242)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery, Vascular Surgery | MD | |
| G A S T R O E N T E R O L O G Y | AL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TN | |
| Family Practice | TN | |
| Nurse Practitioner | TN | |
| Cardiovascular Disease (Cardiology) | DC | |
| Internal Medicine, Gastroenterology | TN | |
| - | TN | |
| Nurse Practitioner | TN | |
| Critical Care (Intensivists), Pulmonary Disease, Internal Medicine, Critical Care (Intensivists) | AL |
Reviews
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