DR. STACEY GIBBONS (MD) – Anesthesiology Physician, NPI 1124082250

DR. STACEY GIBBONS (MD) is a healthcare provider. based in Galveston, Texas. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. 047596 (GA). The NPI Number for DR. STACEY GIBBONS (MD) is 1124082250

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
DR. STACEY GIBBONS (MD)
NPI
1124082250
Phone
(409) 772-1221
Address
301 UNIVERSITY BLVD
Enumeration Date
14 April 2006
Last Update Date
23 August 2022

Doctor Profile

Medical School Name
BOSTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4097722222
Graduation Year
1988 (38 years ago)
PAC ID
6507870003
Group Practice PAC ID
3375456734
Professional Enrollment ID
I20070926000970
Address ID
TX775555302GA301XXBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience77
Completeness75
Years active:20State licenses:3Digital endpointsOther names

4,591 ANESTHESIOLOGY in TX

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Provider Addresses for DR. STACEY GIBBONS (MD)

  • 301, University Boulevard - 6th Street, Galveston, Galveston County, Texas, 77550, United States

    GALVESTON, TX 775555302

    Phone: (409) 772-1221

    Fax: (409) 772-1224

    Type: Location

  • PO BOX 650859

    DEPT 710

    DALLAS, TX 752650859

    Phone: (409) 747-6240

    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: 2007-09-26

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
I20070926000970IAnesthesiologyTXTBD

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
00142Anesthesia for lens surgery3836$0
00811Anesthesia for other procedure on large bowel using an endoscope1414$0
View full utilization report →

Insurance plans in this area (ZIP 77555)

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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: 3375456734View full group profile
NameSpecialtyState
-TX
-TX
-NY
Sleep Medicine, Critical Care (Intensivists)TX
Surgical OncologyNY
General SurgeryTN
General SurgeryGA
U R O L O G YNY
Nurse PractitionerTX
O B S T E T R I C S/ G Y N E C O L O G YTX

Reviews

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Frequently asked questions

What unique ID ties claims to DR. STACEY GIBBONS (MD)?
NPI 1124082250 is assigned to DR. STACEY GIBBONS (MD) under the national enumeration system.
Is DR. STACEY GIBBONS (MD) currently active in the NPI registry?
CMS-published data lists DR. STACEY GIBBONS (MD) as an active registrant.
What does DR. STACEY GIBBONS (MD) treat or focus on?
Patients typically see DR. STACEY GIBBONS (MD) under the specialty Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Does DR. STACEY GIBBONS (MD) practice in Texas?
You will see Galveston, Texas on file for DR. STACEY GIBBONS (MD) alongside any extra practice locations.
Is DR. STACEY GIBBONS (MD) a real provider?
This page reflects official NPPES data for NPI 1124082250. Always confirm identity and privileges with the practice and licensing boards.

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