WENDELL ANDREW GIBBY (M.D.) – Diagnostic Radiology Physician, NPI 1487090528
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
34 INTERVENTIONAL RADIOLOGY in UT
Provider Addresses for WENDELL ANDREW GIBBY (M.D.)
3152 N UNIVERSITY AVE DEPT OF
PROVO, UT 846044745
Phone: (801) 229-2002
Fax: (202) 877-3288
Type: Location
3152 N UNIVERSITY AVE
PROVO, UT 846044745
Phone: (801) 229-2002
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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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: 2023-11-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20190605001110 | I | Diagnostic Radiology | UT | TBD |
| I20200306002130 | I | Diagnostic Radiology | AZ | TBD |
| I20231130002415 | I | Diagnostic Radiology | NE | 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 |
|---|---|---|---|---|
| 71046 | X-ray of chest, 2 views | 143 | 125 | $0 |
| 73562 | X-ray of knee, 3 views | 67 | 55 | $0 |
| 77067 | Screening mammography | 63 | 63 | $0 |
| 77063 | Screening 3d breast mammography | 61 | 61 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 50 | 37 | $0 |
Insurance plans in this area (ZIP 84604)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Radiology | CO | |
| - | NE | |
| Diagnostic Radiology, Interventional Radiology | IL | |
| Emergency Medicine | OR | |
| Interventional Radiology, Diagnostic Radiology | CA | |
| Emergency Medicine | PA | |
| - | SD | |
| Diagnostic Radiology, Interventional Radiology, Diagnostic Radiology | CO | |
| - | NE | |
| Emergency Medicine | UT |
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