MARK GIBBS – Family Nurse Practitioner, NPI 1306463930

MARK GIBBS is a healthcare provider. based in Gainesville, Virginia. specializing in NURSE PRACTITIONER. They hold a License No. 0024179511 (VA). The NPI Number for MARK GIBBS is 1306463930

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
MARK GIBBS
NPI
1306463930
Phone
Not provided
Address
7512 GARDNER PARK DR
Enumeration Date
30 June 2020
Last Update Date
30 June 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7037539860
Graduation Year
2020 (6 years ago)
PAC ID
7810313087
Group Practice PAC ID
8527216993
Professional Enrollment ID
I20200824001273
Address ID
VA201104416MA8650XRDXX307
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

8,303 NURSE PRACTITIONER in VA

Provider Addresses for MARK GIBBS

  • 7512 GARDNER PARK DR

    GAINESVILLE, VA 201553414

    Phone:

    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 62 Open Payments records for all available years, with a total value of $1,437.

Total Amount is formed as General ($1,437) + Research ($0) + Ownership ($0) = $1,437.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Janssen Biotech, Inc. ($616).

Total Amount

$1,437

General + Research + Ownership

Payments

62

Total payment records

General Amount

$1,437

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

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: 2020-08-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20200723002486INurse PractitionerDCTBD
I20200824001273INurse PractitionerVATBD

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
17003Destruction of precancer skin growth, 2-14 growths475103$0
99213Established patient office or other outpatient visit, 20-29 minutes299271$0
17000Destruction of precancer skin growth, 1 growth147135$0
11102Biopsy of related skin growth, first growth141134$0
17110Destruction of skin growth, 1-14 growths128117$0
View full utilization report →

Insurance plans in this area (ZIP 20155)

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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: 8527216993View full group profile
NameSpecialtyState
D E R M A T O L O G YMD
Pediatric Medicine, DermatologyVA
-VA
Physician AssistantWV
D E R M A T O L O G YVA
D E R M A T O L O G YVA
Nurse PractitionerVA
Internal MedicineVA
Physician AssistantDC
Physician AssistantVA

Reviews

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Frequently asked questions

Can I cross-check MARK GIBBS using NPI 1306463930?
NPI 1306463930 belongs to MARK GIBBS; compare other details if you need extra assurance.
Is MARK GIBBS shown as active in public data?
Registry records indicate MARK GIBBS maintains an active NPI.
How would a patient describe MARK GIBBS's focus?
For MARK GIBBS, the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MARK GIBBS associated with Gainesville?
Public fields place MARK GIBBS around Gainesville, Virginia. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for MARK GIBBS is noted as June 30, 2020 where the registry provides it.

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