LISA MICHELLE GIBBONS (DO) – Obstetrics & Gynecology Physician, NPI 1366446270
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,037 OBSTETRICS/GYNECOLOGY in WA
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Provider Addresses for LISA MICHELLE GIBBONS (DO)
Northeast 20th Avenue, Vancouver, Clark County, Washington, 98663, United States
STE 300
VANCOUVER, WA 986866418
Phone: (360) 433-0022
Fax: (360) 433-6159
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 10 Open Payments records for all available years, with a total value of $219.
Total Amount is formed as General ($219) + Research ($0) + Ownership ($0) = $219.
Last reported payment date: 2024-08-20 • Largest payer in this snapshot: Astellas Pharma US Inc ($93).
Total Amount
$219
General + Research + Ownership
Payments
10
Total payment records
General Amount
$219
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Astellas Pharma US Inc | $93 |
| CooperSurgical, Inc. | $36 |
| Hologic Sales and Service, LLC | $24 |
| Medtronic, Inc. | $21 |
| ABBVIE INC. | $16 |
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: 2005-07-20
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 |
|---|---|---|---|---|
| I20050720000205 | I | Obstetrics/Gynecology | WA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98686)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Physical Medicine And Rehabilitation | OR | |
| Internal Medicine | CA | |
| Family Practice | WA | |
| Nurse Practitioner | CA | |
| Neurology, Hospice/Palliative Care | WA | |
| Nurse Practitioner | SD | |
| - | OR | |
| - | OR | |
| General Surgery | OR | |
| - | OR |
Reviews
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