WALLACE GIBBONS (MD) – Urology Physician, NPI 1932134244

WALLACE GIBBONS (MD) is a healthcare provider. based in Wenatchee, Washington. specializing in Urology Physician. They hold the professional credentials MD. They hold a License No. MD00024544 (WA). The NPI Number for WALLACE GIBBONS (MD) is 1932134244

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
WALLACE GIBBONS (MD)
NPI
1932134244
Phone
Not provided
Address
820 N CHELAN AVE
Enumeration Date
12 July 2006
Last Update Date
21 June 2022

Doctor Profile

Medical School Name
UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY
Secondary Phone
5096638711
Graduation Year
1985 (41 years ago)
PAC ID
3971413410
Group Practice PAC ID
9537309869
Professional Enrollment ID
I20100730000467

Contacts

Secure Messaging
WGIBBONS1875@EDIRECT.CHEHR.ORG
FHIR Endpoint
https://epicproxy.et0764.epichosted.com/FHIRProxy/api/FHIR/R4/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

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Provider Addresses for WALLACE GIBBONS (MD)

  • Wenatchee Valley Medical Center, 820, North Chelan Avenue, Wenatchee, Chelan County, Washington, 98801, United States

    WENATCHEE, WA 988012028

    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)

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: 2010-07-30

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
I20100730000467IUrologyWATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98801)

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Provider's Procedures

WALLACE GIBBONS (MD) performs procedures in Urology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
UROLOGYWA51798Ultrasound measurement of bladder capacity after voiding3128
UROLOGYWA76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle2626

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: 9537309869View full group profile

Reviews

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Frequently asked questions

Is WALLACE GIBBONS (MD) listed with a National Provider Identifier?
Yes — WALLACE GIBBONS (MD) has NPI 1932134244 on file in the registry.
Is WALLACE GIBBONS (MD) still an active registrant?
WALLACE GIBBONS (MD) carries an active NPI according to the public dataset.
What expertise is attributed to WALLACE GIBBONS (MD)?
WALLACE GIBBONS (MD)'s specialty line reads Urology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with WALLACE GIBBONS (MD)?
Directory geography for WALLACE GIBBONS (MD) centers on Wenatchee, Washington.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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