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CARL ANTHONY GIBSON M.D.
NPI 1003888264
Internal Medicine - Endocrinology, Diabetes & Metabolism in Newport News, VA

Active since February 02, 2006PECOS EnrolledAccepts Medicare Assignment
94.07/100
CMS Quality Rating
12200 WARWICK BLVD, SUITE 590B, NEWPORT NEWS, VA 23601(757) 534-5909(757) 534-5911 Get Directions Write a Review

NPPES record last updated: November 27, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carl Anthony Gibson M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARL ANTHONY GIBSON M.D. (NPI 1003888264) is an individual endocrinology, diabetes & metabolism provider in Newport News, Virginia, licensed in Virginia (0101242986) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Mary Immaculate Hospital, and is a graduate of University Of Alabama School Of Medicine (1987).

NPPES Registry Identity

NPI1003888264
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameCARL ANTHONY GIBSONCredential: M.D.
Location Address12200 WARWICK BLVD, SUITE 590BNewport News, VA 23601-2344
Mailing Address856 J Clyde Morris Blvd, Ste ANewport News, VA 23601-1318
Phone(757) 534-5909
Fax(757) 534-5911
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1987
Enumeration DateFebruary 2, 2006
Last NPPES UpdateNovember 27, 2013
✔ NPI 1003888264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in VA · 0101242986
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
12200 WARWICK BLVD, Newport News, VA 23601
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carl Anthony Gibson M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416013289
PECOS Enrollment IDI20090303000131
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
806 services502 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
205 services120 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
108 services108 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
66 services58 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
30 services30 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
21 services13 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mary Immaculate Hospital

Acute Care Hospitals · Newport News, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490041
Location2 Bernardine DriveNewport News, VA 23602 · Newport News City County
Emergency services Birthing friendly

Riverside Regional Medical Center

Acute Care Hospitals · Newport News, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490052
Location500 J Clyde Morris BlvdNewport News, VA 23601 · Newport News City County
Emergency services Birthing friendly

Sentara Careplex Hospital

Acute Care Hospitals · Hampton, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490093
Location3000 Coliseum DriveHampton, VA 23666 · Hampton City County
Emergency services Birthing friendly

Riverside Walter Reed Hospital

Acute Care Hospitals · Gloucester, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490130
Location7519 Hospital RoadGloucester, VA 23061 · Gloucester County
Emergency services

Riverside Doctors' Hospital Of Williamsburg

Acute Care Hospitals · Williamsburg, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490143
Location1500 Commonwealth AvenueWilliamsburg, VA 23185 · James City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality90.65
Promoting Interoperability95.83
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
6 suppliers43 claims548 services$17.76 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
6 suppliers44 claims1,335 services$2.26 avg. paid by Medicare
Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238
DME-Medical/Surgical Supplies · category DA000N
2 suppliers19 claims19 services$172.63 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
42 suppliers182 claims783 services$6.45 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
5 suppliers40 claims40 services$2.95 avg. paid by Medicare
Spring-powered device for lancet, each A4258
DME-Other DME · category DE000N
5 suppliers20 claims20 services$1.84 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GLYNIS MARGARET DAVIS NP
Nurse Practitioner (Family)
12200 WARWICK BLVD, STE 410
NEWPORT NEWS, VA 23601
Newport News City (757) 534-5200
RIVERSIDE PHYSICIAN SERVICES INC
Neurological Surgery
12200 WARWICK BLVD, SUITE 410
NEWPORT NEWS, VA 23601
Newport News City (757) 534-5200
KELLY M MURRER NP
Nurse Practitioner (Women's Health)
12200 WARWICK BLVD, STE 510
NEWPORT NEWS, VA 23601
Newport News City (757) 534-5700
CHERYL LOUISE MILLER PA
Physician Assistant
12200 WARWICK BLVD, SUITE 410
NEWPORT NEWS, VA 23601
Newport News City (757) 534-5200
DEAN BORRISOV KOSTOV MD
Neurological Surgery
12200 WARWICK BLVD, SUITE 410
NEWPORT NEWS, VA 23601
Newport News City (757) 534-5200
SANDY N BACALLAO NP
Nurse Practitioner
12200 WARWICK BLVD, SUITE 310
NEWPORT NEWS, VA 23601
Newport News City (757) 534-9988
JACKSON BOLAND SALVANT JR. M.D.
Neurological Surgery
12200 WARWICK BLVD, SUITE 410
NEWPORT NEWS, VA 23601
Newport News City (757) 534-5200
LAURA EVA RIPLEY PA
Physician Assistant (Surgical)
12200 WARWICK BLVD, SUITE 410
NEWPORT NEWS, VA 23601
Newport News City (757) 534-5200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carl Gibson's NPI number?

The NPI number for Carl Gibson is 1003888264. It was assigned to this individual provider in the NPPES registry on February 2, 2006.

Where is Carl Gibson located?

Carl Gibson practices at 12200 Warwick Blvd Suite 590B, Newport News, VA 23601. The listed phone number is (757) 534-5909.

What is Carl Gibson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Carl Gibson enrolled in Medicare?

Yes. Carl Gibson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Carl Gibson affiliated with any hospitals?

According to CMS data, Carl Gibson is affiliated with Mary Immaculate Hospital, Riverside Regional Medical Center, Sentara Careplex Hospital, Riverside Walter Reed Hospital and Riverside Doctors' Hospital Of Williamsburg.

When was this NPI record last updated?

The NPPES record for Carl Gibson was last updated on November 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.