JAMES GIBSON MD
NPI 1023121159
Medical Genetics - Clinical Biochemical Genetics in Austin, TX

Active since August 15, 2006PECOS EnrolledAccepts Medicare Assignment
71.01/100
CMS Quality Rating
1301 BARBARA JORDAN BLVD STE 200, AUSTIN, TX 78723(512) 628-1840(512) 628-1841 Get Directions Write a Review

NPPES record last updated: January 10, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About James Gibson Md NPPES

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

JAMES GIBSON MD (NPI 1023121159) is an individual clinical biochemical genetics provider in Austin, Texas, licensed in Texas (M7211) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Duke University School Of Medicine (1988).

NPPES Registry Identity

NPI1023121159
Entity TypeIndividualMale
Primary Taxonomy207SG0202X
Provider Legal NameJAMES GIBSONCredential: MD
Location Address1301 BARBARA JORDAN BLVD STE 200Austin, TX 78723-3078
Mailing Address1301 Barbara Jordan Blvd Ste 200Austin, TX 78723-3078 · (512) 628-1840 · Fax (512) 628-1841
Fax(512) 628-1841
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 1988
Enumeration DateAugust 15, 2006
Last NPPES UpdateJanuary 10, 2012
NPI 1023121159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMedical Genetics · Clinical Biochemical GeneticsAllopathic & Osteopathic Physicians
Taxonomy Code207SG0202X
License Licensed in TX · M7211
Definition
A clinical biochemical geneticist demonstrates competence in performing and interpreting biochemical analyses relevant to the diagnosis and management of human genetic diseases and is a consultant regarding laboratory diagnosis of a broad range of inherited disorders.
1301 BARBARA JORDAN BLVD STE 200, Austin, TX 78723

Other Identifiers 4

Medicaid172532704TX
Medicare PIN8L1175TX
Medicare UPINF80194
Medicaid172532706TX

Accepted Insurance

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

James Gibson Md 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 ID9931149572
PECOS Enrollment IDI20050503001166
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.

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.

71.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.21
Promoting Interoperability97
Improvement Activities40
Cost13.61

Reported Quality Measures

Cervical Cancer Screening
5%37 patients1/55-star benchmark: 98%
Documentation of Current Medications in the Medical Record
100%133 patients5/55-star benchmark: 100%
e-Prescribing
89%122 patients1/55-star benchmark: 100%
HIV Screening
1%132 patients1/55-star benchmark: 60%
Immunizations for Adolescents
Patients HPV: 23% · 22 patients
Patients meningococcal: 41% · 22 patients
Patients Tdap: 41% · 22 patients
23%22 patients
One-Time Screening for Hepatitis C Virus (HCV) for all Patients
3%34 patients1/55-star benchmark: 98%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
31%98 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
4%174 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
41%92 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 100% · 52 patients
96%52 patients
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients screened: 47% · 34 patients
47%34 patients
Provide Patients Electronic Access to Their Health Information
91%154 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Dermatology (Pediatric Dermatology)
1301 BARBARA JORDAN BLVD STE 200
AUSTIN, TX 78723
Dermatology (Pediatric Dermatology)
1301 BARBARA JORDAN BLVD STE 200
AUSTIN, TX 78723
Pediatrics (Hospice and Palliative Medicine)
1301 BARBARA JORDAN BLVD STE 200
AUSTIN, TX 78723
Pediatrics (Pediatric Gastroenterology)
1301 BARBARA JORDAN BLVD STE 200
AUSTIN, TX 78723
Pediatrics (Pediatric Rheumatology)
1301 BARBARA JORDAN BLVD STE 200
AUSTIN, TX 78723
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1301 BARBARA JORDAN BLVD STE 200
AUSTIN, TX 78723
Nurse Practitioner (Pediatrics)
1301 BARBARA JORDAN BLVD STE 200
AUSTIN, TX 78723
Pediatrics (Pediatric Gastroenterology)
1301 BARBARA JORDAN BLVD STE 200
AUSTIN, TX 78723

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 James Gibson's NPI number?

The NPI number for James Gibson is 1023121159. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Where is James Gibson located?

James Gibson practices at 1301 Barbara Jordan Blvd Ste 200, Austin, TX 78723. The listed phone number is (512) 628-1840.

What is James Gibson's specialty?

The primary specialty registered for this NPI is Medical Genetics, specializing in Clinical Biochemical Genetics, with taxonomy code 207SG0202X.

Is James Gibson enrolled in Medicare?

Yes. James 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.

What insurance does James Gibson accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and Sendero Health Plans, Local Nonprofit list James Gibson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for James Gibson was last updated on January 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.