JOHN GIBBS MD
NPI 1063418176
Surgery in Fort Defiance, AZ
About John Gibbs Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN GIBBS MD (NPI 1063418176) is an individual surgery provider in Fort Defiance, Arizona, licensed in New Jersey (25MA09547000) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
John Gibbs Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show John Gibbs reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fort Defiance, AZ 86504
- Reassigned Medicare billing, Texas enrollment
- 518 clinicians in this Medicare group
Red Bank, NJ 07701
- Reassigned Medicare billing, New Jersey enrollment
- 306 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 86504 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
FORT DEFIANCE, AZ 86504
FORT DEFIANCE, AZ 86504
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 John Gibbs's NPI number?
The NPI number for John Gibbs is 1063418176. It was assigned to this individual provider in the NPPES registry on June 23, 2005.
Where is John Gibbs located?
John Gibbs practices at Corner Of Route N12 And N7, Fort Defiance, AZ 86504. The listed phone number is (716) 845-2300.
What is John Gibbs's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is John Gibbs enrolled in Medicare?
Yes. John Gibbs is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for John Gibbs's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Gibbs reassigns Medicare benefits to 2 organizations: The Fort Defiance Indian Hospital Board, Incorporation (Fort Defiance, AZ) and Hackensack Meridian Health Medical Group - Complex Care PC (Red Bank, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Gibbs's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for John Gibbs was last updated on January 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.
# John Gibbs, MD · NPI 1063418176
Surgery physician in Fort Defiance, Arizona. Individual provider, active in the CMS NPPES registry since June 23, 2005.
## Identity
- **NPI:** 1063418176 (Entity type: Individual)
- **Enumerated:** June 23, 2005
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 25MA09547000 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** CORNER OF ROUTE N12 AND N7, Fort Defiance, AZ 86504
- **Phone:** (716) 845-2300
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): The Fort Defiance Indian Hospital Board, Incorporation (NPI 1477876639, Fort Defiance, AZ); Hackensack Meridian Health Medical Group - Complex Care PC (NPI 1154379626, Red Bank, NJ) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 10, 2025
- **Other identifiers:** Medicaid 01706385 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1063418176) · Data from the CMS NPPES public registry.