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QUINCY L GIBBS DDS
NPI 1063626166
Dentist - Prosthodontics in Walnut Creek, CA

Active since May 09, 2007Opted out of Medicare · through May 24, 2028
1111 CIVIC DR, #320, WALNUT CREEK, CA 94596(925) 935-4040(925) 935-4077 Get Directions Write a Review

NPPES record last updated: March 6, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Quincy L Gibbs Dds NPPES

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

QUINCY L GIBBS DDS (NPI 1063626166) is an individual prosthodontics provider in Walnut Creek, California, licensed in California (63386) and active in the NPI registry since May 2007. He has opted out of Medicare through May 24, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1063626166
Entity TypeIndividualMale
Primary Taxonomy1223P0700X
Provider Legal NameQUINCY L GIBBSCredential: DDS
Location Address1111 CIVIC DR, #320Walnut Creek, CA 94596-3895
Mailing Address1111 Civic Dr, #320Walnut Creek, CA 94596-3895 · (925) 935-4040 · Fax (925) 935-4077
Phone(925) 935-4040
Fax(925) 935-4077
Sole ProprietorNo
Enumeration DateMay 9, 2007
Last NPPES UpdateMarch 6, 2017
✔ NPI 1063626166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
Licenses✔ Licensed in CA · 63386✔ Licensed in NV · 4625
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
1111 CIVIC DR, Walnut Creek, CA 94596
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Quincy L Gibbs Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 24, 2016 through May 24, 2028.

Opt-Out Effective DateMay 24, 2016
Opt-Out In Effect ThroughMay 24, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94596 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

KAIN II DDS INC
Preferred Provider Organization
1111 CIVIC DR, SUITE #145
WALNUT CREEK, CA 94596
Contra Costa County (925) 937-9017
DR. TSUI WAI CHRISTINE ENG D.D.S.
Dentist (General Practice)
1111 CIVIC DR, STE 310
WALNUT CREEK, CA 94596
Contra Costa County (925) 932-1888
DR. FERNANDO CRISTANCHO PH.D.
Marriage & Family Therapist
1111 CIVIC DR, SUITE 270
WALNUT CREEK, CA 94596
Contra Costa County (925) 933-6564
DR. RICHARD JAMES MARASCO JR. DDS
Dentist (General Practice)
1111 CIVIC DR, UNIT 145
WALNUT CREEK, CA 94596
Contra Costa County (925) 937-9017
DR. SCOTT EDWARD KEITH DDS, MS
Dentist (Prosthodontics)
1111 CIVIC DR, SUITE 320
WALNUT CREEK, CA 94596
Contra Costa County (925) 935-4040
DR. JOHN JOSEPH PETRINI JR. D.D.S, M.S.
Dentist (Prosthodontics)
1111 CIVIC DR, SUITE 320
WALNUT CREEK, CA 94596
Contra Costa County (925) 935-4040
DR. THOMAS EDWARD AHLBORN PH.D. LAC
Acupuncturist
1111 CIVIC DR, SUITE 111
WALNUT CREEK, CA 94596
Contra Costa County (925) 977-1638

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 Quincy Gibbs's NPI number?

The NPI number for Quincy Gibbs is 1063626166. It was assigned to this individual provider in the NPPES registry on May 9, 2007.

Where is Quincy Gibbs located?

Quincy Gibbs practices at 1111 Civic Dr #320, Walnut Creek, CA 94596. The listed phone number is (925) 935-4040.

What is Quincy Gibbs's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Is Quincy Gibbs enrolled in Medicare?

No. Quincy Gibbs has opted out of Medicare through May 24, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Quincy Gibbs was last updated on March 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.