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JACOB TROY GIBBY MD
NPI 1083174056
Radiology - Neuroradiology in Provo, UT

Active since March 25, 2019PECOS EnrolledAccepts Medicare Assignment
3152 N UNIVERSITY AVE STE 100, PROVO, UT 84604(801) 229-2002 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob Troy Gibby Md NPPES

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

JACOB TROY GIBBY MD (NPI 1083174056) is an individual neuroradiology provider in Provo, Utah, licensed in Utah (13494110-1205) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Regional West Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1083174056
Entity TypeIndividualMale
Primary Taxonomy2085N0700X
Provider Legal NameJACOB TROY GIBBYCredential: MD
Location Address3152 N UNIVERSITY AVE STE 100Provo, UT 84604-4746
Mailing Address3152 N University Ave Ste 100Provo, UT 84604-4746 · (801) 229-2002
Phone(801) 229-2002
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 25, 2019
Last NPPES UpdateJuly 24, 2025
NPPES CertifiedJuly 24, 2025
✔ NPI 1083174056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRadiology · NeuroradiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085N0700X
License✔ Licensed in UT · 13494110-1205
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
Also ListedRadiology · Diagnostic NeuroimagingTaxonomy 2085D0003X · License 13494110-1205 (UT)
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 13494110-1205 (UT)
3152 N UNIVERSITY AVE STE 100, Provo, UT 84604
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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

Jacob Troy Gibby 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 ID3870016843
PECOS Enrollment IDI20250331002369, I20250908000261
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.

Hospital Affiliations CMS Care Compare 4

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

Regional West Medical Center

Acute Care Hospitals · Scottsbluff, NE
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280061
Location4021 Ave BScottsbluff, NE 69361 · Scott Bluff County
Emergency services Birthing friendly

Morrill County Community Hospital

Critical Access Hospitals · Bridgeport, NE
OwnershipGovernment - Local
CMS Certification Number281318
Location1313 S StreetBridgeport, NE 69336 · Morrill County
Emergency services

Box Butte General Hospital

Critical Access Hospitals · Alliance, NE
OwnershipGovernment - Local
CMS Certification Number281360
LocationP O Box 810, 2101 Box Butte AveAlliance, NE 69301 · Box Butte County
Emergency services

Community Hospital

Critical Access Hospitals · Torrington, WY
OwnershipVoluntary non-profit - Private
CMS Certification Number531307
Location2000 Campbell DriveTorrington, WY 82240 · Goshen County
Emergency services

Other Providers at the Same Location NPPES

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

RIVERSIDE MEDICAL CENTER LLC
Clinic/Center (Multi-Specialty)
3152 N UNIVERSITY AVE STE 100
PROVO, UT 84604
Utah County (801) 229-2002

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 Jacob Gibby's NPI number?

The NPI number for Jacob Gibby is 1083174056. It was assigned to this individual provider in the NPPES registry on March 25, 2019.

Where is Jacob Gibby located?

Jacob Gibby practices at 3152 N University Ave Ste 100, Provo, UT 84604. The listed phone number is (801) 229-2002.

What is Jacob Gibby's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Neuroradiology, with taxonomy code 2085N0700X.

Is Jacob Gibby enrolled in Medicare?

Yes. Jacob Gibby 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 Jacob Gibby accept?

Health plans from Oscar Insurance Company list Jacob Gibby 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.

Is Jacob Gibby affiliated with any hospitals?

According to CMS data, Jacob Gibby is affiliated with Regional West Medical Center, Morrill County Community Hospital, Box Butte General Hospital and Community Hospital.

When was this NPI record last updated?

The NPPES record for Jacob Gibby was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.