JACOB TROY GIBBY MD
NPI 1083174056
Radiology - Neuroradiology in Provo, UT
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
Specialties & Licenses 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
5Medicare enrollment records show Jacob Gibby reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Provo, UT 84604
- Reassigned Medicare billing, Utah enrollment
- 4 clinicians in this Medicare group
Gunnison, UT 84634
- Reassigned Medicare billing, Utah enrollment
- 11 clinicians in this Medicare group
Scottsbluff, NE 69361
- Reassigned Medicare billing, Nebraska and Utah enrollments
- Also billed through NPI 1982718219 (Utah)
- 70 clinicians in this Medicare group
Hemingford, NE 69348
- Reassigned Medicare billing, Nebraska enrollment
- Also billed through NPI 1811929060 (Nebraska)
- 104 clinicians in this Medicare group
Norfolk, NE 68701
- Reassigned Medicare billing, Nebraska enrollment
- 252 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.
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, NEMorrill County Community Hospital
Critical Access Hospitals · Bridgeport, NEBox Butte General Hospital
Critical Access Hospitals · Alliance, NECommunity Hospital
Critical Access Hospitals · Torrington, WYOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PROVO, UT 84604
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.
Which organizations bill Medicare for Jacob Gibby's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Gibby reassigns Medicare benefits to 5 organizations: Alpharad Inc (Provo, UT), Gunnison Valley Hospital (Gunnison, UT), Regional West Medical Center (Scottsbluff, NE), Box Butte General Hospital (Hemingford, NE) and Faith Regional Physician Services, LLC (Norfolk, NE). 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 Jacob Gibby's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacob Gibby accept?
Health plans from Ambetter Health, Ambetter from Sunflower Health Plan, Blue Cross and Blue Shield of Nebraska, Oscar Insurance Company and Select Health 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 15 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.
# Jacob Troy Gibby, MD · NPI 1083174056
Neuroradiology physician in Provo, Utah. Individual provider, active in the CMS NPPES registry since March 25, 2019.
## Identity
- **NPI:** 1083174056 (Entity type: Individual)
- **Enumerated:** March 25, 2019
- **Primary specialty:** Radiology - Neuroradiology · taxonomy 2085N0700X
- **State license:** 13494110-1205 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 3152 N UNIVERSITY AVE STE 100, Provo, UT 84604-4746
- **Phone:** (801) 229-2002
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Alpharad Inc (NPI 1487836979, Provo, UT); Gunnison Valley Hospital (NPI 1952463036, Gunnison, UT); Regional West Medical Center (NPI 1215106356, Scottsbluff, NE); Box Butte General Hospital (NPI 1609944388, Hemingford, NE); Faith Regional Physician Services, LLC (NPI 1265489157, Norfolk, NE) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** July 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1083174056) · Data from the CMS NPPES public registry.