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DR. DUANE PHILLIP GIBSON O.D.
NPI 1083609101
Optometrist in Jackson, CA

Active since September 14, 2005PECOS EnrolledAccepts Medicare Assignment
83.45/100
CMS Quality Rating
817 COURT ST, SUITE 10, JACKSON, CA 95642(209) 223-2020(209) 223-2046 Get Directions Write a Review

NPPES record last updated: December 12, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Duane Phillip Gibson O.d. NPPES

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

DR. DUANE PHILLIP GIBSON O.D. (NPI 1083609101) is an individual optometrist in Jackson, California, licensed in California (10077T) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1083609101
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. DUANE PHILLIP GIBSONCredential: O.D.
Location Address817 COURT ST, SUITE 10Jackson, CA 95642-2156
Mailing Address817 Court St, Suite 10Jackson, CA 95642-2156 · (209) 223-2020 · Fax (209) 223-2046
Phone(209) 223-2020
Fax(209) 223-2046
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateSeptember 14, 2005
Last NPPES UpdateDecember 12, 2007
✔ NPI 1083609101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CA · 10077T
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
817 COURT ST, Jackson, CA 95642
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Other Identifiers 3

Medicare UPINU49326CA
MedicaidSD0100771CA
Medicare PINSD0100771CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming.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

Dr. Duane Phillip Gibson O.d. 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 ID42219685
PECOS Enrollment IDI20090225000093
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.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
480 services433 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
141 services114 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
123 services122 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
91 services57 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
37 services36 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
36 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95642 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

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.

83.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.91
Improvement Activities40

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%42 patients5/55-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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers39 claims39 services$62.62 avg. paid by Medicare
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers20 claims38 services$52.82 avg. paid by Medicare
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers12 claims21 services$59.40 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

DAVID RANDALL BRUCE DO
Dermatology
817 COURT ST
JACKSON, CA 95642
Amador County (209) 223-0038
DR. RICHARD HARVEY VANBUSKIRK O.D.
Optometrist (Low Vision Rehabilitation)
817 COURT ST, SUITE 10
JACKSON, CA 95642
Amador County (209) 223-2020
DR. STEVEN J FRONK O.D.
Optometrist
817 COURT ST, SUITE 10
JACKSON, CA 95642
Amador County (209) 223-2020
SIERRA EYECARE ASSOCIATES
Optometrist
817 COURT ST, SUITE 10
JACKSON, CA 95642
Amador County (209) 223-2020
DR. KAREN LOUISE PANTAZIS MD
Pain Medicine (Pain Medicine)
817 COURT ST, SUITE 14
JACKSON, CA 95642
Amador County (209) 357-0503
DR. JERRY L JOLLEY O.D.
Optometrist
817 COURT ST, SUITE 10
JACKSON, CA 95642
Amador County (209) 223-2020
DAVID R BRUCE DO INC
Dermatology (Dermatopathology)
817 COURT ST, SUITE #11
JACKSON, CA 95642
Amador County (209) 223-0038
KAREN PANTAZIS MD
Pain Medicine (Pain Medicine)
817 COURT ST, SUITE 14
JACKSON, CA 95642
Amador County (916) 354-1343

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 Duane Gibson's NPI number?

The NPI number for Duane Gibson is 1083609101. It was assigned to this individual provider in the NPPES registry on September 14, 2005.

Where is Duane Gibson located?

Duane Gibson practices at 817 Court St Suite 10, Jackson, CA 95642. The listed phone number is (209) 223-2020.

What is Duane Gibson's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Duane Gibson enrolled in Medicare?

Yes. Duane 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 Duane Gibson accept?

Health plans from Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana list Duane 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 Duane Gibson was last updated on December 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.