RADINE A GIBSON
NPI 1083794150
Nurse Practitioner - Pediatrics in Morgantown, WV

Q: What is Radine Gibson's NPI number?

The NPI number for Radine Gibson is 1083794150. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Q: What is Radine Gibson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Radine Gibson was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 16, 2006PECOS Enrolled

1 STADIUM DRIVE, MORGANTOWN, WV 26506(304) 598-4800(304) 293-6963 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Radine A Gibson NPPES

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

RADINE A GIBSON (NPI 1083794150) is an individual pediatrics provider in Morgantown, West Virginia, licensed in West Virginia (048891) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083794150

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameRADINE A GIBSON

Location Address1 STADIUM DRIVEMorgantown, WV 26506

Mailing AddressPo Box 897Morgantown, WV 26507-0897 · (304) 293-7401 · Fax (304) 293-6963

Phone(304) 598-4800

Fax(304) 293-6963

Sole ProprietorNo

Enumeration DateOctober 16, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1083794150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in WV · 048891

1 STADIUM DRIVE, Morgantown, WV 26506

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Other Identifiers 2

Medicaid0167154000WV

Medicare UPINS52035

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Radine A Gibson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26506 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

$83.49 typical visit price

range $53.20 – $164.59

Typical copayment $20.87 (range $13.30 – $41.14)

Most-billed visit code 99203

Established Patient

$94.81 typical visit price

range $16.47 – $133.29

Typical copayment $23.70 (range $4.11 – $33.32)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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.

DR. MICHAEL HURST M.D.

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