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MICHAEL GIBSON D.D.S.
NPI 1114090131
Dentist - General Practice in Dorchester, WI

Active since November 16, 2006PECOS Enrolled
424 E CENTER AVENUE, DORCHESTER, WI 54425(715) 654-5911(715) 654-5937 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael Gibson D.d.s. NPPES

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

MICHAEL GIBSON D.D.S. (NPI 1114090131) is an individual general practice provider in Dorchester, Wisconsin, licensed in Wisconsin (2855) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114090131
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMICHAEL GIBSONCredential: D.D.S.
Location Address424 E CENTER AVENUEDorchester, WI 54425-0236
Mailing AddressPo Box 236Dorchester, WI 54425-0236 · (715) 654-5911 · Fax (715) 654-5937
Phone(715) 654-5911
Fax(715) 654-5937
Sole ProprietorYes
Enumeration DateNovember 16, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1114090131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WI · 2855
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
424 E CENTER AVENUE, Dorchester, WI 54425
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Other Identifiers 2

Other3432WI · Family Health Center
Medicaid33434800WI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Gibson D.d.s. 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 54425 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

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 Michael Gibson's NPI number?

The NPI number for Michael Gibson is 1114090131. It was assigned to this individual provider in the NPPES registry on November 16, 2006.

Where is Michael Gibson located?

Michael Gibson practices at 424 E Center Avenue, Dorchester, WI 54425. The listed phone number is (715) 654-5911.

What is Michael Gibson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Michael Gibson enrolled in Medicare?

Yes. Michael Gibson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Gibson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.