MARY TERESA GIBSON ACNPC-AG
NPI 1144916297
Surgery - Trauma Surgery in Goodyear, AZ
NPI Status: Active since April 12, 2023
Contact Information
13677 W MCDOWELL RD
GOODYEAR, AZ
ZIP 85395
Phone: (623) 853-3832
- Individual
- Female
- Years of Experience 4
- Surgery
- Trauma Surgery
- May Accept Medicare Approved Payment
- PECOS Enrolled
About MARY GIBSON
This page provides the complete NPI Profile along with additional information for Mary Gibson, a provider established in Goodyear, Arizona with a medical specialization in Surgery, focusing in trauma surgery and more than 4 years of experience. The healthcare provider is registered in the NPI registry with number 1144916297 assigned on April 2023. The practitioner's primary taxonomy code is 2086S0127X with license number 290448 (AZ). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1144916297
- Provider Name
- MARY TERESA GIBSON ACNPC-AG
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 13677 W MCDOWELL RD GOODYEAR, AZ 85395
- Location Phone
- (623) 853-3832
- Mailing Address
- 14175 W INDIAN SCHOOL RD STE B4 GOODYEAR, AZ 85395
- Mailing Phone
- (623) 853-3832
- Medical School Name
- OTHER
- Graduation Year
- 2023
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-12-2023
- Last Update Date
- 04-12-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Surgery Trauma Surgery
- Taxonomy Code
- 2086S0127X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 290448
- License State
- AZ
- Taxonomy Description
- Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.
Medicare Participation & PECOS Enrollment Status
Mary Gibson is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
Mary Gibson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 5496250672
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20250926003487
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1144916297, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 63 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 19 providers are registered at the same or a nearby location.
GOODYEAR, AZ 85395
GOODYEAR, AZ 85395
GOODYEAR, AZ 85395
GOODYEAR, AZ 85395
GOODYEAR, AZ 85395
GOODYEAR, AZ 85395
GOODYEAR, AZ 85395
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1144916297, enumerated as an "individual" on April 12, 2023.
The provider is located at 13677 W MCDOWELL RD GOODYEAR, AZ 85395 and the phone number is (623) 853-3832.
Surgery with taxonomy code 2086S0127X and a focus in Trauma Surgery.
