THOMAS J GIBBONS DPM
NPI 1154315703
Podiatrist - Foot & Ankle Surgery in East Brunswick, NJ

Q: What is Thomas Gibbons's NPI number?

The NPI number for Thomas Gibbons is 1154315703. It was assigned to this individual provider in the NPPES registry on September 8, 2005.

Q: What is Thomas Gibbons's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Gibbons was last updated on January 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since September 08, 2005PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

8 AUER CT, EAST BRUNSWICK, NJ 08816(732) 254-2609(732) 238-6269 Get Directions Write a Review

NPPES record last updated: January 17, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Thomas J Gibbons Dpm NPPES

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

THOMAS J GIBBONS DPM (NPI 1154315703) is an individual foot & ankle surgery provider in East Brunswick, New Jersey, licensed in New Jersey (MD001948) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1154315703

Entity TypeIndividualMale

Primary Taxonomy213ES0103X

Provider Legal NameTHOMAS J GIBBONSCredential: DPM

Location Address8 AUER CTEast Brunswick, NJ 08816-5846

Mailing Address8 Auer CtEast Brunswick, NJ 08816-5846 · (732) 254-2609 · Fax (732) 238-6269

Phone(732) 254-2609

Fax(732) 238-6269

Sole ProprietorNo

Medical School CMSOtherGraduated 1989

Enumeration DateSeptember 8, 2005

Last NPPES UpdateJanuary 17, 2017

✔ NPI 1154315703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

License✔ Licensed in NJ · MD001948

8 AUER CT, East Brunswick, NJ 08816

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Other Identifiers 3

Medicaid4602501NJ

Medicare PINGI671761NJ

Medicare UPINU17438NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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

Thomas J Gibbons Dpm 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 ID8224046727

PECOS Enrollment IDI20060330000446

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.

Medicare Billing Reassignment

Medicare enrollment records show Thomas Gibbons reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gibbons Foot & Ankle Group LLC

Same address

Foot & Ankle Surgery

8 AUER COURT, SUITE C & D
East Brunswick, NJ 08816

Reassigned Medicare billing, New Jersey enrollment

NPI 1891899092 (732) 254-2609

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 12

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.

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

2,001 services555 patients

Removal of noncancer thickened skin growth, 2-4 growths 11056

This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.

1,145 services323 patients

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.

606 services249 patients

Removal of noncancer thickened skin growth, 1 growth 11055

This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.

542 services191 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

130 services130 patients

Removal of noncancer thickened skin growth, more than 4 growths 11057

This procedure involves the removal of more than four noncancerous, thickened skin growths. It's a simple process where a healthcare professional uses a specialized tool to carefully remove these growths, promoting healthier skin.

88 services27 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

48 services25 patients

Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304

An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.

35 services35 patients

Removal of fingernails or toenails, 1-5 nails 11720

This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.

28 services11 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

25 services17 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.

12 services11 patients

Removal of skin of fingernail or toenail 11765

This procedure, called a nail avulsion, involves the removal of a fingernail or toenail's skin, usually due to an infection, injury, or abnormal growth. It's performed under local anesthesia to minimize discomfort, and promotes healthy nail regrowth and healing.

11 services11 patients

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Improvement Activities

Other Providers at the Same Location NPPES

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

MEDICAL ASSOCIATES OF NEW BRUNSWICK, P.A.

Internal Medicine

8 AUER CT, SUITES C & D
EAST BRUNSWICK, NJ 08816

Middlesex County (732) 254-2216

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 Thomas Gibbons's NPI number?

The NPI number for Thomas Gibbons is 1154315703. It was assigned to this individual provider in the NPPES registry on September 8, 2005.

Where is Thomas Gibbons located?

Thomas Gibbons practices at 8 Auer Ct, East Brunswick, NJ 08816. The listed phone number is (732) 254-2609.

What is Thomas Gibbons's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Thomas Gibbons enrolled in Medicare?

Yes. Thomas Gibbons 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 organization bills Medicare for Thomas Gibbons's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Gibbons reassigns Medicare benefits to Gibbons Foot & Ankle Group LLC (East Brunswick, NJ). The 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 Thomas Gibbons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Gibbons accept?

Health plans from Oscar Health list Thomas Gibbons 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 Thomas Gibbons was last updated on January 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.