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RONALD C GIBSON M.D.
NPI 1154498525
Internal Medicine in Coldwater, MI

Active since November 29, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 23D0680420 · Waiver
360 E CHICAGO ST, SUITE 110, COLDWATER, MI 49036(517) 278-7331(517) 278-9917 Get Directions Write a Review

NPPES record last updated: July 16, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ronald C Gibson M.d. NPPES

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

RONALD C GIBSON M.D. (NPI 1154498525) is an individual internal medicine provider in Coldwater, Michigan, licensed in Michigan (RG052179) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through August 31, 2026, and is affiliated with Promedica Coldwater Regional Hospital.

NPPES Registry Identity

NPI1154498525
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRONALD C GIBSONCredential: M.D.
Location Address360 E CHICAGO ST, SUITE 110Coldwater, MI 49036-2086
Mailing Address360 E Chicago St, Suite 110Coldwater, MI 49036-2086 · (517) 278-7331 · Fax (517) 278-9917
Phone(517) 278-7331
Fax(517) 278-9917
Sole ProprietorYes
Medical School CMSOtherGraduated 1981
Enumeration DateNovember 29, 2006
Last NPPES UpdateJuly 16, 2020
NPPES CertifiedJuly 16, 2020
✔ NPI 1154498525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · RG052179
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
360 E CHICAGO ST, Coldwater, MI 49036
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Ronald C Gibson M.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 ID6103019252
PECOS Enrollment IDI20101021000090
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D0680420

Ronald Gibson MD · Coldwater, MI
Active · expires Aug 31, 2026
CLIA Number23D0680420
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorRonald C. Gibson MD
Laboratory Phone(517) 278-7331
Laboratory LocationRonald Gibson MD360 E Chicago Street Suite 110, Coldwater, MI 49036
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 13

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
233 services93 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
195 services195 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
193 services193 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
156 services78 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
135 services121 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
132 services115 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Promedica Coldwater Regional Hospital

Acute Care Hospitals · Coldwater, MI
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number230022
Location274 E Chicago StColdwater, MI 49036 · Branch County
Emergency services Birthing friendly

Bronson Battle Creek Hospital

Acute Care Hospitals · Battle Creek, MI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number230075
Location300 North AvenueBattle Creek, MI 49017 · Calhoun County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49036 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers47 claims106 services$4.79 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers33 claims39 services$0.82 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers17 claims17 services$16.35 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers31 claims31 services$101.81 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier17 claims17 services$36.02 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 13

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

SARAH RILEY FNP
Nurse Practitioner (Family)
360 E CHICAGO ST
COLDWATER, MI 49036
Branch County (517) 279-5214
MED CARE PHARMACY SERVICES LLC
Pharmacy (Community/Retail Pharmacy)
360 E CHICAGO ST, SUITE 105
COLDWATER, MI 49036
Branch County (517) 924-1400
DR. MARK A KALLUS MD
Internal Medicine
360 E CHICAGO ST
COLDWATER, MI 49036
Branch County (517) 278-8871
NICHOLAS E SHAFTO
Behavior Technician
360 E CHICAGO ST
COLDWATER, MI 49036
Branch County (517) 774-9911
KLENSLY HERNANDEZ
Behavior Technician
360 E CHICAGO ST
COLDWATER, MI 49036
Branch County (517) 774-9911
MARK A KALLUS MD PC
Internal Medicine
360 E CHICAGO ST, SUITE 111
COLDWATER, MI 49036
Branch County (517) 278-8871
MRS. KELSEY LYNN PERKINS
Behavior Technician
360 E CHICAGO ST
COLDWATER, MI 49036
Branch County (517) 774-9911
DR. JAGADEESH KUMAR KALAVAKUNTA M.D.,
Internal Medicine (Interventional Cardiology)
360 E CHICAGO ST
COLDWATER, MI 49036
Branch County (269) 226-5050

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 Ronald Gibson's NPI number?

The NPI number for Ronald Gibson is 1154498525. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Where is Ronald Gibson located?

Ronald Gibson practices at 360 E Chicago St Suite 110, Coldwater, MI 49036. The listed phone number is (517) 278-7331.

What is Ronald Gibson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ronald Gibson enrolled in Medicare?

Yes. Ronald 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.

Does Ronald Gibson hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0680420) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ronald Gibson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Ronald 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.

Is Ronald Gibson affiliated with any hospitals?

According to CMS data, Ronald Gibson is affiliated with Promedica Coldwater Regional Hospital and Bronson Battle Creek Hospital.

When was this NPI record last updated?

The NPPES record for Ronald Gibson was last updated on July 16, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.