MICHAEL GIBBONS MD
NPI 1164378196
Preventive Medicine - Public Health & General Preventive Medicine in Glenn Dale, MD

Q: What is Michael Gibbons's NPI number?

The NPI number for Michael Gibbons is 1164378196. It was assigned to this individual provider in the NPPES registry on March 10, 2026.

Q: What is Michael Gibbons's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Public Health & General Preventive Medicine, with taxonomy code 2083P0901X.

Q: When was this NPI record last updated?

The NPPES record for Michael Gibbons was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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 March 10, 2026PECOS EnrolledAccepts Medicare Assignment

11312 WYCOMBE PARK LN, GLENN DALE, MD 20769(240) 350-4490 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Michael Gibbons Md NPPES

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

MICHAEL GIBBONS MD (NPI 1164378196) is an individual public health & general preventive medicine provider in Glenn Dale, Maryland, licensed in Maryland (D0106199) and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (1992).

NPPES Registry Identity

NPI1164378196

Entity TypeIndividualMale

Primary Taxonomy2083P0901X

Provider Legal NameMICHAEL GIBBONSCredential: MD

Location Address11312 WYCOMBE PARK LNGlenn Dale, MD 20769-2029

Mailing Address8843 Greenbelt Rd # 103Greenbelt, MD 20770-2451 · (240) 350-4490

Phone(240) 350-4490

Sole ProprietorYes

Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1992

Enumeration DateMarch 10, 2026

NPPES CertifiedMarch 7, 2026

✔ NPI 1164378196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Public Health & General Preventive MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2083P0901X

License✔ Licensed in MD · D0106199

Definition

Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.

11312 WYCOMBE PARK LN, Glenn Dale, MD 20769

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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

Michael Gibbons Md 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 ID3173929544

PECOS Enrollment IDI20260610003569

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 20769 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

$100.31 typical visit price

range $65.18 – $194.86

Typical copayment $25.07 (range $16.29 – $48.71)

Most-billed visit code 99203

Established Patient

$80.66 typical visit price

range $21.40 – $158.88

Typical copayment $20.16 (range $5.35 – $39.72)

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 Gibbons's NPI number?

The NPI number for Michael Gibbons is 1164378196. It was assigned to this individual provider in the NPPES registry on March 10, 2026.

Where is Michael Gibbons located?

Michael Gibbons practices at 11312 Wycombe Park Ln, Glenn Dale, MD 20769. The listed phone number is (240) 350-4490.

What is Michael Gibbons's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Public Health & General Preventive Medicine, with taxonomy code 2083P0901X.

Is Michael Gibbons enrolled in Medicare?

Yes. Michael 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.

When was this NPI record last updated?

The NPPES record for Michael Gibbons was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.