DR. MARY J GIBSON MD
NPI 1164427290
Internal Medicine in Johnson City, TN

Q: What is Mary Gibson's NPI number?

The NPI number for Mary Gibson is 1164427290. It was assigned to this individual provider in the NPPES registry on June 16, 2005.

Q: What is Mary Gibson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mary Gibson was last updated on January 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 June 16, 2005PECOS Enrolled

301 MED TECH PKWY STE 240, JOHNSON CITY, TN 37604(423) 341-6436 Get Directions Write a Review

NPPES record last updated: January 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 3, 2024, Mar 31, 2021, Jul 11, 2018 and 3 more (6 updates tracked since 2015).

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About Dr. Mary J Gibson Md NPPES

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

DR. MARY J GIBSON MD (NPI 1164427290) is an individual internal medicine provider in Johnson City, Tennessee, licensed in Tennessee (19131) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164427290

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. MARY J GIBSONCredential: MD

Location Address301 MED TECH PKWY STE 240Johnson City, TN 37604-2641

Mailing Address217 Shadowood DrJohnson City, TN 37604-1128 · (423) 341-6436

Phone(423) 341-6436

Sole ProprietorNo

Enumeration DateJune 16, 2005

Last NPPES UpdateJanuary 3, 20246 updates tracked since enumeration

NPPES CertifiedJanuary 3, 2024

✔ NPI 1164427290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in TN · 19131

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.

301 MED TECH PKWY STE 240, Johnson City, TN 37604

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Other Identifiers 1

Medicaid3054016TN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mary J Gibson Md 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 37604 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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 12

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

10 suppliers18 claims34 services$5.25 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

4 suppliers27 claims27 services$35.78 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

2 suppliers19 claims19 services$91.35 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

2 suppliers18 claims53 services$33.24 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

5 suppliers21 claims21 services$56.00 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

5 suppliers21 claims21 services$17.73 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 20

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

ELIZABETH A PETTEY NP

Nurse Practitioner