NADIA GIBSON MD
NPI 1164698593
Internal Medicine - Rheumatology in Wichita, KS

Active since May 06, 2008PECOS EnrolledAccepts Medicare Assignment
83.42/100
CMS Quality Rating
1515 S CLIFTON AVE STE 205, WICHITA, KS 67218(316) 274-8188 Get Directions Write a Review

NPPES record last updated: January 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nadia Gibson Md NPPES

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

NADIA GIBSON MD (NPI 1164698593) is an individual rheumatology provider in Wichita, Kansas, licensed in Kansas (0434903) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS, is affiliated with Salina Regional Health Center, and is a graduate of Howard University College Of Medicine (2005).

NPPES Registry Identity

NPI1164698593
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameNADIA GIBSONCredential: MD
Location Address1515 S CLIFTON AVE STE 205Wichita, KS 67218-2958
Mailing Address1515 S Clifton Ave Ste 205Wichita, KS 67218-2958 · (316) 274-8188
Sole ProprietorYes
Medical School CMSHoward University College Of MedicineGraduated 2005
Enumeration DateMay 6, 2008
Last NPPES UpdateJanuary 20, 2023
NPPES CertifiedJanuary 20, 2023
NPI 1164698593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in KS · 0434903
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
1515 S CLIFTON AVE STE 205, Wichita, KS 67218

Other Identifiers 2

Medicaid200740010AKS
Other003719103Medicare

Accepted 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

Nadia Gibson 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 ID8729152574
PECOS Enrollment IDI20110725000467
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.

Areas of Expertise CMS Part B claims 7

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.

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.
822 services317 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.
164 services111 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
45 services28 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
26 services26 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
25 services25 patients
Aspiration and/or injection of fluid from small joint 20600
This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.
23 services16 patients

Hospital Affiliations CMS Care Compare 5

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

Salina Regional Health Center

Acute Care Hospitals · Salina, KS
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number170012
Location400 South Santa Fe AvenueSalina, KS 67401 · Saline County
Emergency services Birthing friendly

Nmc Health

Acute Care Hospitals · Newton, KS
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number170103
Location600 Medical Center DriveNewton, KS 67114 · Harvey County
Emergency services

Ascension Via Christi Hospitals Wichita, Inc.

Acute Care Hospitals · Wichita, KS
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number170122
Location929 North St Francis StreetWichita, KS 67214 · Sedgwick County
Emergency services Birthing friendly

Neosho Memorial Regional Medical Center

Critical Access Hospitals · Chanute, KS
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number171380
Location629 South PlummerChanute, KS 66720 · Neosho County
Emergency services

William Newton Hospital

Critical Access Hospitals · Winfield, KS
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number171383
Location1300 East Fifth AvenueWinfield, KS 67156 · Cowley County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67218 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
$122.41 typical visit price
range $53.00 – $161.67
Typical copayment $30.60 (range $13.25 – $40.41)
Most-billed visit code 99204
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

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.

83.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.21
Promoting Interoperability98
Improvement Activities40
Cost73.2

Other Providers at the Same Location NPPES 7

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

Registered Nurse (Diabetes Educator)
1515 S CLIFTON AVE STE 205
WICHITA, KS 67218
Nurse Practitioner
1515 S CLIFTON AVE STE 205
WICHITA, KS 67218
Internal Medicine (Rheumatology)
1515 S CLIFTON AVE STE 205
WICHITA, KS 67218
Physician Assistant
1515 S CLIFTON AVE STE 205
WICHITA, KS 67218
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1515 S CLIFTON AVE STE 205
WICHITA, KS 67218
Pharmacist
1515 S CLIFTON AVE STE 205
WICHITA, KS 67218
Internal Medicine
1515 S CLIFTON AVE STE 205
WICHITA, KS 67218

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 Nadia Gibson's NPI number?

The NPI number for Nadia Gibson is 1164698593. It was assigned to this individual provider in the NPPES registry on May 6, 2008.

Where is Nadia Gibson located?

Nadia Gibson practices at 1515 S Clifton Ave Ste 205, Wichita, KS 67218. The listed phone number is (316) 274-8188.

What is Nadia Gibson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Nadia Gibson enrolled in Medicare?

Yes. Nadia 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.

What insurance does Nadia Gibson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Nadia 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 Nadia Gibson affiliated with any hospitals?

According to CMS data, Nadia Gibson is affiliated with Salina Regional Health Center, Nmc Health, Ascension Via Christi Hospitals Wichita, Inc., Neosho Memorial Regional Medical Center and William Newton Hospital.

When was this NPI record last updated?

The NPPES record for Nadia Gibson was last updated on January 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.