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KENNETH GIBBS MD
NPI 1174506455
Internal Medicine - Interventional Cardiology in Lewiston, ID

Active since November 21, 2005PECOS Enrolled
415 6TH ST, LEWISTON, ID 83501(208) 750-7445(208) 750-7395 Get Directions Write a Review

NPPES record last updated: September 10, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 10, 2020, Oct 5, 2018, Mar 14, 2018 and 2 more (5 updates tracked since 2016).

About Kenneth Gibbs Md NPPES

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

KENNETH GIBBS MD (NPI 1174506455) is an individual interventional cardiology provider in Lewiston, Idaho, licensed in Idaho (M-12671) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Sebring.

NPPES Registry Identity

NPI1174506455
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameKENNETH GIBBSCredential: MD
Location Address415 6TH STLewiston, ID 83501-2431
Mailing Address415 6th StLewiston, ID 83501 · (208) 750-7445 · Fax (208) 750-7445
Phone(208) 750-7445
Fax(208) 750-7395
Sole ProprietorNo
Enumeration DateNovember 21, 2005
Last NPPES UpdateSeptember 10, 20205 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2020
✔ NPI 1174506455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
Licenses✔ Licensed in ID · M-12671✔ Licensed in FL · ME44229✔ Licensed in MO · 2016035277
Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License ME44229 (FL), 41676 (KY)
415 6TH ST, Lewiston, ID 83501
Open in Google Maps ↗

Secondary Practice Location 1

Location 13600 S Highlands AveSebring, FL 33870-5416 · Phone (863) 471-0165 · Fax (863) 385-7379

Other Identifiers 1

Medicaid005793300FL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenneth Gibbs 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 83501 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
$121.27 typical visit price
range $52.44 – $160.17
Typical copayment $30.31 (range $13.11 – $40.04)
Most-billed visit code 99204
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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.

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.

KYLE JAMES DALY CRNA
Nurse Anesthetist, Certified Registered
415 6TH ST
LEWISTON, ID 83501
Nez Perce County (208) 743-2511
DAVID B SOUVENIR M.D.
Internal Medicine (Infectious Disease)
415 6TH ST
LEWISTON, ID 83501
Nez Perce County (208) 750-7204
DR. JOHN W. HO MD
Radiology (Vascular & Interventional Radiology)
415 6TH ST
LEWISTON, ID 83501
Nez Perce County (208) 750-7445
SUSANNE CHOBY MD
Psychiatry & Neurology (Psychiatry)
415 6TH ST
LEWISTON, ID 83501
Nez Perce County (208) 799-5700
CHRISTOPHER V RICKETTS PA
Physician Assistant
415 6TH ST
LEWISTON, ID 83501
Nez Perce County (208) 799-5280
MS. DARCI M. GRAVES LMSW
Social Worker (Clinical)
415 6TH ST
LEWISTON, ID 83501
Nez Perce County (208) 799-6500
LAENNEC INPATIENT SERVICES
Internal Medicine
415 6TH ST
LEWISTON, ID 83501
Nez Perce County (208) 799-5522
DEBORAH SULLIVAN
Speech-Language Pathologist
415 6TH ST
LEWISTON, ID 83501
Nez Perce County (208) 799-6514

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 Kenneth Gibbs's NPI number?

The NPI number for Kenneth Gibbs is 1174506455. It was assigned to this individual provider in the NPPES registry on November 21, 2005.

Where is Kenneth Gibbs located?

Kenneth Gibbs practices at 415 6th St, Lewiston, ID 83501. The listed phone number is (208) 750-7445.

What is Kenneth Gibbs's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Kenneth Gibbs enrolled in Medicare?

Yes. Kenneth Gibbs is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kenneth Gibbs was last updated on September 10, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.