KAREN E GIBBS MD
NPI 1184795569
Surgery in Staten Island, NY

Active since November 10, 2006PECOS EnrolledAccepts Medicare Assignment
73.56/100
CMS Quality Rating
256 MASON AVENUE, BLDG B, UNITED MEDICAL SURGICAL, PC, STATEN ISLAND, NY 10305(718) 226-1300 Get Directions Write a Review

NPPES record last updated: September 2, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Karen E Gibbs Md NPPES

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

KAREN E GIBBS MD (NPI 1184795569) is an individual surgery provider in Staten Island, New York, licensed in Connecticut (69032) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Tufts University School Of Medicine (1998).

NPPES Registry Identity

NPI1184795569
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameKAREN E GIBBSCredential: MD
Location Address256 MASON AVENUE, BLDG B, UNITED MEDICAL SURGICAL, PCStaten Island, NY 10305
Mailing Address2000 Post Rd Ste 101Fairfield, CT 06824-5730 · (203) 418-9520
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 1998
Enumeration DateNovember 10, 2006
Last NPPES UpdateSeptember 2, 2021
NPPES CertifiedSeptember 2, 2021
✔ NPI 1184795569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in CT · 69032✔ Licensed in NY · 215106
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
256 MASON AVENUE, BLDG B, Staten Island, NY 10305

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Karen E Gibbs 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 ID1658269584
PECOS Enrollment IDI20211007001361
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Karen Gibbs reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
2633 BROADWAY
New York, NY 10025
  • Reassigned Medicare billing, New York enrollment
  • 5,251 clinicians in this Medicare group
Internal Medicine
270-05 76TH AVE
New Hyde Park, NY 11040
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
Advanced Practice Midwife
100 CHURCH ST S STE 200, YALE SCHOOL OF NURSING
New Haven, CT 06519
  • Reassigned Medicare billing, Connecticut enrollment
  • 3,728 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10305 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

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.

73.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.84
Promoting Interoperability74
Improvement Activities40
Cost51.43

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 Karen Gibbs's NPI number?

The NPI number for Karen Gibbs is 1184795569. It was assigned to this individual provider in the NPPES registry on November 10, 2006.

Where is Karen Gibbs located?

Karen Gibbs practices at 256 Mason Avenue, Bldg B United Medical Surgical, PC, Staten Island, NY 10305. The listed phone number is (718) 226-1300.

What is Karen Gibbs's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Karen Gibbs enrolled in Medicare?

Yes. Karen Gibbs 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.

Which organizations bill Medicare for Karen Gibbs's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Gibbs reassigns Medicare benefits to 3 organizations: Montefiore Medical Center (New York, NY), North Shore - Lij Medical PC (New Hyde Park, NY) and Yale University (New Haven, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Karen Gibbs's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Gibbs accept?

Health plans from Anthem Blue Cross and Blue Shield list Karen Gibbs 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.

When was this NPI record last updated?

The NPPES record for Karen Gibbs was last updated on September 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.