CHARLISA DEANDRA GIBSON MBBS
NPI 1205102753
Internal Medicine - Critical Care Medicine in Glen Burnie, MD
About Charlisa Deandra Gibson Mbbs NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHARLISA DEANDRA GIBSON MBBS (NPI 1205102753) is an individual critical care medicine provider in Glen Burnie, Maryland, licensed in Maryland (D0090376) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS, is affiliated with University Of Md Baltimore Washington Medical Center, and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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
Charlisa Deandra Gibson Mbbs 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.
Medicare Billing Reassignments
5Medicare enrollment records show Charlisa Gibson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Glen Burnie, MD 21061
- Reassigned Medicare billing, Maryland enrollment
- 966 clinicians in this Medicare group
Cumberland, MD 21502
- Reassigned Medicare billing, Maryland enrollment
- 318 clinicians in this Medicare group
Cumberland, MD 21502
- Reassigned Medicare billing, Maryland enrollment
- 210 clinicians in this Medicare group
New York, NY 10019
- Reassigned Medicare billing, New York enrollment
- 769 clinicians in this Medicare group
Boynton Beach, FL 33426
- Reassigned Medicare billing, New York enrollment
- 7,712 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.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of MD Baltimore Washington Medical Center
Acute Care Hospitals · Glen Burnie, MDNyu Langone Hospitals
Acute Care Hospitals · New York, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21061 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GLEN BURNIE, MD 21061
GLEN BURNIE, MD 21061
GLEN BURNIE, MD 21061
GLEN BURNIE, MD 21061
GLEN BURNIE, MD 21061
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 Charlisa Gibson's NPI number?
The NPI number for Charlisa Gibson is 1205102753. It was assigned to this individual provider in the NPPES registry on March 29, 2012.
Where is Charlisa Gibson located?
Charlisa Gibson practices at 255 Hospital Dr Fl 3, Glen Burnie, MD 21061. The listed phone number is (410) 553-8240.
What is Charlisa Gibson's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.
Is Charlisa Gibson enrolled in Medicare?
Yes. Charlisa 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.
Which organizations bill Medicare for Charlisa Gibson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Charlisa Gibson reassigns Medicare benefits to 5 organizations: University Of Maryland Community Medical Group, Inc. (Glen Burnie, MD), Upmc Western Maryland Health Services, LLC (Cumberland, MD), Upmc Western Maryland Corporation (Cumberland, MD), Icahn School Of Medicine At Mount Sinai (New York, NY) and New York University (Boynton Beach, FL). 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 Charlisa Gibson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Charlisa Gibson accept?
Health plans from Blue Cross and Blue Shield of Texas list Charlisa 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 Charlisa Gibson affiliated with any hospitals?
According to CMS data, Charlisa Gibson is affiliated with University Of MD Baltimore Washington Medical Center and Nyu Langone Hospitals.
When was this NPI record last updated?
The NPPES record for Charlisa Gibson was last updated on September 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 days 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.
# Charlisa Deandra Gibson, MBBS · NPI 1205102753
Critical Care Medicine physician in Glen Burnie, Maryland. Individual provider, active in the CMS NPPES registry since March 29, 2012.
## Identity
- **NPI:** 1205102753 (Entity type: Individual)
- **Enumerated:** March 29, 2012
- **Primary specialty:** Internal Medicine - Critical Care Medicine · taxonomy 207RC0200X
- **State license:** D0090376 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 255 HOSPITAL DR FL 3, Glen Burnie, MD 21061-6356
- **Phone:** (410) 553-8240 · **Fax:** (410) 553-8239
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): University Of Maryland Community Medical Group, Inc. (NPI 1295367894, Glen Burnie, MD); Upmc Western Maryland Health Services, LLC (NPI 1376302729, Cumberland, MD); Upmc Western Maryland Corporation (NPI 1285779884, Cumberland, MD); Icahn School Of Medicine At Mount Sinai (NPI 1124550280, New York, NY); New York University (NPI 1285826438, Boynton Beach, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** September 8, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1205102753) · Data from the CMS NPPES public registry.