CHARLISA DEANDRA GIBSON MBBS
NPI 1205102753
Internal Medicine - Critical Care Medicine in Glen Burnie, MD

Active since March 29, 2012PECOS EnrolledAccepts Medicare Assignment
255 HOSPITAL DR FL 3, GLEN BURNIE, MD 21061(410) 553-8240(410) 553-8239 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 16, 2025, May 25, 2023, Apr 18, 2019 and 1 more (4 updates tracked since 2018).

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 New York (284648) 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

NPI1205102753
Entity TypeIndividualFemale
Primary Taxonomy207RC0200X
Provider Legal NameCHARLISA DEANDRA GIBSONCredential: MBBS
Location Address255 HOSPITAL DR FL 3Glen Burnie, MD 21061-6356
Mailing Address255 Hospital Dr Fl 3Glen Burnie, MD 21061-6356 · (410) 553-8240 · Fax (410) 553-8239
Fax(410) 553-8239
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateMarch 29, 2012
Last NPPES UpdateDecember 16, 20254 updates tracked since enumeration
NPPES CertifiedDecember 16, 2025
NPI 1205102753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
Licenses Licensed in NY · 284648 Licensed in MD · D0090376
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
255 HOSPITAL DR FL 3, Glen Burnie, MD 21061

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

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.

PECOS PAC ID6204101876
PECOS Enrollment IDI20171006002397, I20201130001913
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 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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
146 services107 patients
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.
95 services54 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
95 services72 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
19 services14 patients

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, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number210043
Location301 Hospital DriveGlen Burnie, MD 21061 · Anne Arundel County
Emergency services Birthing friendly

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician 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.

New Patient
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier13 claims13 services$769.38 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers22 claims22 services$64.68 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers17 claims17 services$35.60 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 6

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

Internal Medicine (Pulmonary Disease)
255 HOSPITAL DR FL 3
GLEN BURNIE, MD 21061
Internal Medicine (Cardiovascular Disease)
255 HOSPITAL DR FL 3
GLEN BURNIE, MD 21061
Internal Medicine (Cardiovascular Disease)
255 HOSPITAL DR FL 3
GLEN BURNIE, MD 21061
Nurse Practitioner (Family)
255 HOSPITAL DR FL 3
GLEN BURNIE, MD 21061
Family Medicine
255 HOSPITAL DR FL 3
GLEN BURNIE, MD 21061
Internal Medicine (Cardiovascular Disease)
255 HOSPITAL DR FL 3
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.

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 December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.