1. Home
  2. Directory
  3. Texas
  4. Dallas
  5. Family Medicine
  6. NPI Profile

LARRY WAYNE GIBBONS M.D.
NPI 1205177417
Family Medicine - Adult Medicine in Dallas, TX

Active since March 13, 2013PECOS Enrolled
12330 PRESTON ROAD, DALLAS, TX 75230(972) 341-3200(972) 341-3225 Get Directions Write a Review

NPPES record last updated: March 13, 2013. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Larry Wayne Gibbons M.d. NPPES

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

LARRY WAYNE GIBBONS M.D. (NPI 1205177417) is an individual adult medicine provider in Dallas, Texas, licensed in Texas (E3283) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205177417
Entity TypeIndividualMale
Primary Taxonomy207QA0505X
Provider Legal NameLARRY WAYNE GIBBONSCredential: M.D.
Location Address12330 PRESTON ROADDallas, TX 75230
Mailing Address12330 Preston RoadDallas, TX 75230 · (972) 341-3200 · Fax (972) 341-3225
Phone(972) 341-3200
Fax(972) 341-3225
Sole ProprietorYes
Enumeration DateMarch 13, 2013
✔ NPI 1205177417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in TX · E3283
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
12330 PRESTON ROAD, Dallas, TX 75230
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Larry Wayne Gibbons M.d. 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 75230 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

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 Larry Gibbons's NPI number?

The NPI number for Larry Gibbons is 1205177417. It was assigned to this individual provider in the NPPES registry on March 13, 2013.

Where is Larry Gibbons located?

Larry Gibbons practices at 12330 Preston Road, Dallas, TX 75230. The listed phone number is (972) 341-3200.

What is Larry Gibbons's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Larry Gibbons enrolled in Medicare?

Yes. Larry Gibbons is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Larry Gibbons was last updated on March 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.