DR. CRAIG GIBSON D.O.
NPI 1205283041
Family Medicine in Iowa Falls, IA

Active since May 23, 2016PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
920 S OAK ST STE 1, IOWA FALLS, IA 50126(641) 648-7101 Get Directions Write a Review

NPPES record last updated: August 19, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 19, 2020, Jul 10, 2020, Feb 27, 2020 and 1 more (4 updates tracked since 2019).

About Dr. Craig Gibson D.o. NPPES

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

DR. CRAIG GIBSON D.O. (NPI 1205283041) is an individual family medicine provider in Iowa Falls, Iowa, licensed in Iowa (DO-05406) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Mercyone North Iowa Medical Center, and maintains a secondary practice location in Livingston.

NPPES Registry Identity

NPI1205283041
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CRAIG GIBSONCredential: D.O.
Location Address920 S OAK ST STE 1Iowa Falls, IA 50126-9506
Mailing Address920 S Oak St Ste 1Iowa Falls, IA 50126-9506 · (641) 648-7101
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateMay 23, 2016
Last NPPES UpdateAugust 19, 20204 updates tracked since enumeration
NPPES CertifiedAugust 19, 2020
NPI 1205283041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IA · DO-05406
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
920 S OAK ST STE 1, Iowa Falls, IA 50126

Secondary Practice Location 1

Location 194 Old Short Hills RdLivingston, NJ 07039-5672 · Phone (973) 322-5777 · Fax (973) 322-8720

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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

Dr. Craig Gibson D.o. 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 ID5597091835
PECOS Enrollment IDI20190724003945
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 2

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
31 services18 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
14 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercyone North Iowa Medical Center

Acute Care Hospitals · Mason City, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160064
Location1000 Fourth Street SWMason City, IA 50401 · Cerro Gordo County
Emergency services Birthing friendly

Hansen Family Hospital

Critical Access Hospitals · Iowa Falls, IA
OwnershipGovernment - Local
CMS Certification Number161380
Location920 South Oak StreetIowa Falls, IA 50126 · Hardin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50126 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212
DME-Medical/Surgical Supplies · category DA023N
1 supplier18 claims250 services$9.37 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

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

Nurse Practitioner (Family)
920 S OAK ST STE 1
IOWA FALLS, IA 50126

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 Craig Gibson's NPI number?

The NPI number for Craig Gibson is 1205283041. It was assigned to this individual provider in the NPPES registry on May 23, 2016.

Where is Craig Gibson located?

Craig Gibson practices at 920 S Oak St Ste 1, Iowa Falls, IA 50126. The listed phone number is (641) 648-7101.

What is Craig Gibson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Craig Gibson enrolled in Medicare?

Yes. Craig 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 Craig Gibson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list Craig 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 Craig Gibson affiliated with any hospitals?

According to CMS data, Craig Gibson is affiliated with Mercyone North Iowa Medical Center and Hansen Family Hospital.

When was this NPI record last updated?

The NPPES record for Craig Gibson was last updated on August 19, 2020. 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.