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CODY J. GIBBS NP-C
NPI 1205335510
Nurse Practitioner in Canton, IL

Active since February 02, 2018PECOS EnrolledAccepts Medicare Assignment
77.95/100
CMS Quality Rating
180 S MAIN ST, CANTON, IL 61520(309) 647-0201(309) 649-6880 Get Directions Write a Review

NPPES record last updated: April 13, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 13, 2021, Mar 17, 2018 (2 updates tracked since 2018).

About Cody J. Gibbs Np-c NPPES

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

CODY J. GIBBS NP-C (NPI 1205335510) is an individual nurse practitioner in Canton, Illinois, licensed in Illinois (209017218) and active in the NPI registry since February 2018. He is enrolled in Medicare PECOS, is affiliated with Graham Hospital Association, and maintains a secondary practice location in Farmington.

NPPES Registry Identity

NPI1205335510
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameCODY J. GIBBSCredential: NP-C
Location Address180 S MAIN STCanton, IL 61520-2608
Mailing Address180 S Main StCanton, IL 61520-2608 · (309) 647-0201 · Fax (309) 649-6880
Phone(309) 647-0201
Fax(309) 649-6880
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateFebruary 2, 2018
Last NPPES UpdateApril 13, 20212 updates tracked since enumeration
NPPES CertifiedApril 13, 2021
✔ NPI 1205335510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209017218
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
180 S MAIN ST, Canton, IL 61520
Open in Google Maps ↗

Secondary Practice Location 1

Location 1601 E Fort StFarmington, IL 61531-1338 · Phone (309) 245-2406 · Fax (309) 649-6880

Other Identifiers 1

Other209017218IL · Apn License

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

Cody J. Gibbs Np-c 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 ID4183985336
PECOS Enrollment IDI20180302001251
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.

Hospital Affiliations CMS Care Compare

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

Graham Hospital Association

Acute Care Hospitals · Canton, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140001
Location210 West Walnut StreetCanton, IL 61520 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61520 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

77.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality62.58
Promoting Interoperability95
Improvement Activities40
Cost64

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.

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
1 supplier16 claims16 services$90.64 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 20

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

SPOON RIVER HEARING SERVICES INC
Audiologist
180 S MAIN ST
CANTON, IL 61520
Fulton County (309) 647-0201
A KURT SAVEGNAGO MD
Family Medicine
180 S MAIN ST
CANTON, IL 61520
Fulton County (309) 647-0201
JOHN M MCCARTHY MD
Internal Medicine
180 S MAIN ST
CANTON, IL 61520
Fulton County (309) 647-0201
MS. DARA MARIE WAGNER APN-C
Nurse Practitioner (Family)
180 S MAIN ST
CANTON, IL 61520
Fulton County (309) 647-0201
JESSICA LYNN BUGOS APRN
Nurse Practitioner
180 S MAIN ST
CANTON, IL 61520
Fulton County (309) 647-0201
STEPHEN WESTHAFER
Nurse Practitioner (Family)
180 S MAIN ST
CANTON, IL 61520
Fulton County (309) 647-0201
MR. JARED MATTHEW GRZANICH P.A.-C
Physician Assistant
180 S MAIN ST
CANTON, IL 61520
Fulton County (309) 647-0201
SUZANNE E HOLTHAUS MD
Family Medicine
180 S MAIN ST
CANTON, IL 61520
Fulton County (309) 647-0201

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 Cody Gibbs's NPI number?

The NPI number for Cody Gibbs is 1205335510. It was assigned to this individual provider in the NPPES registry on February 2, 2018.

Where is Cody Gibbs located?

Cody Gibbs practices at 180 S Main St, Canton, IL 61520. The listed phone number is (309) 647-0201.

What is Cody Gibbs's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Cody Gibbs enrolled in Medicare?

Yes. Cody 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.

Is Cody Gibbs affiliated with any hospitals?

According to CMS data, Cody Gibbs is affiliated with Graham Hospital Association.

When was this NPI record last updated?

The NPPES record for Cody Gibbs was last updated on April 13, 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.