DR. GUSTAF ISAAC GIBSON O.D.
NPI 1215917307
Optometrist in Logan, UT

Q: What is Gustaf Gibson's NPI number?

The NPI number for Gustaf Gibson is 1215917307. It was assigned to this individual provider in the NPPES registry on January 17, 2006.

Q: What is Gustaf Gibson's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Gustaf Gibson was last updated on June 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since January 17, 2006PECOS EnrolledAccepts Medicare Assignment

145 W CACHE VALLEY BLVD, LOGAN, UT 84341(435) 787-9273(435) 787-9275 Get Directions Write a Review

NPPES record last updated: June 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Gustaf Isaac Gibson O.d. NPPES

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

DR. GUSTAF ISAAC GIBSON O.D. (NPI 1215917307) is an individual optometrist in Logan, Utah, licensed in Utah (5823517-9934) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (2004).

NPPES Registry Identity

NPI1215917307

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. GUSTAF ISAAC GIBSONCredential: O.D.

Location Address145 W CACHE VALLEY BLVDLogan, UT 84341-8473

Mailing Address435 W 1140 NLogan, UT 84341-6994

Phone(435) 787-9273

Fax(435) 787-9275

Sole ProprietorYes

Medical School CMSPacific University - College Of OptometryGraduated 2004

Enumeration DateJanuary 17, 2006

Last NPPES UpdateJune 15, 2023

NPPES CertifiedJune 15, 2023

✔ NPI 1215917307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Licenses✔ Licensed in UT · 5823517-9934✔ Licensed in OR · 2994T

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

145 W CACHE VALLEY BLVD, Logan, UT 84341

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, BlueCross BlueShield of Tennessee, BridgeSpan Health Company and more.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. Gustaf Isaac Gibson O.d. 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 ID3577625201

PECOS Enrollment IDI20081215000346

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.

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

25 services25 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84341 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

$125.70 typical visit price

range $54.34 – $166.03

Typical copayment $31.42 (range $13.58 – $41.50)

Most-billed visit code 99204

Established Patient

$68.01 typical visit price

range $17.23 – $135.20

Typical copayment $17.00 (range $4.30 – $33.80)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

JESSE T LI

Pharmacist

145 W CACHE VALLEY BLVD
LOGAN, UT 84341

Cache County (435) 787-0495

SAM'S CLUB OPTICAL

Eyewear Supplier

145 W CACHE VALLEY BLVD
LOGAN, UT 84341

Cache County (435) 787-0063

SAMS WEST INC

Pharmacy (Community/Retail Pharmacy)

145 W CACHE VALLEY BLVD
LOGAN, UT 84341

Cache County (435) 787-0495

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 Gustaf Gibson's NPI number?

The NPI number for Gustaf Gibson is 1215917307. It was assigned to this individual provider in the NPPES registry on January 17, 2006.

Where is Gustaf Gibson located?

Gustaf Gibson practices at 145 W Cache Valley Blvd, Logan, UT 84341. The listed phone number is (435) 787-9273.

What is Gustaf Gibson's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Gustaf Gibson enrolled in Medicare?

Yes. Gustaf 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 Gustaf Gibson accept?

Health plans from Blue Cross and Blue Shield of Louisiana, BlueCross BlueShield of Tennessee, BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Gustaf 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.

When was this NPI record last updated?

The NPPES record for Gustaf Gibson was last updated on June 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.