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GRANT GIBB
NPI 1225416951
Psychiatry & Neurology - Neurology in Butler, PA

Active since May 14, 2015PECOS EnrolledAccepts Medicare Assignment
1 HOSPITAL WAY, BUTLER, PA 16001(724) 283-6666 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 8, 2024, May 24, 2021 (2 updates tracked since 2021).

About Grant Gibb NPPES

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

GRANT GIBB (NPI 1225416951) is an individual neurology provider in Butler, Pennsylvania, licensed in Maryland (H010004) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with Western Maryland Regional Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1225416951
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameGRANT GIBB
Location Address1 HOSPITAL WAYButler, PA 16001-4670
Mailing Address12500 Willowbrook RdCumberland, MD 21502-6393
Phone(724) 283-6666
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMay 14, 2015
Last NPPES UpdateJuly 8, 20242 updates tracked since enumeration
NPPES CertifiedJuly 8, 2024
✔ NPI 1225416951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in MD · H010004✔ Licensed in PA · OS018486
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License OT016509 (PA)
1 HOSPITAL WAY, Butler, PA 16001
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Grant Gibb 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 ID5991005019
PECOS Enrollment IDI20240403002849
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 6

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
129 services109 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.
77 services68 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
72 services72 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
19 services15 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
18 services18 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Western Maryland Regional Medical Center

Acute Care Hospitals · Cumberland, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210027
Location12500 Willowbrook RoadCumberland, MD 21502 · Allegany County
Emergency services Birthing friendly

Upmc Bedford Memorial

Acute Care Hospitals · Everett, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390117
Location10455 Lincoln HighwayEverett, PA 15537 · Bedford County
Emergency services

Potomac Valley Hospital

Critical Access Hospitals · Keyser, WV
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number511315
Location100 Pin Oak LaneKeyser, WV 26726 · Mineral County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16001 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

UZMA SHAHZAD MD
Internal Medicine (Infectious Disease)
1 HOSPITAL WAY
BUTLER, PA 16001
Butler County (724) 284-4309
TRICIA LEIGHT CRNP
Nurse Practitioner
1 HOSPITAL WAY
BUTLER, PA 16001
Butler County (724) 283-6666
MELISSE S MASER RN, CRNP
Nurse Practitioner (Family)
1 HOSPITAL WAY
BUTLER, PA 16001
Butler County (724) 284-4699
DALE ORDEAN CRNP
Family Medicine
1 HOSPITAL WAY, FIRST FLOOR
BUTLER, PA 16001
Butler County (724) 431-0550
RICHARD THOMAS FILIAGGI DO
Pediatrics
1 HOSPITAL WAY
BUTLER, PA 16001
Butler County (724) 285-0823
GABRIEL PATRICK ARMANDO PA-C
Physician Assistant
1 HOSPITAL WAY
BUTLER, PA 16001
Butler County (724) 283-6666
DR. STEPHANIE L CLARK M.D.
Internal Medicine
1 HOSPITAL WAY
BUTLER, PA 16001
Butler County (724) 285-0823
MADISON ANN BIGLEY PA-C
Physician Assistant (Medical)
1 HOSPITAL WAY
BUTLER, PA 16001
Butler County (724) 284-4550

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 Grant Gibb's NPI number?

The NPI number for Grant Gibb is 1225416951. It was assigned to this individual provider in the NPPES registry on May 14, 2015.

Where is Grant Gibb located?

Grant Gibb practices at 1 Hospital Way, Butler, PA 16001. The listed phone number is (724) 283-6666.

What is Grant Gibb's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Grant Gibb enrolled in Medicare?

Yes. Grant Gibb 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 Grant Gibb accept?

Health plans from Providence Health Plan list Grant Gibb 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 Grant Gibb affiliated with any hospitals?

According to CMS data, Grant Gibb is affiliated with Western Maryland Regional Medical Center, Upmc Bedford Memorial and Potomac Valley Hospital.

When was this NPI record last updated?

The NPPES record for Grant Gibb was last updated on July 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.