DR. KENNETH WAYNE GIBSON DO
NPI 1245241413
Family Medicine in Hulbert, OK
About Dr. Kenneth Wayne Gibson Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KENNETH WAYNE GIBSON DO (NPI 1245241413) is an individual family medicine provider in Hulbert, Oklahoma, licensed in Oklahoma (2170) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Northeastern Health System, and is a graduate of Other (1981).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Kenneth Wayne Gibson Do 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.
Medicare Billing Reassignment
Medicare enrollment records show Kenneth Gibson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hulbert, OK 74441
- Reassigned Medicare billing, Oklahoma enrollment
- 65 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northeastern Health System
Acute Care Hospitals · Tahlequah, OKPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 74441 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 8
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HULBERT, OK 74441
HULBERT, OK 74441
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 Kenneth Gibson's NPI number?
The NPI number for Kenneth Gibson is 1245241413. It was assigned to this individual provider in the NPPES registry on August 11, 2006.
Where is Kenneth Gibson located?
Kenneth Gibson practices at 124 E Main St, Hulbert, OK 74441. The listed phone number is (918) 772-3390.
What is Kenneth Gibson's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Kenneth Gibson enrolled in Medicare?
Yes. Kenneth 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.
Which organization bills Medicare for Kenneth Gibson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Gibson reassigns Medicare benefits to Northeastern Oklahoma Community Health Centers Inc (Hulbert, OK). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kenneth Gibson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kenneth Gibson accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Kenneth 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 Kenneth Gibson affiliated with any hospitals?
According to CMS data, Kenneth Gibson is affiliated with Northeastern Health System.
When was this NPI record last updated?
The NPPES record for Kenneth Gibson was last updated on June 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Dr. Kenneth Wayne Gibson, DO · NPI 1245241413
Family Medicine physician in Hulbert, Oklahoma. Individual provider, active in the CMS NPPES registry since August 11, 2006.
## Identity
- **NPI:** 1245241413 (Entity type: Individual)
- **Enumerated:** August 11, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 2170 (Oklahoma)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 124 E MAIN ST, Hulbert, OK 74441-8902
- **Phone:** (918) 772-3390 · **Fax:** (918) 772-1233
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Northeastern Oklahoma Community Health Centers Inc (NPI 1518070481, Hulbert, OK), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1981
## Record status
- **NPPES last updated:** June 4, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1245241413) · Data from the CMS NPPES public registry.