WESLEY GIBBERT
NPI 1255862157
Family Medicine in Chicago, IL

Active since March 22, 2017PECOS EnrolledAccepts Medicare Assignment
4747 N KEDZIE AVE, CHICAGO, IL 60625(312) 666-3494 Get Directions Write a Review

NPPES record last updated: August 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 9, 2021, Sep 2, 2020, Mar 22, 2017 (3 updates tracked since 2017).

About Wesley Gibbert NPPES

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

WESLEY GIBBERT (NPI 1255862157) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (036152615) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2017).

NPPES Registry Identity

NPI1255862157
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameWESLEY GIBBERT
Location Address4747 N KEDZIE AVEChicago, IL 60625-4420
Mailing Address2750 W North AveChicago, IL 60647-5247 · (312) 666-3494
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2017
Enumeration DateMarch 22, 2017
Last NPPES UpdateAugust 9, 20213 updates tracked since enumeration
NPPES CertifiedAugust 9, 2021
NPI 1255862157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IL · 036152615
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.
4747 N KEDZIE AVE, Chicago, IL 60625

Secondary Practice Location 1

Location 12750 W North AveChicago, IL 60647-5247 · Phone (312) 666-3494

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

Wesley Gibbert 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 ID9335485242
PECOS Enrollment IDI20201113001847
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60625 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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 11

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

Family Medicine
4747 N KEDZIE AVE
CHICAGO, IL 60625
Pediatrics
4747 N KEDZIE AVE
CHICAGO, IL 60625
Nurse Practitioner (Family)
4747 N KEDZIE AVE
CHICAGO, IL 60625
Nurse Practitioner
4747 N KEDZIE AVE
CHICAGO, IL 60625
Family Medicine
4747 N KEDZIE AVE
CHICAGO, IL 60625
Nurse Practitioner (Family)
4747 N KEDZIE AVE
CHICAGO, IL 60625
Counselor (Professional)
4747 N KEDZIE AVE
CHICAGO, IL 60625
Pediatrics
4747 N KEDZIE AVE
CHICAGO, IL 60625

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 Wesley Gibbert's NPI number?

The NPI number for Wesley Gibbert is 1255862157. It was assigned to this individual provider in the NPPES registry on March 22, 2017.

Where is Wesley Gibbert located?

Wesley Gibbert practices at 4747 N Kedzie Ave, Chicago, IL 60625. The listed phone number is (312) 666-3494.

What is Wesley Gibbert's specialty?

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

Is Wesley Gibbert enrolled in Medicare?

Yes. Wesley Gibbert 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.

When was this NPI record last updated?

The NPPES record for Wesley Gibbert was last updated on August 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.