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STACEY LUCIA GIBSON MD
NPI 1265844245
Family Medicine in Brewer, ME

Active since May 27, 2014PECOS Enrolled
234 STATE ST, BREWER, ME 04412(207) 989-0550 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Nov 23, 2017 (2 updates tracked since 2017).

About Stacey Lucia Gibson Md NPPES

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

STACEY LUCIA GIBSON MD (NPI 1265844245) is an individual family medicine provider in Brewer, Maine, licensed in Maine (MD21840) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Bangor.

NPPES Registry Identity

NPI1265844245
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSTACEY LUCIA GIBSONCredential: MD
Location Address234 STATE STBrewer, ME 04412-1519
Mailing Address43 Whiting Hill Rd, Suite 300Brewer, ME 04412-1005 · (207) 973-5035 · Fax (207) 973-5042
Phone(207) 989-0550
Sole ProprietorNo
Enumeration DateMay 27, 2014
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1265844245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in ME · MD21840
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
234 STATE ST, Brewer, ME 04412
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Secondary Practice Location 1

Location 1895 Union St, Suite 12Bangor, ME 04401-3053 · Phone (207) 973-7979 · Fax (207) 973-7684

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacey Lucia Gibson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 04412 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
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
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 12

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

IAN NOEL TADEO DON DON S PANUNCIALMAN M.D.
Family Medicine
234 STATE ST
BREWER, ME 04412
Penobscot County (207) 989-0550
WILLIAM ALEXANDER STURROCK MD
Family Medicine
234 STATE ST
BREWER, ME 04412
Penobscot County (207) 989-0550
LISA MADELINE BILLINGS-LINDSEY DO
Family Medicine
234 STATE ST
BREWER, ME 04412
Penobscot County (207) 989-0550
RYLEE ERIN LEIGHTON CABALLERO FNP-C
Nurse Practitioner (Family)
234 STATE ST
BREWER, ME 04412
Penobscot County (209) 989-0550
ANNETTE MARIE HATCH-CLEIN FNP, P.MH CNS
Nurse Practitioner (Family)
234 STATE ST
BREWER, ME 04412
Penobscot County (207) 989-0550
KATHLEEN ANNE KNIPSCHER DO
Family Medicine
234 STATE ST
BREWER, ME 04412
Penobscot County (207) 989-0550
KENNETH SIMONE DO
Family Medicine
234 STATE ST
BREWER, ME 04412
Penobscot County (207) 989-0550
PAULINE KAY JOHNSTON MD
Family Medicine
234 STATE ST
BREWER, ME 04412
Penobscot County (207) 989-0550

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 Stacey Gibson's NPI number?

The NPI number for Stacey Gibson is 1265844245. It was assigned to this individual provider in the NPPES registry on May 27, 2014.

Where is Stacey Gibson located?

Stacey Gibson practices at 234 State St, Brewer, ME 04412. The listed phone number is (207) 989-0550.

What is Stacey Gibson's specialty?

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

Is Stacey Gibson enrolled in Medicare?

Yes. Stacey Gibson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stacey Gibson was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.