JAMES GIBSON PA-C
NPI 1295191864
Physician Assistant - Surgical in Wethersfield, CT

Active since January 12, 2016PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
1290 SILAS DEANE HWY, WETHERSFIELD, CT 06109(860) 972-9033 Get Directions Write a Review

NPPES record last updated: July 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 12, 2023, Jan 12, 2016 (2 updates tracked since 2016).

About James Gibson Pa-c NPPES

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

JAMES GIBSON PA-C (NPI 1295191864) is an individual surgical provider in Wethersfield, Connecticut, licensed in New York (019387) and active in the NPI registry since January 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Bronx, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1295191864
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameJAMES GIBSONCredential: PA-C
Location Address1290 SILAS DEANE HWYWethersfield, CT 06109-4337
Mailing Address36 Woodvale AveKings Park, NY 11754-1028 · (631) 456-3835
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJanuary 12, 2016
Last NPPES UpdateJuly 12, 20232 updates tracked since enumeration
NPPES CertifiedJuly 12, 2023
NPI 1295191864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in NY · 019387
1290 SILAS DEANE HWY, Wethersfield, CT 06109

Secondary Practice Location 1

Location 1111 E 210th StBronx, NY 10467-2401 · Phone (718) 920-4321

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

James Gibson Pa-c 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 ID3274831672
PECOS Enrollment IDI20230829000293
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.28
Promoting Interoperability100
Improvement Activities40
Cost59.59

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.

Physician Assistant (Medical)
1290 SILAS DEANE HWY
WETHERSFIELD, CT 06109
Nurse Practitioner (Adult Health)
1290 SILAS DEANE HWY
WETHERSFIELD, CT 06109
Surgery
1290 SILAS DEANE HWY, ATTN: LINDA STRAKA
WETHERSFIELD, CT 06109
Pain Medicine (Pain Medicine)
1290 SILAS DEANE HWY
WETHERSFIELD, CT 06109
Internal Medicine
1290 SILAS DEANE HWY
WETHERSFIELD, CT 06109
Pharmacist (Ambulatory Care)
1290 SILAS DEANE HWY
WETHERSFIELD, CT 06109
Surgery (Trauma Surgery)
1290 SILAS DEANE HWY
WETHERSFIELD, CT 06109
Physician Assistant
1290 SILAS DEANE HWY
WETHERSFIELD, CT 06109

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 James Gibson's NPI number?

The NPI number for James Gibson is 1295191864. It was assigned to this individual provider in the NPPES registry on January 12, 2016.

Where is James Gibson located?

James Gibson practices at 1290 Silas Deane Hwy, Wethersfield, CT 06109. The listed phone number is (860) 972-9033.

What is James Gibson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is James Gibson enrolled in Medicare?

Yes. James 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.

When was this NPI record last updated?

The NPPES record for James Gibson was last updated on July 12, 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.