1. Home
  2. Directory
  3. Pennsylvania
  4. Wilkes Barre
  5. Internal Medicine
  6. NPI Profile

DR. GERALD P GIBBONS JR. M.D.
NPI 1336147883
Internal Medicine in Wilkes Barre, PA

Active since July 08, 2005PECOS EnrolledAccepts Medicare Assignment
1620 HIGHWAY 315 BLVD STE 1, WILKES BARRE, PA 18702(570) 237-5444 Get Directions Write a Review

NPPES record last updated: June 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 15, 2023, Nov 18, 2021 (2 updates tracked since 2021).

About Dr. Gerald P Gibbons Jr. M.d. NPPES

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

DR. GERALD P GIBBONS JR. M.D. (NPI 1336147883) is an individual internal medicine provider in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (MD020226E) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Wilkes-barre General Hospital, and maintains a secondary practice location in Pittston.

NPPES Registry Identity

NPI1336147883
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. GERALD P GIBBONS JR.Credential: M.D.
Location Address1620 HIGHWAY 315 BLVD STE 1Wilkes Barre, PA 18702-7125
Mailing Address1620 Highway 315 Blvd Ste 1Wilkes Barre, PA 18702-7125 · (570) 237-5444
Phone(570) 237-5444
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 1976
Enumeration DateJuly 8, 2005
Last NPPES UpdateJune 15, 20232 updates tracked since enumeration
NPPES CertifiedJune 15, 2023
✔ NPI 1336147883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD020226E
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1620 HIGHWAY 315 BLVD STE 1, Wilkes Barre, PA 18702
Open in Google Maps ↗

Secondary Practice Location 1

Location 11099 S Township BlvdPittston, PA 18640-3247 · Phone (570) 654-6759 ext. 2 · Fax (570) 883-7446

Other Identifiers 6

Other001188PA · First Priority Health
Medicaid0006032010001PA
Other020338000PA · Black Lung
Other12039 E222PA · Geisinger Health Paln
Other020316PA · Highmark Blue Shield
Other020316PA · First Priority Life Ins C

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

Dr. Gerald P Gibbons Jr. M.d. 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 ID6800975368
PECOS Enrollment IDI20081013000291
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 4

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
454 services161 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.
239 services145 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
238 services205 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.
69 services37 patients

Hospital Affiliations CMS Care Compare 2

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

Wilkes-Barre General Hospital

Acute Care Hospitals · Wilkes-Barre, PA
1/5 CMS rating
OwnershipProprietary
CMS Certification Number390137
Location575 North River StreetWilkes-Barre, PA 18764 · Luzerne County
Emergency services

Geisinger Wyoming Valley Medical Center

Acute Care Hospitals · Wilkes Barre, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390270
Location1000 East Mountain BoulevardWilkes Barre, PA 18711 · Luzerne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18702 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.

Referred Medical Equipment & Supplies CMS DME claims 12

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
15 suppliers65 claims137 services$5.77 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
11 suppliers15 claims15 services$0.91 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 inches, each A4410
DME-Orthotic Devices · category DF010N
1 supplier15 claims250 services$8.73 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063
DME-Orthotic Devices · category DF010N
2 suppliers19 claims460 services$2.61 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6219
DME-Medical/Surgical Supplies · category DA023N
1 supplier11 claims307 services$0.92 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers14 claims14 services$75.79 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

GERALD GIBBONS MD LLC
Internal Medicine
1620 HIGHWAY 315 BLVD STE 1
WILKES BARRE, PA 18702
Luzerne County (570) 237-5445

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 Gerald Gibbons's NPI number?

The NPI number for Gerald Gibbons is 1336147883. It was assigned to this individual provider in the NPPES registry on July 8, 2005.

Where is Gerald Gibbons located?

Gerald Gibbons practices at 1620 Highway 315 Blvd Ste 1, Wilkes Barre, PA 18702. The listed phone number is (570) 237-5444.

What is Gerald Gibbons's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Gerald Gibbons enrolled in Medicare?

Yes. Gerald Gibbons 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.

Is Gerald Gibbons affiliated with any hospitals?

According to CMS data, Gerald Gibbons is affiliated with Wilkes-Barre General Hospital and Geisinger Wyoming Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Gerald Gibbons was last updated on June 15, 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.