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DEREK GIBBS
NPI 1346745304
Hospitalist in Montgomery, OH

Active since March 29, 2018PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
10500 MONTGOMERY RD, MONTGOMERY, OH 45242(513) 865-2246 Get Directions Write a Review

NPPES record last updated: October 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 18, 2021, Mar 29, 2018 (2 updates tracked since 2018).

About Derek Gibbs NPPES

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

DEREK GIBBS (NPI 1346745304) is an individual hospitalist provider in Montgomery, Ohio, licensed in Ohio (35.143033) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Good Samaritan Hospital, and maintains a secondary practice location in Cincinnati.

NPPES Registry Identity

NPI1346745304
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDEREK GIBBS
Location Address10500 MONTGOMERY RDMontgomery, OH 45242-4402
Mailing Address4685 Forest AveCincinnati, OH 45212-3397 · (513) 246-1964
Phone(513) 865-2246
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 29, 2018
Last NPPES UpdateOctober 18, 20212 updates tracked since enumeration
NPPES CertifiedOctober 18, 2021
✔ NPI 1346745304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in OH · 35.143033
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
10500 MONTGOMERY RD, Montgomery, OH 45242
Open in Google Maps ↗

Secondary Practice Location 1

Location 1234 Goodman StCincinnati, OH 45219-2364 · Phone (513) 584-4505

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Derek Gibbs 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 ID1759637572
PECOS Enrollment IDI20211021002552
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 6

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
211 services85 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.
130 services58 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
71 services36 patients
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.
34 services17 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
34 services34 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Good Samaritan Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360134
Location375 Dixmyth AvenueCincinnati, OH 45220 · Hamilton County
Emergency services Birthing friendly

Bethesda North

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360179
Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45242 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

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.

DRAKE A SECCURRO MD
Hospitalist
10500 MONTGOMERY RD
MONTGOMERY, OH 45242
Hamilton County (513) 865-2246
GREGORIO MICELI DPM
Student in an Organized Health Care Education/Training Program
10500 MONTGOMERY RD
MONTGOMERY, OH 45242
Hamilton County (513) 865-1111
BENJAMIN BETHAY
Student in an Organized Health Care Education/Training Program
10500 MONTGOMERY RD
MONTGOMERY, OH 45242
Hamilton County (513) 865-1111
SMITH BEARELLY MD
Hospitalist
10500 MONTGOMERY RD
CINCINNATI, OH 45242
Hamilton County (513) 865-2246
VICTOR KOMLA DOE
Pharmacist
10500 MONTGOMERY RD
MONTGOMERY, OH 45242
Hamilton County (513) 865-1184
REGENCY HOSPITAL OF CINCINNATI, LLC
Internal Medicine
10500 MONTGOMERY RD
CINCINNATI, OH 45242
Hamilton County (717) 972-1100
SYED SHAD MAHMOOD
Internal Medicine (Critical Care Medicine)
10500 MONTGOMERY RD
MONTGOMERY, OH 45242
Hamilton County (513) 865-2246
DAVID A. FENWICK P.A.-C
Physician Assistant
10500 MONTGOMERY RD
CINCINNATI, OH 45242
Hamilton County (514) 865-1111

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 Derek Gibbs's NPI number?

The NPI number for Derek Gibbs is 1346745304. It was assigned to this individual provider in the NPPES registry on March 29, 2018.

Where is Derek Gibbs located?

Derek Gibbs practices at 10500 Montgomery Rd, Montgomery, OH 45242. The listed phone number is (513) 865-2246.

What is Derek Gibbs's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Derek Gibbs enrolled in Medicare?

Yes. Derek Gibbs 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.

What insurance does Derek Gibbs accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Derek Gibbs 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 Derek Gibbs affiliated with any hospitals?

According to CMS data, Derek Gibbs is affiliated with Good Samaritan Hospital and Bethesda North.

When was this NPI record last updated?

The NPPES record for Derek Gibbs was last updated on October 18, 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.