MICHAEL A GIBLIN PA-C
NPI 1366817611
Physician Assistant in White House, TN

Active since December 10, 2015PECOS EnrolledAccepts Medicare Assignment
491 SAGE RD N STE 800, WHITE HOUSE, TN 37188(615) 672-4089(615) 672-7849 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 9, 2025, Dec 10, 2015 (2 updates tracked since 2015).

About Michael A Giblin Pa-c NPPES

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

MICHAEL A GIBLIN PA-C (NPI 1366817611) is an individual physician assistant in White House, Tennessee, licensed in Tennessee (2920) and active in the NPI registry since December 2015. He is enrolled in Medicare PECOS, is affiliated with Tristar Hendersonville Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1366817611
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMICHAEL A GIBLINCredential: PA-C
Location Address491 SAGE RD N STE 800White House, TN 37188-9362
Mailing Address491 Sage Rd N Ste 800White House, TN 37188-9362 · (615) 672-4089 · Fax (615) 672-7849
Fax(615) 672-7849
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateDecember 10, 2015
Last NPPES UpdateDecember 9, 20252 updates tracked since enumeration
NPPES CertifiedDecember 9, 2025
NPI 1366817611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in TN · 2920
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

491 SAGE RD N STE 800, White House, TN 37188

Accepted 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

Michael A Giblin 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 ID7315243011
PECOS Enrollment IDI20160307001050
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 7

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.

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.
182 services92 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
58 services13 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
42 services26 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
37 services32 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
35 services16 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
23 services11 patients

Hospital Affiliations CMS Care Compare

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

Tristar Hendersonville Medical Center

Acute Care Hospitals · Hendersonville, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440194
Location355 New Shackle Island RdHendersonville, TN 37075 · Sumner County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37188 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
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 3

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

Nurse Practitioner (Family)
491 SAGE RD N STE 800
WHITE HOUSE, TN 37188
Clinic/Center (Rural Health)
491 SAGE RD N STE 800
WHITE HOUSE, TN 37188
Clinic/Center (Rural Health)
491 SAGE RD N STE 800
WHITE HOUSE, TN 37188

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 Michael Giblin's NPI number?

The NPI number for Michael Giblin is 1366817611. It was assigned to this individual provider in the NPPES registry on December 10, 2015.

Where is Michael Giblin located?

Michael Giblin practices at 491 Sage Rd N Ste 800, White House, TN 37188. The listed phone number is (615) 672-4089.

What is Michael Giblin's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Michael Giblin enrolled in Medicare?

Yes. Michael Giblin 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 Michael Giblin accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Michael Giblin 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 Michael Giblin affiliated with any hospitals?

According to CMS data, Michael Giblin is affiliated with Tristar Hendersonville Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Giblin was last updated on December 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.