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DR. DAVID JOHN GIBBONS M.D.
NPI 1407934896
Orthopaedic Surgery in Richland, WA

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment
91.35/100
CMS Quality Rating
1351 FOWLER STREET, RICHLAND, WA 99352(509) 946-1654(509) 943-5652 Get Directions Write a Review

NPPES record last updated: May 19, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 19, 2021, May 15, 2019, Jan 13, 2017 (3 updates tracked since 2017).

About Dr. David John Gibbons M.d. NPPES

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

DR. DAVID JOHN GIBBONS M.D. (NPI 1407934896) is an individual orthopaedic surgery provider in Richland, Washington, licensed in Washington (MD60064132) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Providence St Mary Medical Center, and maintains a secondary practice location in Richland.

NPPES Registry Identity

NPI1407934896
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. DAVID JOHN GIBBONSCredential: M.D.
Location Address1351 FOWLER STREETRichland, WA 99352
Mailing Address550 Gage Blvd, Ste 101Richland, WA 99352-9532 · (509) 942-3627 · Fax (509) 627-2983
Phone(509) 946-1654
Fax(509) 943-5652
Sole ProprietorNo
Medical School CMSGeisel School Of Medicine At DartmouthGraduated 2003
Enumeration DateNovember 1, 2006
Last NPPES UpdateMay 19, 20213 updates tracked since enumeration
NPPES CertifiedMay 19, 2021
✔ NPI 1407934896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in WA · MD60064132
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1351 FOWLER STREET, Richland, WA 99352
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Secondary Practice Location 1

Location 1875 Swift Blvd Ste ARichland, WA 99352-3592 · Phone (509) 946-1654 · Fax (509) 943-5652

Other Identifiers 2

Medicaid8540742WA
Medicaid1407934896WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. David John Gibbons 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 ID8729152152
PECOS Enrollment IDI20090723000034
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 Billing Reassignment

Medicare enrollment records show David Gibbons reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kadlec Regional Medical Center
Same address
Orthopaedic Surgery
1351 FOWLER ST
Richland, WA 99352
  • Reassigned Medicare billing, Washington enrollment
  • Also billed through NPI 1275071789 (Washington)
  • 454 clinicians in this Medicare group
NPI 1194263608 (509) 946-1654

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 13

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
940 services153 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
569 services306 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
214 services157 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.
186 services151 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.
116 services110 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
96 services96 patients

Hospital Affiliations CMS Care Compare 2

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

Providence St Mary Medical Center

Acute Care Hospitals · Walla Walla, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500002
Location401 W Poplar StWalla Walla, WA 99362 · Walla Walla County
Emergency services Birthing friendly

Kadlec Regional Medical Center

Acute Care Hospitals · Richland, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500058
Location888 Swift BlvdRichland, WA 99352 · Benton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99352 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

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.

91.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.29
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf L3660
DME-Orthotic Devices · category DF000N
1 supplier59 claims59 services$76.07 avg. paid by Medicare
Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670
DME-Orthotic Devices · category DF000N
1 supplier27 claims27 services$89.80 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 2

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

MR. BRIAN J. LLOYD RN, BSN, ARNP
Nurse Practitioner (Family)
1351 FOWLER STREET
RICHLAND, WA 99352
Benton County (509) 946-1654
DR. DOYLE JOSHUA MILLER M.D.
Orthopaedic Surgery
1351 FOWLER STREET
RICHLAND, WA 99352
Benton County (509) 946-1654

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 David Gibbons's NPI number?

The NPI number for David Gibbons is 1407934896. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is David Gibbons located?

David Gibbons practices at 1351 Fowler Street, Richland, WA 99352. The listed phone number is (509) 946-1654.

What is David Gibbons's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is David Gibbons enrolled in Medicare?

Yes. David 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.

Which organization bills Medicare for David Gibbons's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Gibbons reassigns Medicare benefits to Kadlec Regional Medical Center (Richland, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Gibbons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Gibbons accept?

Health plans from Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list David Gibbons 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 David Gibbons affiliated with any hospitals?

According to CMS data, David Gibbons is affiliated with Providence St Mary Medical Center and Kadlec Regional Medical Center.

When was this NPI record last updated?

The NPPES record for David Gibbons was last updated on May 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.