MICHAEL SPENCER GIBSON M.D.
NPI 1447246640
Radiology - Diagnostic Radiology in San Diego, CA

Q: What is Michael Gibson's NPI number?

The NPI number for Michael Gibson is 1447246640. It was assigned to this individual provider in the NPPES registry on September 22, 2005.

Q: What is Michael Gibson's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Michael Gibson was last updated on November 14, 2022. 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.

Active since September 22, 2005PECOS Enrolled

4060 FAIRMOUNT AVE STE 120, SAN DIEGO, CA 92105(619) 269-1299(619) 961-0812 Get Directions Write a Review

NPPES record last updated: November 14, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Michael Spencer Gibson M.d. NPPES

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

MICHAEL SPENCER GIBSON M.D. (NPI 1447246640) is an individual diagnostic radiology provider in San Diego, California, licensed in California (C54766) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1447246640

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameMICHAEL SPENCER GIBSONCredential: M.D.

Location Address4060 FAIRMOUNT AVE STE 120San Diego, CA 92105-1608

Mailing Address4060 Fairmount AveSan Diego, CA 92105-1608 · (619) 997-4859

Phone(619) 269-1299

Fax(619) 961-0812

Sole ProprietorNo

Enumeration DateSeptember 22, 2005

Last NPPES UpdateNovember 14, 2022

NPPES CertifiedNovember 14, 2022

✔ NPI 1447246640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in CA · C54766

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedRadiology · Body ImagingTaxonomy 2085B0100X · License D54010 (MD)

4060 FAIRMOUNT AVE STE 120, San Diego, CA 92105

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Secondary Practice Locations 2

Location 14060 Fairmount AveSan Diego, CA 92105-1608 · Phone (619) 269-1299 · Fax (619) 961-0812

Location 2Nnmc, Radiology, 8901 Wisconsin AveBethesda, MD 20889-0001 · Phone (301) 295-5050

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Spencer Gibson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

Medicare enrollment records show Michael Gibson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

La Maestra Family Clinic, Inc.

Same address

Federally Qualified Health Center (FQHC)

4060 FAIRMOUNT AVE
San Diego, CA 92105

Reassigned Medicare billing, California enrollment
102 clinicians in this Medicare group

NPI 1609849074 (619) 280-4213

Eagle Butte Indian Health Service Hospital

1,198 mi

Public Health or Welfare

24276 166TH STREET, AIRPORT ROAD
Eagle Butte, SD 57625

Reassigned Medicare billing, Texas enrollment
282 clinicians in this Medicare group

NPI 1558395848 (605) 964-7724

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 5

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.

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

39 services34 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

21 services14 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

17 services17 patients

Mri scan of leg joint without contrast 73721

An MRI scan of your leg joint is a non-invasive procedure that uses magnetic fields and radio waves to create detailed images of the structures within your leg. This helps doctors diagnose or monitor conditions without using contrast dye.

14 services12 patients

Dxa bone density measurement of hip, pelvis, spine 77080

A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92105 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

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.

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.

Reported Quality Measures

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques

Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…

6%207 patients

Radiology: Stenosis Measurement in Carotid Imaging Reports

Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…

100%34 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Gibson's NPI number?

The NPI number for Michael Gibson is 1447246640. It was assigned to this individual provider in the NPPES registry on September 22, 2005.

Where is Michael Gibson located?

Michael Gibson practices at 4060 Fairmount Ave Ste 120, San Diego, CA 92105. The listed phone number is (619) 269-1299.

What is Michael Gibson's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Michael Gibson enrolled in Medicare?

Yes. Michael Gibson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Michael Gibson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Gibson reassigns Medicare benefits to 2 organizations: La Maestra Family Clinic, Inc. (San Diego, CA) and Eagle Butte Indian Health Service Hospital (Eagle Butte, SD). Each 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 Michael Gibson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michael Gibson was last updated on November 14, 2022. 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.