DR. DOUGLAS GIBBENS M.D.
NPI 1447247382
Radiology - Diagnostic Radiology in Toms River, NJ

Active since October 05, 2005PECOS EnrolledAccepts Medicare Assignment
58.25/100
CMS Quality Rating
99 HIGHWAY 37, TOMS RIVER, NJ 08755(732) 577-8151(732) 577-2064 Get Directions Write a Review

NPPES record last updated: February 25, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Douglas Gibbens M.d. NPPES

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

DR. DOUGLAS GIBBENS M.D. (NPI 1447247382) is an individual diagnostic radiology provider in Toms River, New Jersey, licensed in New Jersey (25MA06225500) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Community Medical Center, and is a graduate of Un Of California, Irvine, College Of Medicine (1989).

NPPES Registry Identity

NPI1447247382
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. DOUGLAS GIBBENSCredential: M.D.
Location Address99 HIGHWAY 37Toms River, NJ 08755-6423
Mailing Address2501 Oregon Pike, Suite 101Lancaster, PA 17601-4890 · (717) 293-3223 · Fax (717) 390-2455
Fax(732) 577-2064
Sole ProprietorNo
Medical School CMSUn Of California, Irvine, College Of MedicineGraduated 1989
Enumeration DateOctober 5, 2005
Last NPPES UpdateFebruary 25, 2015
NPI 1447247382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in NJ · 25MA06225500
Definition

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

99 HIGHWAY 37, Toms River, NJ 08755

Other Identifiers 4

OtherP00067630Railroad Medicare Number
Medicare UPINF29179
Medicare PIN742184AFU
Medicare PIN742184BSB

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. Douglas Gibbens 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 ID9436144292
PECOS Enrollment IDI20040510000564
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 46

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.

Ultrasound study of arm or leg veins with compression and maneuvers 93970
An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
324 services302 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
321 services313 patients
Ct scan of heart with evaluation of blood vessel calcium 75571
A CT scan of the heart with evaluation of blood vessel calcium is a non-invasive test that uses X-rays to create detailed images of your heart. It helps in detecting and measuring calcium-containing plaque in the arteries, which can indicate heart disease.
315 services315 patients
Ultrasound of leg arteries or artery grafts 93925
An ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.
287 services243 patients
Ultrasound of abdomen and pelvis artery and vein blood flow 93976
An ultrasound of your abdomen and pelvis arteries and veins is a non-invasive procedure that uses sound waves to create images of your blood vessels. This helps in assessing the flow of blood, identifying blockages, or detecting other abnormalities. It's a safe, painless process.
180 services169 patients
Ultrasound study of one arm or leg veins with compression and maneuvers 93971
This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
158 services147 patients

Hospital Affiliations CMS Care Compare

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

Community Medical Center

Acute Care Hospitals · Toms River, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310041
Location99 Rt 37 WestToms River, NJ 08755 · Ocean County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08755 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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.

58.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.39
Improvement Activities40
Cost40.79

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.

Physician Assistant (Medical)
99 HIGHWAY 37
TOMS RIVER, NJ 08755
Internal Medicine
99 HIGHWAY 37
TOMS RIVER, NJ 08755
Radiology (Diagnostic Radiology)
99 HIGHWAY 37
TOMS RIVER, NJ 08755
Radiology (Diagnostic Radiology)
99 HIGHWAY 37
TOMS RIVER, NJ 08755
Radiology (Radiation Oncology)
99 HIGHWAY 37
TOMS RIVER, NJ 08755
Nurse Practitioner (Family)
99 HIGHWAY 37
TOMS RIVER, NJ 08755
Pathology (Anatomic Pathology & Clinical Pathology)
99 HIGHWAY 37
TOMS RIVER, NJ 08755
Student in an Organized Health Care Education/Training Program
99 HIGHWAY 37
TOMS RIVER, NJ 08755

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 Douglas Gibbens's NPI number?

The NPI number for Douglas Gibbens is 1447247382. It was assigned to this individual provider in the NPPES registry on October 5, 2005.

Where is Douglas Gibbens located?

Douglas Gibbens practices at 99 Highway 37, Toms River, NJ 08755. The listed phone number is (732) 577-8151.

What is Douglas Gibbens's specialty?

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

Is Douglas Gibbens enrolled in Medicare?

Yes. Douglas Gibbens 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 Douglas Gibbens affiliated with any hospitals?

According to CMS data, Douglas Gibbens is affiliated with Community Medical Center.

When was this NPI record last updated?

The NPPES record for Douglas Gibbens was last updated on February 25, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.