DR. HARRY E GIBSON DDS
NPI 1467509430
Dentist - General Practice in Watertown, WI

Q: What is Harry Gibson's NPI number?

The NPI number for Harry Gibson is 1467509430. It was assigned to this individual provider in the NPPES registry on January 4, 2007.

Q: What is Harry Gibson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Harry Gibson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 January 04, 2007PECOS Enrolled

1149 BOUGHTON ST BLDG B, WATERTOWN, WI 53094(920) 261-0495(920) 261-3632 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Harry E Gibson Dds NPPES

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

DR. HARRY E GIBSON DDS (NPI 1467509430) is an individual general practice provider in Watertown, Wisconsin, licensed in Minnesota (2641) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467509430

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. HARRY E GIBSONCredential: DDS

Location Address1149 BOUGHTON ST BLDG BWatertown, WI 53094-3104

Mailing Address1149 Boughton St Bldg BWatertown, WI 53094-3104 · (920) 261-0495 · Fax (920) 261-3632

Phone(920) 261-0495

Fax(920) 261-3632

Sole ProprietorYes

Enumeration DateJanuary 4, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1467509430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MN · 2641

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1149 BOUGHTON ST BLDG B, Watertown, WI 53094

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Other Identifiers 1

Medicaid33434500WI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Harry E Gibson Dds 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53094 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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.

AREA DENTAL ASSOCIATES, LLC

Clinic/Center (Dental)

1149 BOUGHTON ST BLDG B
WATERTOWN, WI 53094

Jefferson County (920) 261-0495

MEGAN DOUGHTY

Dentist

1149 BOUGHTON ST BLDG B
WATERTOWN, WI 53094

Jefferson County (920) 261-0495

ERIC JOSEPH BRAUM DMD

Student in an Organized Health Care Education/Training Program

1149 BOUGHTON ST BLDG B
WATERTOWN, WI 53094

Jefferson County (920) 261-0495

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 Harry Gibson's NPI number?

The NPI number for Harry Gibson is 1467509430. It was assigned to this individual provider in the NPPES registry on January 4, 2007.

Where is Harry Gibson located?

Harry Gibson practices at 1149 Boughton St Bldg B, Watertown, WI 53094. The listed phone number is (920) 261-0495.

What is Harry Gibson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Harry Gibson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Harry Gibson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.