DR. NEIL WILLIAM CARLTON GIBSON MD
NPI 1467625434
Colon & Rectal Surgery in Jacksonville, FL

Active since April 10, 2008PECOS EnrolledAccepts Medicare Assignment
86.03/100
CMS Quality Rating
4910 BEACH BLVD, JACKSONVILLE, FL 32207(904) 384-1348(904) 384-4406 Get Directions Write a Review

NPPES record last updated: September 7, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 7, 2020, Jun 19, 2020 (2 updates tracked since 2020).

About Dr. Neil William Carlton Gibson Md NPPES

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

DR. NEIL WILLIAM CARLTON GIBSON MD (NPI 1467625434) is an individual colon & rectal surgery provider in Jacksonville, Florida, licensed in Florida (ME141821) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent's Riverside, and maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1467625434
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameDR. NEIL WILLIAM CARLTON GIBSONCredential: MD
Location Address4910 BEACH BLVDJacksonville, FL 32207-4817
Mailing Address11945 San Jose Blvd Ste 300Jacksonville, FL 32223-1627 · (904) 396-1725 · Fax (904) 396-4893
Fax(904) 384-4406
Sole ProprietorNo
Medical School CMSHoward University College Of MedicineGraduated 2008
Enumeration DateApril 10, 2008
Last NPPES UpdateSeptember 7, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2020
NPI 1467625434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License Licensed in FL · ME141821
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
4910 BEACH BLVD, Jacksonville, FL 32207

Secondary Practice Location 1

Location 14910 Beach BlvdJacksonville, FL 32207-4817 · Phone (904) 384-1348 · Fax (904) 384-4406

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

Dr. Neil William Carlton Gibson Md 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 ID1759606833
PECOS Enrollment IDI20200715002983
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 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.
97 services71 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
Diagnostic exam of anus using an endoscope 46600
This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.
81 services71 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
55 services55 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.
28 services22 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
24 services22 patients

Hospital Affiliations CMS Care Compare 3

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

Ascension St Vincent's Riverside

Acute Care Hospitals · Jacksonville, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100040
Location1 Shircliff WayJacksonville, FL 32204 · Duval County
Emergency services

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100088
Location800 Prudential DrJacksonville, FL 32207 · Duval County
Emergency services Birthing friendly

Ascension St Vincent's Clay County

Acute Care Hospitals · Middleburg, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100321
Location1670 St Vincents WayMiddleburg, FL 32068 · Clay County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32207 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

86.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality78.97
Promoting Interoperability92
Improvement Activities40

Reported Quality Measures

Advance Care Plan
81%437 patients4/55-star benchmark: 100%
Breast Cancer Screening
1%275 patients1/55-star benchmark: 93%
Cervical Cancer Screening
0%199 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
52%48 patients3/55-star benchmark: 87%
Colorectal Cancer Screening
51%509 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
52%60 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
14%51 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%51 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
87%1,424 patients4/55-star benchmark: 100%
e-Prescribing
100%252 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
88%406 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
89%935 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%906 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
11%1,021 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 92% · 630 patients
Patients screened: 93% · 630 patients
91%67 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
74%644 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
76%187 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 426 patients
Patients totalRate: 0% · 427 patients
0%427 patients5/55-star benchmark: 100%
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.

Other Providers at the Same Location NPPES 5

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

Colon & Rectal Surgery
4910 BEACH BLVD
JACKSONVILLE, FL 32207
Surgery
4910 BEACH BLVD
JACKSONVILLE, FL 32207
Specialist
4910 BEACH BLVD
JACKSONVILLE, FL 32207
Colon & Rectal Surgery
4910 BEACH BLVD
JACKSONVILLE, FL 32207
Colon & Rectal Surgery
4910 BEACH BLVD
JACKSONVILLE, FL 32207

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 Neil Gibson's NPI number?

The NPI number for Neil Gibson is 1467625434. It was assigned to this individual provider in the NPPES registry on April 10, 2008.

Where is Neil Gibson located?

Neil Gibson practices at 4910 Beach Blvd, Jacksonville, FL 32207. The listed phone number is (904) 384-1348.

What is Neil Gibson's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Neil Gibson enrolled in Medicare?

Yes. Neil Gibson 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 Neil Gibson accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Neil Gibson 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 Neil Gibson affiliated with any hospitals?

According to CMS data, Neil Gibson is affiliated with Ascension St Vincent's Riverside, Baptist Health Medical Center - Jacksonville and Ascension St Vincent's Clay County.

When was this NPI record last updated?

The NPPES record for Neil Gibson was last updated on September 7, 2020. 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.