WENDELL ANDREW GIBBY M.D.
NPI 1487090528
Radiology - Diagnostic Radiology in Provo, UT

Active since May 16, 2013PECOS EnrolledAccepts Medicare Assignment
77.55/100
CMS Quality Rating
3152 N UNIVERSITY AVE DEPT OF, PROVO, UT 84604(801) 229-2002(202) 877-3288 Get Directions Write a Review

NPPES record last updated: July 10, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Wendell Andrew Gibby M.d. NPPES

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

WENDELL ANDREW GIBBY M.D. (NPI 1487090528) is an individual diagnostic radiology provider in Provo, Utah, licensed in Utah (9875187-1205) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Regional West Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1487090528
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameWENDELL ANDREW GIBBYCredential: M.D.
Location Address3152 N UNIVERSITY AVE DEPT OFProvo, UT 84604-4745
Mailing Address3152 N University AveProvo, UT 84604-4745 · (801) 229-2002
Fax(202) 877-3288
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateMay 16, 2013
Last NPPES UpdateJuly 10, 2019
✔ NPI 1487090528 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 UT · 9875187-1205
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
3152 N UNIVERSITY AVE DEPT OF, Provo, UT 84604

Accepted 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

Wendell Andrew Gibby 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 ID8123351269
PECOS Enrollment IDI20190605001110, I20231130002415
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

6

Medicare enrollment records show Wendell Gibby reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Radiologic Technologist
3152 N UNIVERSITY AVE
Provo, UT 84604
  • Reassigned Medicare billing, Utah enrollment
  • 4 clinicians in this Medicare group
Specialist
3152 N UNIVERSITY AVE, SUITE 100
Provo, UT 84604
  • Reassigned Medicare billing, Utah enrollment
  • 3 clinicians in this Medicare group
Multi-Specialty
3152 N UNIVERSITY AVE STE 100
Provo, UT 84604
  • Reassigned Medicare billing, Utah enrollment
  • 10 clinicians in this Medicare group
Rural Health
156 S MAIN ST
Manti, UT 84642
  • Reassigned Medicare billing, Utah enrollment
  • Also billed through NPI 1952463036 (Utah)
  • 19 clinicians in this Medicare group
Anesthesiology
4021 AVENUE B
Scottsbluff, NE 69361
  • Reassigned Medicare billing, Nebraska and Utah enrollments
  • Also billed through NPI 1982718219 (Utah)
  • 70 clinicians in this Medicare group
Family Medicine
110 N 29TH ST, SUITE 201
Norfolk, NE 68701
  • Reassigned Medicare billing, Nebraska enrollment
  • 252 clinicians in this Medicare group

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 39

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, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
226 services188 patients
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.
125 services114 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
80 services80 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
80 services80 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
80 services80 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
80 services80 patients

Hospital Affiliations CMS Care Compare 5

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

Regional West Medical Center

Acute Care Hospitals · Scottsbluff, NE
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280061
Location4021 Ave BScottsbluff, NE 69361 · Scott Bluff County
Emergency services Birthing friendly

Faith Regional Health Services

Acute Care Hospitals · Norfolk, NE
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number280125
Location2700 West Norfolk AveNorfolk, NE 68701 · Madison County
Emergency services Birthing friendly

Antelope Memorial Hospital

Critical Access Hospitals · Neligh, NE
OwnershipVoluntary non-profit - Private
CMS Certification Number281326
LocationP O Box 229, 102 West 9th StNeligh, NE 68756 · Antelope County
Emergency services

Box Butte General Hospital

Critical Access Hospitals · Alliance, NE
OwnershipGovernment - Local
CMS Certification Number281360
LocationP O Box 810, 2101 Box Butte AveAlliance, NE 69301 · Box Butte County
Emergency services

Community Hospital

Critical Access Hospitals · Torrington, WY
OwnershipVoluntary non-profit - Private
CMS Certification Number531307
Location2000 Campbell DriveTorrington, WY 82240 · Goshen County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84604 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

77.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.77
Promoting Interoperability97
Improvement Activities40
Cost50.91

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 Wendell Gibby's NPI number?

The NPI number for Wendell Gibby is 1487090528. It was assigned to this individual provider in the NPPES registry on May 16, 2013.

Where is Wendell Gibby located?

Wendell Gibby practices at 3152 N University Ave Dept Of, Provo, UT 84604. The listed phone number is (801) 229-2002.

What is Wendell Gibby's specialty?

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

Is Wendell Gibby enrolled in Medicare?

Yes. Wendell Gibby 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 organizations bill Medicare for Wendell Gibby's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wendell Gibby reassigns Medicare benefits to 6 organizations: Alpharad Inc (Provo, UT), Riverwood Advanced Diagnostic Imaging (Provo, UT), Riverside Medical Center LLC (Provo, UT), Gunnison Valley Hospital (Manti, UT), Regional West Medical Center (Scottsbluff, NE) and 1 more organization, listed in the Medicare section above. 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 Wendell Gibby's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Wendell Gibby accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 2 other insurers list Wendell Gibby 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 Wendell Gibby affiliated with any hospitals?

According to CMS data, Wendell Gibby is affiliated with Regional West Medical Center, Faith Regional Health Services, Antelope Memorial Hospital, Box Butte General Hospital and Community Hospital.

When was this NPI record last updated?

The NPPES record for Wendell Gibby was last updated on July 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.