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MICHAEL J GIBSON P.A.-C.
NPI 1487681201
Physician Assistant - Medical in Holdenville, OK

Active since June 27, 2006PECOS Enrolled
100 MCDOUGAL DR, HOLDENVILLE, OK 74848(405) 379-4202(405) 379-4340 Get Directions Write a Review

NPPES record last updated: October 17, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael J Gibson P.a.-c. NPPES

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

MICHAEL J GIBSON P.A.-C. (NPI 1487681201) is an individual medical provider in Holdenville, Oklahoma, licensed in Oklahoma (199) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487681201
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMICHAEL J GIBSONCredential: P.A.-C.
Location Address100 MCDOUGAL DRHoldenville, OK 74848-2822
Mailing Address100 Mcdougal DrHoldenville, OK 74848-2822 · (405) 379-4202 · Fax (405) 379-4340
Phone(405) 379-4202
Fax(405) 379-4340
Sole ProprietorNo
Enumeration DateJune 27, 2006
Last NPPES UpdateOctober 17, 2011
✔ NPI 1487681201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in OK · 199
100 MCDOUGAL DR, Holdenville, OK 74848
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Other Identifiers 5

Medicare UPINR84266
Other0784740001Dmerc Region C
OtherP00266954Palmetto Gba Railroad Mc
Medicare ID-Type Unspecified245531101
Medicaid100848080AOK

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael J Gibson P.a.-c. 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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
1 supplier12 claims1,440 services$5.17 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers11 claims57 services$3.23 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers14 claims14 services$110.12 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers12 claims12 services$35.00 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. THOMAS H OSBORN JR. D.O.
Family Medicine
100 MCDOUGAL DR
HOLDENVILLE, OK 74848
Hughes County (405) 379-4201
ACUTE CARE BILLING OK LLC
Emergency Medicine
100 MCDOUGAL DR
HOLDENVILLE, OK 74848
Hughes County (405) 379-4200
JULIA AMILEE DORITY APRN, CNP
Nurse Practitioner (Family)
100 MCDOUGAL DR
HOLDENVILLE, OK 74848
Hughes County (405) 379-4201
MIDWEST CITY HMA PHYSICIAN MANAGEMENT, LLC
Internal Medicine (Cardiovascular Disease)
100 MCDOUGAL DR
HOLDENVILLE, OK 74848
Hughes County (580) 272-0715
MR. AERIC WYNN CREEKMORE II FNP
Nurse Practitioner (Family)
100 MCDOUGAL DR
HOLDENVILLE, OK 74848
Hughes County (405) 379-2150
HOLDENVILLE HOSPITAL AUTHORITY
General Acute Care Hospital (Critical Access)
100 MCDOUGAL DR
HOLDENVILLE, OK 74848
Hughes County (405) 379-4200
MRS. KATHERINE DENISE LYNN GREEN APRN
Nurse Practitioner (Family)
100 MCDOUGAL DR
HOLDENVILLE, OK 74848
Hughes County (405) 379-4202
JOHN B MARLAR DO
Emergency Medicine (Emergency Medical Services)
100 MCDOUGAL DR
HOLDENVILLE, OK 74848
Hughes County (405) 379-4200

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 1487681201. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Michael Gibson located?

Michael Gibson practices at 100 Mcdougal Dr, Holdenville, OK 74848. The listed phone number is (405) 379-4202.

What is Michael Gibson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Michael Gibson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Michael Gibson was last updated on October 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.