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DR. GILBERT SHAWN DUXBURY M.D.
NPI 1508014044
Orthopaedic Surgery - Pediatric Orthopaedic Surgery in Springfield, IL

Active since September 08, 2008PECOS Enrolled
63.63/100
CMS Quality Rating
400 N 9TH ST FL 2, SPRINGFIELD, IL 62702(217) 545-8000(217) 545-6041 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 20, 2024, Oct 1, 2019 (2 updates tracked since 2019).

About Dr. Gilbert Shawn Duxbury M.d. NPPES

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

DR. GILBERT SHAWN DUXBURY M.D. (NPI 1508014044) is an individual pediatric orthopaedic surgery provider in Springfield, Illinois, licensed in Illinois (036.170222) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1508014044
Entity TypeIndividualMale
Primary Taxonomy207XP3100X
Provider Legal NameDR. GILBERT SHAWN DUXBURYCredential: M.D.
Location Address400 N 9TH ST FL 2Springfield, IL 62702-5310
Mailing Address201 E Madison St Ste 328Springfield, IL 62702-5131 · (217) 545-8000
Phone(217) 545-8000
Fax(217) 545-6041
Sole ProprietorNo
Enumeration DateSeptember 8, 2008
Last NPPES UpdateAugust 20, 20242 updates tracked since enumeration
NPPES CertifiedAugust 20, 2024
✔ NPI 1508014044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Pediatric Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XP3100X
Licenses✔ Licensed in IL · 036.170222✔ Licensed in GA · 62969✔ Licensed in NM · MD2019-0704
Definition
An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.
400 N 9TH ST FL 2, Springfield, IL 62702
Open in Google Maps ↗

Secondary Practice Locations 2

Location 16 Executive Park Dr NE, Suite # 10Atlanta, GA 30329-2221 · Phone (404) 321-9900 · Fax (678) 868-2038
Location 21 Unm Msc10 5600 Department Of OrthopaedicsAlbuquerque, NM 87131 · Phone (505) 272-4107 · Fax (505) 272-8098

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gilbert Shawn Duxbury M.d. 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.

Medicare Billing Reassignments

5

Medicare enrollment records show Gilbert Duxbury reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Siu Physicians & Surgeons, Inc
0.5 mi
Endocrinology, Diabetes & Metabolism
201 E MADISON ST STE 328
Springfield, IL 62702
  • Reassigned Medicare billing, Illinois enrollment
  • 645 clinicians in this Medicare group
NPI 1558385989 (217) 545-8000
Southeast Missouri Hospital Physicians, LLC
172 mi
Family Medicine
1701 LACEY ST
Cape Girardeau, MO 63701
  • Reassigned Medicare billing, Missouri enrollment
  • 470 clinicians in this Medicare group
NPI 1558311522 (573) 331-6880
Southeast Health Center Of Stoddard County LLC
201 mi
Rural Health
1003 STATE HWY 25 NORTH
Bloomfield, MO 63825
  • Reassigned Medicare billing, Missouri enrollment
  • 105 clinicians in this Medicare group
NPI 1265575385 (573) 568-3686
Texas Children's Physician Group
769 mi
Pediatrics
6621 FANNIN ST
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Texas Childrens Physician Group
  • 2,498 clinicians in this Medicare group
NPI 1861675506 (832) 824-1000
Unm Medical Group Inc
986 mi
Multi-Specialty
2211 LOMAS NE
Albuquerque, NM 87106
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,105 clinicians in this Medicare group
NPI 1831218627 (505) 272-3303

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

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.
18 services13 patients

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.

63.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality20.19
Promoting Interoperability100
Improvement Activities40
Cost58.59

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.

ENAS MOHAMED SHANSHEN MD
Pediatrics (Pediatric Cardiology)
400 N 9TH ST FL 2
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
MS. SHELLY FLAGG FNP-BC
Nurse Practitioner (Family)
400 N 9TH ST FL 2
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
URAV SHAH MD
Pediatrics (Pediatric Cardiology)
400 N 9TH ST FL 2
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
SIDDHARTH DUBEY M.D.
Pediatrics (Pediatric Cardiology)
400 N 9TH ST FL 2
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
MOHAMMAD WS BAIDOUN MD
Pediatrics (Pediatric Cardiology)
400 N 9TH ST FL 2
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000

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 Gilbert Duxbury's NPI number?

The NPI number for Gilbert Duxbury is 1508014044. It was assigned to this individual provider in the NPPES registry on September 8, 2008.

Where is Gilbert Duxbury located?

Gilbert Duxbury practices at 400 N 9th St Fl 2, Springfield, IL 62702. The listed phone number is (217) 545-8000.

What is Gilbert Duxbury's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Pediatric Orthopaedic Surgery, with taxonomy code 207XP3100X.

Is Gilbert Duxbury enrolled in Medicare?

Yes. Gilbert Duxbury is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Gilbert Duxbury's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gilbert Duxbury reassigns Medicare benefits to 5 organizations: Siu Physicians & Surgeons, Inc (Springfield, IL), Southeast Missouri Hospital Physicians, LLC (Cape Girardeau, MO), Southeast Health Center Of Stoddard County LLC (Bloomfield, MO), Texas Children's Physician Group (Houston, TX) and Unm Medical Group Inc (Albuquerque, NM). 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 Gilbert Duxbury's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Gilbert Duxbury was last updated on August 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.