DR. GARY W. GIBBON M.D.
NPI 1568484293
Allergy & Immunology in Santa Monica, CA

Active since July 24, 2006PECOS Enrolled
2222 SANTA MONICA BLVD STE 201, SANTA MONICA, CA 90404(310) 453-4090(310) 935-3038 Get Directions Write a Review

NPPES record last updated: January 20, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Gary W. Gibbon M.d. NPPES

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

DR. GARY W. GIBBON M.D. (NPI 1568484293) is an individual allergy & immunology provider in Santa Monica, California, licensed in California (A41221) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568484293
Entity TypeIndividualMale
Primary Taxonomy207K00000X
Provider Legal NameDR. GARY W. GIBBONCredential: M.D.
Location Address2222 SANTA MONICA BLVD STE 201Santa Monica, CA 90404-2306
Mailing Address2222 Santa Monica Blvd Ste 201Santa Monica, CA 90404-2306 · (310) 453-4090 · Fax (310) 829-2306
Fax(310) 935-3038
Sole ProprietorYes
Enumeration DateJuly 24, 2006
Last NPPES UpdateJanuary 20, 2022
NPPES CertifiedJanuary 20, 2022
NPI 1568484293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
License Licensed in CA · A41221
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License A41221 (CA)
2222 SANTA MONICA BLVD STE 201, Santa Monica, CA 90404

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. Gary W. Gibbon 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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
2 suppliers14 claims28 services$17.01 avg. paid by Medicare
Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin J1575
Treatment-Injections and Infusions (nononcologic) · category RI008N
1 supplier18 claims6,600 services$12.32 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Gary Gibbon's NPI number?

The NPI number for Gary Gibbon is 1568484293. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Gary Gibbon located?

Gary Gibbon practices at 2222 Santa Monica Blvd Ste 201, Santa Monica, CA 90404. The listed phone number is (310) 453-4090.

What is Gary Gibbon's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Gary Gibbon enrolled in Medicare?

Yes. Gary Gibbon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gary Gibbon was last updated on January 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.