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DR. GLENN M. GIBSON D.C.
NPI 1619308954
Chiropractor in Kingston, NY

Active since December 12, 2013
400 KINGS MALL CT, KINGSTON, NY 12401(846) 663-8299 Get Directions Write a Review

NPPES record last updated: December 2, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Glenn M. Gibson D.c. NPPES

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

DR. GLENN M. GIBSON D.C. (NPI 1619308954) is an individual chiropractor in Kingston, New York, licensed in New York (012425) and active in the NPI registry since December 2013. He is a graduate of Logan College Of Chiropractic (2013).

NPPES Registry Identity

NPI1619308954
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. GLENN M. GIBSONCredential: D.C.
Location Address400 KINGS MALL CTKingston, NY 12401-1578
Mailing Address62 Clover StWest Hurley, NY 12491-6019 · (845) 663-8299
Phone(846) 663-8299
Sole ProprietorNo
Medical School CMSLogan College Of ChiropracticGraduated 2013
Enumeration DateDecember 12, 2013
Last NPPES UpdateDecember 2, 2022
NPPES CertifiedDecember 2, 2022
✔ NPI 1619308954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NY · 012425
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
400 KINGS MALL CT, Kingston, NY 12401
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Glenn M. Gibson D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628201852
PECOS Enrollment IDI20140423002217

Medicare Billing Reassignment

Medicare enrollment records show Glenn Gibson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Island Family Chiropractic Wellness PLLC
Same address
Chiropractor
400 KINGS MALL CT
Kingston, NY 12401
  • Reassigned Medicare billing, New York enrollment
NPI 1861823577 (846) 663-8299

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.

Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
236 services12 patients

Other Providers at the Same Location NPPES 2

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

DR. JUDITH DOUGAN DC
Chiropractor
400 KINGS MALL CT
KINGSTON, NY 12401
Ulster County (845) 331-1103
ISLAND FAMILY CHIROPRACTIC WELLNESS PLLC
Chiropractor
400 KINGS MALL CT
KINGSTON, NY 12401
Ulster County (846) 663-8299

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 Glenn Gibson's NPI number?

The NPI number for Glenn Gibson is 1619308954. It was assigned to this individual provider in the NPPES registry on December 12, 2013.

Where is Glenn Gibson located?

Glenn Gibson practices at 400 Kings Mall Ct, Kingston, NY 12401. The listed phone number is (846) 663-8299.

What is Glenn Gibson's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Glenn Gibson enrolled in Medicare?

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

Which organization bills Medicare for Glenn Gibson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Glenn Gibson reassigns Medicare benefits to Island Family Chiropractic Wellness PLLC (Kingston, NY). The 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 Glenn Gibson'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 Glenn Gibson was last updated on December 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.