DR. MARY L. CAMPAGNA-GIBSON M.D.
NPI 1629258132
Psychiatry & Neurology - Neurology in Kenosha, WI

Q: What is Mary Campagna-gibson's NPI number?

The NPI number for Mary Campagna-gibson is 1629258132. It was assigned to this individual provider in the NPPES registry on November 13, 2007.

Q: What is Mary Campagna-gibson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Active since November 13, 2007PECOS EnrolledAccepts Medicare Assignment

79.61/100

CMS Quality Rating

6308 8TH AVE, SUITE 2000, KENOSHA, WI 53143(262) 653-5300(262) 653-5412 Get Directions Write a Review

NPPES record last updated: February 18, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Mary L. Campagna-gibson M.d. NPPES

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

DR. MARY L. CAMPAGNA-GIBSON M.D. (NPI 1629258132) is an individual neurology provider in Kenosha, Wisconsin, licensed in North Carolina (2008-01613) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS, is affiliated with Froedtert South Inc., and is a graduate of Southern Illinois University School Of Medicine (2004).

NPPES Registry Identity

NPI1629258132

Entity TypeIndividualFemale

Primary Taxonomy2084N0400X

Provider Legal NameDR. MARY L. CAMPAGNA-GIBSONCredential: M.D.

Location Address6308 8TH AVE, SUITE 2000Kenosha, WI 53143-5031

Mailing Address6308 8th Ave, Suite 2000Kenosha, WI 53143-5031 · (262) 653-5300 · Fax (262) 653-5412

Phone(262) 653-5300

Fax(262) 653-5412

Sole ProprietorNo

Medical School CMSSouthern Illinois University School Of MedicineGraduated 2004

Enumeration DateNovember 13, 2007

Last NPPES UpdateFebruary 18, 2014

✔ NPI 1629258132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in NC · 2008-01613

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

6308 8TH AVE, Kenosha, WI 53143

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Other Identifiers 6

Medicaid1629258132WI

MedicaidN0161GSC

Medicare UPIN41099BNC

Medicare PIN2073734NC

Medicaid5911767NC

Medicare PINK400097204WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mary L. Campagna-gibson 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 ID1052464906

PECOS Enrollment IDI20130918000544

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.

Areas of Expertise CMS Part B claims 10

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 moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

186 services141 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

93 services69 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

76 services17 patients

Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg J3420

This is a procedure where a small dose of Vitamin B-12, also known as Cyanocobalamin, is injected into your body. This vitamin is essential for nerve function and the production of red blood cells. It's often used to treat vitamin B-12 deficiency.

71 services14 patients

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.

58 services56 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

32 services23 patients

Hospital Affiliations CMS Care Compare

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

Froedtert South Inc.

Acute Care Hospitals · Pleasant Prairie, WI

1/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number520021

Location9555 76th StPleasant Prairie, WI 53158 · Kenosha County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53143 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

Most-billed visit code 99214

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.

79.61/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

70.88

Promoting Interoperability

100

Improvement Activities

Cost

61.15

Referred Medical Equipment & Supplies CMS DME claims 12

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

Tubing with integrated heating element for use with positive airway pressure device A4604