FREDERICK THOMAS GIBSON
NPI 1629604483
Dermatology - Procedural Dermatology in Jamaica Plain, MA
About Frederick Thomas Gibson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FREDERICK THOMAS GIBSON (NPI 1629604483) is an individual procedural dermatology provider in Jamaica Plain, Massachusetts, licensed in Massachusetts (1023149) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2021).
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 4
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Frederick Thomas Gibson 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.
Medicare Billing Reassignment
Medicare enrollment records show Frederick Gibson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Boston, MA 02115
- Reassigned Medicare billing, Massachusetts enrollment
- 4,574 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02130 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BOSTON, MA 02130
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 Frederick Gibson's NPI number?
The NPI number for Frederick Gibson is 1629604483. It was assigned to this individual provider in the NPPES registry on March 12, 2020.
Where is Frederick Gibson located?
Frederick Gibson practices at 1153 Centre St, Jamaica Plain, MA 02130. The listed phone number is (617) 983-7000.
What is Frederick Gibson's specialty?
The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.
Is Frederick Gibson enrolled in Medicare?
Yes. Frederick Gibson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Frederick Gibson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Frederick Gibson reassigns Medicare benefits to Brigham & Womens Physicians Organization Inc (Boston, MA). 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 Frederick 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 Frederick Gibson was last updated on November 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.
# Frederick Thomas Gibson · NPI 1629604483
Procedural Dermatology physician in Jamaica Plain, Massachusetts. Individual provider, active in the CMS NPPES registry since March 12, 2020.
## Identity
- **NPI:** 1629604483 (Entity type: Individual)
- **Enumerated:** March 12, 2020
- **Primary specialty:** Dermatology - Procedural Dermatology · taxonomy 207NS0135X
- **State license:** 1023149 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 1153 CENTRE ST, Jamaica Plain, MA 02130-3446
- **Phone:** (617) 983-7000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Brigham & Womens Physicians Organization Inc (NPI 1033535497, Boston, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Illinois College Of Med, class of 2021
## Record status
- **NPPES last updated:** November 17, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1629604483) · Data from the CMS NPPES public registry.