JONATHAN GIPSON
NPI 1679998140
Nurse Practitioner - Family in Paducah, KY

Active since February 20, 2014PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
2603 KENTUCKY AVE, SUITE 404, PADUCAH, KY 42003(270) 443-6472(270) 442-1649 Get Directions Write a Review

NPPES record last updated: December 2, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 2, 2020, Aug 18, 2016 (2 updates tracked since 2016).

About Jonathan Gipson NPPES

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

JONATHAN GIPSON (NPI 1679998140) is an individual family provider in Paducah, Kentucky, licensed in Kentucky (3008526) and active in the NPI registry since February 2014. He is enrolled in Medicare PECOS, is affiliated with Massac Memorial Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1679998140
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJONATHAN GIPSON
Location Address2603 KENTUCKY AVE, SUITE 404Paducah, KY 42003-3814
Mailing Address2605 Kentucky Ave, Suite 306Paducah, KY 42003-3800 · (270) 415-7653 · Fax (270) 575-8359
Fax(270) 442-1649
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateFebruary 20, 2014
Last NPPES UpdateDecember 2, 20202 updates tracked since enumeration
NPPES CertifiedDecember 2, 2020
NPI 1679998140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in KY · 3008526
Also ListedNurse PractitionerTaxonomy 363L00000X · License 3008526 (KY)
2603 KENTUCKY AVE, Paducah, KY 42003

Other Identifiers 1

Medicaid7100286630KY

Accepted 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

Jonathan Gipson 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 ID3274764873
PECOS Enrollment IDI20140325000525
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 8

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.
234 services183 patients
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.
213 services198 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
66 services66 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
60 services59 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.
35 services24 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
26 services25 patients

Hospital Affiliations CMS Care Compare 5

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

Massac Memorial Hospital

Critical Access Hospitals · Metropolis, IL
OwnershipProprietary
CMS Certification Number141323
Location28 Chick Street, PO Box 850Metropolis, IL 62960 · Massac County
Emergency services

Murray-Calloway County Hospital

Acute Care Hospitals · Murray, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180027
Location803 Poplar StreetMurray, KY 42071 · Calloway County
Emergency services Birthing friendly

Baptist Health Paducah

Acute Care Hospitals · Paducah, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180104
Location2501 Kentucky AvenuePaducah, KY 42003 · Mc Cracken County
Emergency services Birthing friendly

Jackson Purchase Medical Center

Acute Care Hospitals · Mayfield, KY
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number180116
Location1099 Medical Center CircleMayfield, KY 42066 · Graves County
Emergency services Birthing friendly

Marshall County Hospital

Critical Access Hospitals · Benton, KY
OwnershipGovernment - Hospital District or Authority
CMS Certification Number181327
Location615 Old Symsonia RoadBenton, KY 42025 · Marshall County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42003 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$41.53 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Neurological Surgery
2603 KENTUCKY AVE, SUITE 402
PADUCAH, KY 42003
Internal Medicine (Hematology & Oncology)
2603 KENTUCKY AVE, SUITE 403
PADUCAH, KY 42003
Obstetrics & Gynecology
2603 KENTUCKY AVE, SUITE 302
PADUCAH, KY 42003
Physician Assistant
2603 KENTUCKY AVE, SUITE 304
PADUCAH, KY 42003
Internal Medicine (Hematology & Oncology)
2603 KENTUCKY AVE, SUITE 403
PADUCAH, KY 42003
Psychiatry & Neurology (Neurology)
2603 KENTUCKY AVE, SUITE 304
PADUCAH, KY 42003
Urology
2603 KENTUCKY AVE, STE 102
PADUCAH, KY 42003
Urology
2603 KENTUCKY AVE, SUITE 102
PADUCAH, KY 42003

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 Jonathan Gipson's NPI number?

The NPI number for Jonathan Gipson is 1679998140. It was assigned to this individual provider in the NPPES registry on February 20, 2014.

Where is Jonathan Gipson located?

Jonathan Gipson practices at 2603 Kentucky Ave Suite 404, Paducah, KY 42003. The listed phone number is (270) 443-6472.

What is Jonathan Gipson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jonathan Gipson enrolled in Medicare?

Yes. Jonathan Gipson 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.

What insurance does Jonathan Gipson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Jonathan Gipson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jonathan Gipson affiliated with any hospitals?

According to CMS data, Jonathan Gipson is affiliated with Massac Memorial Hospital, Murray-Calloway County Hospital, Baptist Health Paducah, Jackson Purchase Medical Center and Marshall County Hospital.

When was this NPI record last updated?

The NPPES record for Jonathan Gipson was last updated on December 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.