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DR. SUSAN M GIBSON MD
NPI 1720194087
Family Medicine in Fort Payne, AL

Active since August 21, 2006PECOS Enrolled
3840 GAULT AVE N, FORT PAYNE, AL 35967(256) 844-4975(256) 844-4978 Get Directions Write a Review

NPPES record last updated: July 20, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Susan M Gibson Md NPPES

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

DR. SUSAN M GIBSON MD (NPI 1720194087) is an individual family medicine provider in Fort Payne, Alabama, licensed in Alabama (21115) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720194087
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SUSAN M GIBSONCredential: MD
Location Address3840 GAULT AVE NFort Payne, AL 35967-5211
Mailing Address309 Taylor StScottsboro, AL 35768-2421 · (256) 259-5313 · Fax (256) 259-4923
Phone(256) 844-4975
Fax(256) 844-4978
Sole ProprietorNo
Enumeration DateAugust 21, 2006
Last NPPES UpdateJuly 20, 2012
✔ NPI 1720194087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AL · 21115
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3840 GAULT AVE N, Fort Payne, AL 35967
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Other Identifiers 13

Other051544792AL · Blue Cross Blue Shield
Medicaid630302067AL
Other051544795AL · Blue Cross Blue Shield
Medicare UPINH00503AL
Medicaid630308067AL
Medicaid630306067AL
Other051544791AL · Blue Cross Blue Shield
Other051544790AL · Blue Cross Blue Shield
Other051544789AL · Blue Cross Blue Shield
Other051544794AL · Blue Cross Blue Shield
Medicaid630307067AL
Medicaid630309067AL
Medicaid630303067AL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Susan M Gibson Md 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Susan Gibson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Quality Of Life Health Services, Inc
19 mi
Federally Qualified Health Center (FQHC)
4055 AL HIGHWAY 9
Cedar Bluff, AL 35959
  • Reassigned Medicare billing, Alabama enrollment
  • 124 clinicians in this Medicare group
NPI 1851676605 (256) 492-0131
Premier Medical Clinic LLC
24 mi
Multi-Specialty
503 BURLINGTON STREET
Scottsboro, AL 35768
  • Reassigned Medicare billing, Alabama enrollment
  • 21 clinicians in this Medicare group
NPI 1083955173 (256) 259-1886
Highlands Hospitalists Services LLC
24 mi
Hospitalist
380 WOODS COVE RD
Scottsboro, AL 35768
  • Reassigned Medicare billing, Alabama enrollment
  • 25 clinicians in this Medicare group
NPI 1154690246 (256) 259-4444

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 35967 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

Other Providers at the Same Location NPPES 6

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

MICAH MIRANDA HILYER NP
Nurse Practitioner (Family)
3840 GAULT AVE N
FORT PAYNE, AL 35967
Dekalb County (256) 844-4975
YULANDA CAROL ELLIOTT FNP-C
Nurse Practitioner (Family)
3840 GAULT AVE N
FORT PAYNE, AL 35967
Dekalb County (256) 844-4975
DR. ELIZABETH DIANNE COLE MD
Family Medicine
3840 GAULT AVE N
FORT PAYNE, AL 35967
Dekalb County (256) 844-4975
MRS. ALEXIS DIANE MITCHELL CRNP
Nurse Practitioner (Family)
3840 GAULT AVE N
FORT PAYNE, AL 35967
Dekalb County (256) 844-4975
ANGELA AURORA CUNNINGHAM NP-C
Nurse Practitioner (Family)
3840 GAULT AVE N
FORT PAYNE, AL 35967
Dekalb County (256) 844-4975
NORTHEAST ALABAMA HEALTH SERVICES, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
3840 GAULT AVE N
FORT PAYNE, AL 35967
Dekalb County (256) 844-4975

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 Susan Gibson's NPI number?

The NPI number for Susan Gibson is 1720194087. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Susan Gibson located?

Susan Gibson practices at 3840 Gault Ave N, Fort Payne, AL 35967. The listed phone number is (256) 844-4975.

What is Susan Gibson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Susan Gibson enrolled in Medicare?

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

Which organizations bill Medicare for Susan Gibson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Gibson reassigns Medicare benefits to 3 organizations: Quality Of Life Health Services, Inc (Cedar Bluff, AL), Premier Medical Clinic LLC (Scottsboro, AL) and Highlands Hospitalists Services LLC (Scottsboro, AL). Each 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 Susan 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 Susan Gibson was last updated on July 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.