DR. TIMOTHY A GIBBONS M.D.
NPI 1750374252
Orthopaedic Surgery in Mason City, IA

Q: What is Timothy Gibbons's NPI number?

The NPI number for Timothy Gibbons is 1750374252. It was assigned to this individual provider in the NPPES registry on August 30, 2005.

Q: What is Timothy Gibbons's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Gibbons was last updated on January 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since August 30, 2005PECOS EnrolledAccepts Medicare Assignment

250 S CRESCENT DR, MASON CITY, IA 50401(641) 494-5210(641) 494-5214 Get Directions Write a Review

NPPES record last updated: January 17, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Dr. Timothy A Gibbons M.d. NPPES

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

DR. TIMOTHY A GIBBONS M.D. (NPI 1750374252) is an individual orthopaedic surgery provider in Mason City, Iowa, licensed in Iowa (29561) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Mercyone North Iowa Medical Center, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (1989).

NPPES Registry Identity

NPI1750374252

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. TIMOTHY A GIBBONSCredential: M.D.

Location Address250 S CRESCENT DRMason City, IA 50401-2926

Mailing Address250 S Crescent DrMason City, IA 50401-2926 · (641) 494-5400 · Fax (641) 494-5403

Phone(641) 494-5210

Fax(641) 494-5214

Sole ProprietorNo

Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 1989

Enumeration DateAugust 30, 2005

Last NPPES UpdateJanuary 17, 2024

NPPES CertifiedJanuary 17, 2024

✔ NPI 1750374252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in IA · 29561

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

250 S CRESCENT DR, Mason City, IA 50401

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Other Identifiers 1

Medicaid3114801IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

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

Dr. Timothy A Gibbons 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 ID7214941814

PECOS Enrollment IDI20061013000125

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

Medicare enrollment records show Timothy Gibbons reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mason City Clinic PC

Same address

Otolaryngology

250 S CRESCENT DR
Mason City, IA 50401

Reassigned Medicare billing, Iowa enrollment
65 clinicians in this Medicare group

NPI 1043254055 (800) 622-1411

North Iowa Mercy Clinics

Same address

Cardiovascular Disease

250 S CRESCENT DR STE 200
Mason City, IA 50401

Reassigned Medicare billing, Iowa enrollment
420 clinicians in this Medicare group

NPI 1801147269 (641) 494-5300

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 19

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.

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

140 services72 patients

Aspiration and/or injection of fluid from large joint 20610

134 services70 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

121 services87 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.

118 services98 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.

67 services61 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

60 services46 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

52 services45 patients

Ct scan of arm without contrast 73200

A CT scan of the arm without contrast is a non-invasive imaging test. It uses X-ray technology to capture detailed images of your arm's structures. It doesn't involve any contrasting dye, hence, minimal preparation is required. It helps in diagnosing injuries or conditions affecting the arm.

37 services34 patients

Injection, methylprednisolone acetate, 80 mg J1040

Methylprednisolone acetate is a strong anti-inflammatory medication. It is often given as an 80 mg injection to reduce inflammation and pain. It's commonly used for conditions like arthritis, allergic disorders, or other inflammatory diseases.

37 services24 patients

Prosthetic repair of shoulder joint, total shoulder 23472

Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.

34 services34 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

29 services29 patients

Release of wrist ligament using an endoscope 29848

This procedure involves using a small camera, called an endoscope, to view and treat a tight wrist ligament. The endoscope is inserted through a tiny incision, reducing recovery time and scarring. It helps to relieve pain and improve wrist function.

27 services27 patients

X-ray of hand, minimum of 3 views 73130

An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.

25 services16 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

24 services23 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

23 services21 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

21 services21 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

18 services18 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

18 services16 patients

X-ray of wrist, minimum of 3 views 73110

An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.

17 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Mercyone North Iowa Medical Center

Acute Care Hospitals · Mason City, IA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160064

Location1000 Fourth Street SWMason City, IA 50401 · Cerro Gordo County

Emergency services Birthing friendly

Franklin General Hospital

Critical Access Hospitals · Hampton, IA

OwnershipGovernment - Local

CMS Certification Number161308

Location1720 Central Avenue EastHampton, IA 50441 · Franklin County

Emergency services

Mercy Medical Center-New Hampton

Critical Access Hospitals · New Hampton, IA

OwnershipVoluntary non-profit - Church

CMS Certification Number161331

Location308 North Maple AvenueNew Hampton, IA 50659 · Chickasaw County

Emergency services

Floyd County Medical Center

Critical Access Hospitals · Charles City, IA

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number161347

Location800 11th StCharles City, IA 50616 · Floyd County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50401 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$66.36 typical visit price

range $16.91 – $131.98

Typical copayment $16.59 (range $4.22 – $32.99)

Most-billed visit code 99213

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.

Reported Quality Measures

Breast Cancer Screening

Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer

1%261 patients1/55-star benchmark: 92%

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

28%551 patients2/55-star benchmark: 85%

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

75%2,373 patients2/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period

75%385 patients4/55-star benchmark: 99%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

76%780 patients1/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

3%1,184 patients1/55-star benchmark: 97%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

68%385 patients4/55-star benchmark: 90%

Preventive Care and Screening: Influenza Immunization

Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization

92%412 patients5/55-star benchmark: 88%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

Patients screenedForUse: 88% · 417 patients

Patients tobacco: 85% · 417 patients

82%68 patients4/55-star benchmark: 98%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

86%1,184 patients4/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

4%1,184 patients1/55-star benchmark: 89%

Use of High-Risk Medications in the Elderly

Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.

Lower rates are better for this measure.

Patients 2+: 0% · 385 patients

0%385 patients5/55-star benchmark: 100%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

3%1,184 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

LISA HOLT PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)

250 S CRESCENT DR
MASON CITY, IA 50401

Cerro Gordo County (641) 494-5170

DR. RENE RECINOS M.D., PHD

Plastic Surgery

250 S CRESCENT DR
MASON CITY, IA 50401

Cerro Gordo County (641) 494-5360

DR. ANGELA KAYE HARVEY AU.D.

Audiologist

250 S CRESCENT DR, #100
MASON CITY, IA 50401

Cerro Gordo County (641) 494-5180

DR. MICHAEL W CRANE M.D.

Orthopaedic Surgery

250 S CRESCENT DR
MASON CITY, IA 50401

Cerro Gordo County (641) 494-5210

KAITLYN ELIZABETH MCDERMITT PA-C

Physician Assistant

250 S CRESCENT DR
MASON CITY, IA 50401

Cerro Gordo County (641) 494-5400

TRISHA LYNN TIBBITTS ARNP

Nurse Practitioner (Family)

250 S CRESCENT DR
MASON CITY, IA 50401

Cerro Gordo County (641) 494-5360

MASON CITY CLINIC PC

Otolaryngology

250 S CRESCENT DR
MASON CITY, IA 50401

Cerro Gordo County (800) 622-1411

DR. BYRON T BEASLEY MD

Internal Medicine (Cardiovascular Disease)

250 S CRESCENT DR
MASON CITY, IA 50401

Cerro Gordo County (641) 494-5300

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 Timothy Gibbons's NPI number?

The NPI number for Timothy Gibbons is 1750374252. It was assigned to this individual provider in the NPPES registry on August 30, 2005.

Where is Timothy Gibbons located?

Timothy Gibbons practices at 250 S Crescent Dr, Mason City, IA 50401. The listed phone number is (641) 494-5210.

What is Timothy Gibbons's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Timothy Gibbons enrolled in Medicare?

Yes. Timothy Gibbons 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 organizations bill Medicare for Timothy Gibbons's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Gibbons reassigns Medicare benefits to 2 organizations: Mason City Clinic PC (Mason City, IA) and North Iowa Mercy Clinics (Mason City, IA). 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 Timothy Gibbons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Timothy Gibbons accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Oscar Health and 2 other insurers list Timothy Gibbons 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 Timothy Gibbons affiliated with any hospitals?

According to CMS data, Timothy Gibbons is affiliated with Mercyone North Iowa Medical Center, Franklin General Hospital, Mercy Medical Center-New Hampton and Floyd County Medical Center.

When was this NPI record last updated?

The NPPES record for Timothy Gibbons was last updated on January 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.