SHIRLEY K. GIBSON MD
NPI 1770509713
Internal Medicine in Albany, KY

Active since July 14, 2006PECOS EnrolledAccepts Medicare Assignment
96.68/100
CMS Quality Rating
606 BURKESVILLE RD, ALBANY, KY 42602(606) 387-0675(606) 387-3149 Get Directions Write a Review

NPPES record last updated: December 2, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 2, 2019, Sep 10, 2019 (2 updates tracked since 2019).

About Shirley K. Gibson Md NPPES

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

SHIRLEY K. GIBSON MD (NPI 1770509713) is an individual internal medicine provider in Albany, Kentucky, licensed in Kentucky (38599) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Wayne County Hospital, and is a graduate of University Of Kentucky College Of Medicine (2001).

NPPES Registry Identity

NPI1770509713
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSHIRLEY K. GIBSONCredential: MD
Location Address606 BURKESVILLE RDAlbany, KY 42602-1612
Mailing AddressPo Box 1080Burkesville, KY 42717-1080 · (270) 864-1472 · Fax (270) 864-1693
Fax(606) 387-3149
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2001
Enumeration DateJuly 14, 2006
Last NPPES UpdateDecember 2, 20192 updates tracked since enumeration
NPI 1770509713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in KY · 38599
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 38599 (KY)
Also ListedPediatricsTaxonomy 208000000X · License 38599 (KY)
Also ListedHospitalistTaxonomy 208M00000X · License 38599 (KY)
606 BURKESVILLE RD, Albany, KY 42602

Other Names 1

Former Name (1)Shirley K Catron Md

Other Identifiers 1

Medicaid64103237KY

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

Shirley K. Gibson Md 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 ID7214985274
PECOS Enrollment IDI20050106000115
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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
113 services13 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
90 services38 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
69 services26 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.
51 services38 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
49 services36 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
41 services26 patients

Hospital Affiliations CMS Care Compare 2

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

Wayne County Hospital

Critical Access Hospitals · Monticello, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181321
Location166 Hospital StreetMonticello, KY 42633 · Wayne County
Emergency services

The Medical Center At Albany

Critical Access Hospitals · Albany, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181333
Location723 Burkesville RoadAlbany, KY 42602 · Clinton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42602 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
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.

96.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality83.69
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 11

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers47 claims116 services$4.90 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers44 claims49 services$0.82 avg. paid by Medicare
Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), each A4393
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$8.56 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each A4414
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$4.35 avg. paid by Medicare
Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
2 suppliers11 claims575 services$0.20 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$2.39 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 6

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

Nurse Practitioner (Family)
606 BURKESVILLE RD
ALBANY, KY 42602
Family Medicine
606 BURKESVILLE RD
ALBANY, KY 42602
Nurse Practitioner (Family)
606 BURKESVILLE RD
ALBANY, KY 42602
Clinic/Center (Federally Qualified Health Center (FQHC))
606 BURKESVILLE RD, WESTVIEW MEDICAL PLAZA
ALBANY, KY 42602
Family Medicine
606 BURKESVILLE RD
ALBANY, KY 42602
Nurse Practitioner (Family)
606 BURKESVILLE RD
ALBANY, KY 42602

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 Shirley Gibson's NPI number?

The NPI number for Shirley Gibson is 1770509713. It was assigned to this individual provider in the NPPES registry on July 14, 2006. The provider is also known as Shirley K Catron MD.

Where is Shirley Gibson located?

Shirley Gibson practices at 606 Burkesville Rd, Albany, KY 42602. The listed phone number is (606) 387-0675.

What is Shirley Gibson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Shirley Gibson enrolled in Medicare?

Yes. Shirley 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.

What insurance does Shirley Gibson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Shirley Gibson 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 Shirley Gibson affiliated with any hospitals?

According to CMS data, Shirley Gibson is affiliated with Wayne County Hospital and The Medical Center At Albany.

When was this NPI record last updated?

The NPPES record for Shirley Gibson was last updated on December 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.