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BRETT WILLIAM GIBSON MD
NPI 1780744623
Orthopaedic Surgery in Quakertown, PA

Active since December 11, 2006PECOS Enrolled
84.72/100
CMS Quality Rating
1534 PARK AVE, QUAKERTOWN, PA 18951(267) 424-8850(215) 538-7907 Get Directions Write a Review

NPPES record last updated: June 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brett William Gibson Md NPPES

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

BRETT WILLIAM GIBSON MD (NPI 1780744623) is an individual orthopaedic surgery provider in Quakertown, Pennsylvania, licensed in Illinois (036170051) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780744623
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameBRETT WILLIAM GIBSONCredential: MD
Location Address1534 PARK AVEQuakertown, PA 18951-1084
Mailing Address1534 Park AveQuakertown, PA 18951-1084 · (267) 424-8850 · Fax (215) 538-7907
Phone(267) 424-8850
Fax(215) 538-7907
Sole ProprietorNo
Enumeration DateDecember 11, 2006
Last NPPES UpdateJune 10, 2024
NPPES CertifiedJune 10, 2024
✔ NPI 1780744623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in IL · 036170051✔ Licensed in PA · MD425814
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.
Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License 036170051 (IL)
1534 PARK AVE, Quakertown, PA 18951
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Other Identifiers 14

Other50079088Capital Blue Cross
OtherP00766890Railroad Medicare
Other1988582Aetna Hmo
Other50079088Keystone Health Plan Central
Other823437First Priority Health
Other1572580Gateway Health Plan
Other353026000Keystone Health Plan East
Other120040Geisinger Health Plan
Other2055773Highmark Blue Shield
Other353026000Independence Blue Cross
Other9155053Aetna Ppo
Other895790Health America/health Assurance
Other2819837United Healthcare
Other353026000Amerihealth

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brett William 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.

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.
76 services57 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.
64 services59 patients
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.
49 services36 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.
38 services38 patients
Injection, methylprednisolone acetate, 40 mg J1030
Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.
31 services22 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.
24 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18951 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

84.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.98
Promoting Interoperability100
Improvement Activities40
Cost66.08

Reported Quality Measures

e-Prescribing
96%112 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
96%211 patients4/55-star benchmark: 100%
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.

DR. STANLEY OBINNA IKEZI M.D.
Anesthesiology (Pain Medicine)
1534 PARK AVE, SUITE 310
QUAKERTOWN, PA 18951
Bucks County (215) 538-6430
ALLISON ORTIZ
Nurse Practitioner (Family)
1534 PARK AVE, SUITE 310
QUAKERTOWN, PA 18951
Bucks County (215) 538-6430
SCOTT JEFFREY LOEV DO
Anesthesiology (Pain Medicine)
1534 PARK AVE, SUITE 310
QUAKERTOWN, PA 18951
Bucks County (215) 538-6430
WILLIAM H EATON JR.
Physical Therapy Assistant
1534 PARK AVE
QUAKERTOWN, PA 18951
Bucks County (267) 424-8750
DR. JASON MICHAEL ERICKSON D.O.
Physical Medicine & Rehabilitation (Pain Medicine)
1534 PARK AVE, SUITE 310
QUAKERTOWN, PA 18951
Bucks County (215) 538-6430
KIMBERLY LYNN ZAMBITO M.D.
Orthopaedic Surgery (Hand Surgery)
1534 PARK AVE
QUAKERTOWN, PA 18951
Bucks County (866) 785-8537
LENA VANDER NEUT
Speech-Language Pathologist
1534 PARK AVE
QUAKERTOWN, PA 18951
Bucks County (267) 424-8750
HEATHER ABDALLA
Nurse Practitioner (Family)
1534 PARK AVE, SUITE 310
QUAKERTOWN, PA 18951
Bucks County (484) 526-7246

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 Brett Gibson's NPI number?

The NPI number for Brett Gibson is 1780744623. It was assigned to this individual provider in the NPPES registry on December 11, 2006.

Where is Brett Gibson located?

Brett Gibson practices at 1534 Park Ave, Quakertown, PA 18951. The listed phone number is (267) 424-8850.

What is Brett Gibson's specialty?

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

Is Brett Gibson enrolled in Medicare?

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

What insurance does Brett Gibson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Brett 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.

When was this NPI record last updated?

The NPPES record for Brett Gibson was last updated on June 10, 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.