DR. MARCUS A GIBSON DMD
NPI 1811029010
Dentist in Louisville, KY

Q: What is Marcus Gibson's NPI number?

The NPI number for Marcus Gibson is 1811029010. It was assigned to this individual provider in the NPPES registry on March 12, 2007.

Q: What is Marcus Gibson's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Marcus Gibson was last updated on April 14, 2021. 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.

Active since March 12, 2007PECOS Enrolled

2215 PORTLAND AVE, LOUISVILLE, KY 40212(502) 774-8631(502) 772-8189 Get Directions Write a Review

NPPES record last updated: April 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 14, 2021, Jun 23, 2016 (2 updates tracked since 2016).

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About Dr. Marcus A Gibson Dmd NPPES

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

DR. MARCUS A GIBSON DMD (NPI 1811029010) is an individual dentist in Louisville, Kentucky, licensed in Kentucky (7305) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811029010

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. MARCUS A GIBSONCredential: DMD

Location Address2215 PORTLAND AVELouisville, KY 40212-1033

Mailing AddressPo Box 950244Louisville, KY 40295-0244 · (502) 953-4700 · Fax (502) 772-8189

Phone(502) 774-8631

Fax(502) 772-8189

Sole ProprietorNo

Enumeration DateMarch 12, 2007

Last NPPES UpdateApril 14, 20212 updates tracked since enumeration

NPPES CertifiedApril 14, 2021

✔ NPI 1811029010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in KY · 7305

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

2215 PORTLAND AVE, Louisville, KY 40212

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Other Identifiers 1

Medicaid7100174040KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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)

Dr. Marcus A Gibson Dmd 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40212 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

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $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.

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.

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