MR. KEVIN SCOTT GIBBS RN
NPI 1811527096
Nurse Practitioner - Family in Brockport, NY

Active since January 16, 2020PECOS EnrolledAccepts Medicare Assignment
6668 FOURTH SECTION RD, BROCKPORT, NY 14420(585) 368-6870(585) 368-6871 Get Directions Write a Review

NPPES record last updated: March 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 16, 2023, Jan 16, 2020 (2 updates tracked since 2020).

About Mr. Kevin Scott Gibbs Rn NPPES

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

MR. KEVIN SCOTT GIBBS RN (NPI 1811527096) is an individual family provider in Brockport, New York, licensed in New York (347986) and active in the NPI registry since January 2020. He is enrolled in Medicare PECOS, is affiliated with Jones Memorial Hospital, and maintains a secondary practice location in Binghamton.

NPPES Registry Identity

NPI1811527096
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. KEVIN SCOTT GIBBSCredential: RN
Location Address6668 FOURTH SECTION RDBrockport, NY 14420-2448
Mailing Address6668 Fourth Section RdBrockport, NY 14420-2448 · (585) 368-6870 · Fax (585) 368-6871
Fax(585) 368-6871
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 16, 2020
Last NPPES UpdateMarch 16, 20232 updates tracked since enumeration
NPPES CertifiedMarch 16, 2023
NPI 1811527096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · 347986
Also ListedRegistered Nurse · Medical-SurgicalTaxonomy 163WM0705X · License 717458-1 (NY)
6668 FOURTH SECTION RD, Brockport, NY 14420

Secondary Practice Location 1

Location 14400 Vestal Pkwy EBinghamton, NY 13902-4400 · Phone (607) 777-4954

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

Mr. Kevin Scott Gibbs Rn 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 ID7012380736
PECOS Enrollment IDI20230228002272
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 5

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 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.
215 services130 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.
169 services126 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
29 services29 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
25 services21 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
20 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Jones Memorial Hospital

Acute Care Hospitals · Wellsville, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330096
Location191 North Main StreetWellsville, NY 14895 · Allegany County
Emergency services Birthing friendly

St James Mercy Hospital

Acute Care Hospitals · Hornell, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330151
Location7329 Seneca Road NorthHornell, NY 14843 · Steuben County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14420 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 9

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

Advanced Practice Midwife
6668 FOURTH SECTION RD
BROCKPORT, NY 14420
Family Medicine
6668 FOURTH SECTION RD
BROCKPORT, NY 14420
Physical Therapist
6668 FOURTH SECTION RD
BROCKPORT, NY 14420
Nurse Practitioner (Family)
6668 FOURTH SECTION RD
BROCKPORT, NY 14420
Physical Therapist
6668 FOURTH SECTION RD
BROCKPORT, NY 14420
Obstetrics & Gynecology
6668 FOURTH SECTION RD
BROCKPORT, NY 14420
Physical Therapist
6668 FOURTH SECTION RD
BROCKPORT, NY 14420
Social Worker (Clinical)
6668 FOURTH SECTION RD
BROCKPORT, NY 14420

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 Kevin Gibbs's NPI number?

The NPI number for Kevin Gibbs is 1811527096. It was assigned to this individual provider in the NPPES registry on January 16, 2020.

Where is Kevin Gibbs located?

Kevin Gibbs practices at 6668 Fourth Section Rd, Brockport, NY 14420. The listed phone number is (585) 368-6870.

What is Kevin Gibbs's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kevin Gibbs enrolled in Medicare?

Yes. Kevin Gibbs 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.

Is Kevin Gibbs affiliated with any hospitals?

According to CMS data, Kevin Gibbs is affiliated with Jones Memorial Hospital and St James Mercy Hospital.

When was this NPI record last updated?

The NPPES record for Kevin Gibbs was last updated on March 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.