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DEVYN GIBBY DO
NPI 1811632409
Family Medicine in San Clemente, CA

Active since April 28, 2022PECOS EnrolledAccepts Medicare Assignment
993 AVENIDA PICO STE 110, SAN CLEMENTE, CA 92673(949) 557-0820 Get Directions Write a Review

NPPES record last updated: August 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Devyn Gibby Do NPPES

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

DEVYN GIBBY DO (NPI 1811632409) is an individual family medicine provider in San Clemente, California, licensed in California (20A24264) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of Philadelphia Col Of Osteo Med, Sewanee (2022).

NPPES Registry Identity

NPI1811632409
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDEVYN GIBBYCredential: DO
Location Address993 AVENIDA PICO STE 110San Clemente, CA 92673-3908
Mailing Address993 Avenida Pico Ste 110San Clemente, CA 92673-3908 · (949) 557-0820 · Fax (949) 557-0821
Phone(949) 557-0820
Sole ProprietorYes
Medical School CMSPhiladelphia Col Of Osteo Med, SewaneeGraduated 2022
Enumeration DateApril 28, 2022
Last NPPES UpdateAugust 23, 2025
NPPES CertifiedAugust 23, 2025
✔ NPI 1811632409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 20A24264
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
993 AVENIDA PICO STE 110, San Clemente, CA 92673
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Devyn Gibby Do 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 ID244750685
PECOS Enrollment IDI20251001002112
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 92673 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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 Devyn Gibby's NPI number?

The NPI number for Devyn Gibby is 1811632409. It was assigned to this individual provider in the NPPES registry on April 28, 2022.

Where is Devyn Gibby located?

Devyn Gibby practices at 993 Avenida Pico Ste 110, San Clemente, CA 92673. The listed phone number is (949) 557-0820.

What is Devyn Gibby's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Devyn Gibby enrolled in Medicare?

Yes. Devyn Gibby 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.

When was this NPI record last updated?

The NPPES record for Devyn Gibby was last updated on August 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.