JAKE ALAN GIBBONS M.D
NPI 1871056648
Radiology - Diagnostic Radiology in Dallas, TX

Active since April 09, 2019PECOS EnrolledAccepts Medicare Assignment
3500 GASTON AVE, DALLAS, TX 75246(214) 820-2361 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 10, 2025, Apr 9, 2019 (2 updates tracked since 2019).

About Jake Alan Gibbons M.d NPPES

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

JAKE ALAN GIBBONS M.D (NPI 1871056648) is an individual diagnostic radiology provider in Dallas, Texas, licensed in Texas (T7567) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical Branch At Galveston (2019).

NPPES Registry Identity

NPI1871056648
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameJAKE ALAN GIBBONSCredential: M.D
Location Address3500 GASTON AVEDallas, TX 75246-2017
Mailing Address3500 Gaston AveDallas, TX 75246-2017 · (214) 820-2361
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2019
Enumeration DateApril 9, 2019
Last NPPES UpdateMarch 10, 20252 updates tracked since enumeration
NPPES CertifiedMarch 10, 2025
NPI 1871056648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in TX · T7567
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
3500 GASTON AVE, Dallas, TX 75246

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

Jake Alan Gibbons M.d 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 ID2567790009
PECOS Enrollment IDI20250312004127
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 75246 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
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.

Pathology (Anatomic Pathology & Clinical Pathology)
3500 GASTON AVE, BAYLOR UNIVERSITY MEDICAL CENTER, DEPT OF PATHOLOGY
DALLAS, TX 75246
Nurse Practitioner (Acute Care)
3500 GASTON AVE
DALLAS, TX 75246
Radiology (Diagnostic Radiology)
3500 GASTON AVE
DALLAS, TX 75246
Registered Nurse
3500 GASTON AVE
DALLAS, TX 75246
Emergency Medicine
3500 GASTON AVE
DALLAS, TX 75246
Anesthesiology
3500 GASTON AVE, DEPARTMENT OF ANESTHESIOLOGY
DALLAS, TX 75246
Pediatrics (Neonatal-Perinatal Medicine)
3500 GASTON AVE
DALLAS, TX 75246
Student in an Organized Health Care Education/Training Program
3500 GASTON AVE
DALLAS, TX 75246

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 Jake Gibbons's NPI number?

The NPI number for Jake Gibbons is 1871056648. It was assigned to this individual provider in the NPPES registry on April 9, 2019.

Where is Jake Gibbons located?

Jake Gibbons practices at 3500 Gaston Ave, Dallas, TX 75246. The listed phone number is (214) 820-2361.

What is Jake Gibbons's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Jake Gibbons enrolled in Medicare?

Yes. Jake Gibbons 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 Jake Gibbons was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.