KIBIBI GAUGHAN M.D.
NPI 1902957905
Family Medicine in Lebanon, PA

Q: What is Kibibi Gaughan's NPI number?

The NPI number for Kibibi Gaughan is 1902957905. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Q: What is Kibibi Gaughan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kibibi Gaughan was last updated on October 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since January 16, 2007PECOS EnrolledAccepts Medicare Assignment

101 FAIRVIEW CIR, LEBANON, PA 17042(717) 279-7303(717) 279-7471 Get Directions Write a Review

NPPES record last updated: October 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kibibi Gaughan M.d. NPPES

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

KIBIBI GAUGHAN M.D. (NPI 1902957905) is an individual family medicine provider in Lebanon, Pennsylvania, licensed in Pennsylvania (MD440939) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Wellspan York Hospital, and maintains 23 additional practice locations.

NPPES Registry Identity

NPI1902957905

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameKIBIBI GAUGHANCredential: M.D.

Location Address101 FAIRVIEW CIRLebanon, PA 17042-9581

Mailing Address601 Memory LnYork, PA 17402-2231 · (717) 259-7303 · Fax (717) 279-7471

Phone(717) 279-7303

Fax(717) 279-7471

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateJanuary 16, 2007

Last NPPES UpdateOctober 17, 2025

NPPES CertifiedOctober 17, 2025

✔ NPI 1902957905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in PA · MD440939✔ Licensed in MA · 226201

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.

101 FAIRVIEW CIR, Lebanon, PA 17042

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Secondary Practice Locations 23

Location 1105 4th St # 727East Berlin, PA 17316-9638 · Phone (717) 812-4900

Location 22 Keefer DrMercersburg, PA 17236-1732 · Phone (717) 328-2119

Location 33193 Cape Horn RdRed Lion, PA 17356-8810 · Phone (717) 812-5888

Location 4264 Granite Run DrLancaster, PA 17601-6804 · Phone (717) 721-8205

Location 513515 Wolfe Rd Ste CNew Freedom, PA 17349-9346 · Phone (717) 812-2501

Location 61790 Old Trail Rd Ste AEtters, PA 17319-9652 · Phone (717) 938-6588

Location 730 W Swartzville RdReinholds, PA 17569-9641 · Phone (717) 484-4347

Location 8354 Alexander Spring Rd Ste 3Carlisle, PA 17015-7451 · Phone (717) 477-2764

Location 9601 E Main StWaynesboro, PA 17268-2332 · Phone (717) 765-5085

Location 101575 Bannister St Ste 1York, PA 17404-4946 · Phone (717) 812-2000

Location 11300 W King St Ste CLittlestown, PA 17340-1446 · Phone (717) 339-2390

Location 124131A Oregon PikeEphrata, PA 17522-9550 · Phone (717) 859-1123

Location 13100 Frederick St Ste 101Hanover, PA 17331-3518 · Phone (717) 851-7050

Location 1425 Monument Rd Ste 140York, PA 17403-5057 · Phone (717) 741-8003

Location 151135 Georgetown Rd Unit 201Christiana, PA 17509-9543 · Phone (717) 466-2462

Location 1646 Walnut Bottom Rd Ste 200Shippensburg, PA 17257-8219 · Phone (717) 532-4148

Location 17820 Chambersburg RdGettysburg, PA 17325-3310 · Phone (717) 337-4410

Location 1840 V Twin Dr Ste 204Gettysburg, PA 17325-7878 · Phone (717) 339-2424

Location 192060 Carlisle RdAspers, PA 17304-9707 · Phone (717) 339-2585

Location 2030 N 4th St Fl 2Lebanon, PA 17046-5606 · Phone (717) 274-0474 · Fax (717) 270-2374

Location 21720 Norman DrLebanon, PA 17042-7481 · Phone (717) 639-3230

Location 221401 Roosevelt AveYork, PA 17404-2244 · Phone (717) 356-6250

Location 236 Perri AveMyerstown, PA 17067-3200 · Phone (717) 949-6581 · Fax (717) 949-2816

Other Identifiers 5

Medicaid1025290710001PA

Other6538657PA · Aetna Hmo

Other9211298PA · Aetna

Other2545705PA · Highmark Blue Shield

Other1591119PA · Gateway Health Plan

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

Kibibi Gaughan 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 ID6204991136

PECOS Enrollment IDI20110208000696

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 7

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.

260 services152 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.

209 services122 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.

86 services86 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

62 services47 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

40 services37 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

38 services35 patients

Hospital Affiliations CMS Care Compare 4

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

Wellspan York Hospital

Acute Care Hospitals · York, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390046

Location1001 South George StreetYork, PA 17403 · York County

Emergency services Birthing friendly

Wellspan Good Samaritan Hospital

Acute Care Hospitals · Lebanon, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390066

Location252 South 4th StreetLebanon, PA 17042 · Lebanon County

Emergency services Birthing friendly

Upmc Pinnacle Hospitals

Acute Care Hospitals · Harrisburg, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390067

Location409 South Second StreetHarrisburg, PA 17104 · Dauphin County

Emergency services Birthing friendly

Milton S Hershey Medical Center

Acute Care Hospitals · Hershey, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390256

Location500 University DriveHershey, PA 17033 · Dauphin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17042 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

7 suppliers16 claims37 services$6.35 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

1 supplier11 claims11 services$86.43 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

1 supplier11 claims11 services$17.08 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

1 supplier11 claims66 services$2.27 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$15.73 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$82.08 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

AMY ELIZABETH BROSE PA-C

Physician Assistant (Medical)