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DR. SUSAN BALLOU GIBSON DMD, MSD
NPI 1902958887
Dentist - Periodontics in Somerset, KY

Active since January 18, 2007PECOS Enrolled
110 HARDIN LN, SUITE 2, SOMERSET, KY 42503(606) 678-9664(606) 679-1457 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Susan Ballou Gibson Dmd, Msd NPPES

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

DR. SUSAN BALLOU GIBSON DMD, MSD (NPI 1902958887) is an individual periodontics provider in Somerset, Kentucky, licensed in Kentucky (6224) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902958887
Entity TypeIndividualFemale
Primary Taxonomy1223P0300X
Provider Legal NameDR. SUSAN BALLOU GIBSONCredential: DMD, MSD
Location Address110 HARDIN LN, SUITE 2Somerset, KY 42503-3818
Mailing Address110 Hardin Ln, Suite 2Somerset, KY 42503-3818 · (606) 678-9664 · Fax (606) 679-1457
Phone(606) 678-9664
Fax(606) 679-1457
Sole ProprietorNo
Enumeration DateJanuary 18, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1902958887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in KY · 6224
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
110 HARDIN LN, Somerset, KY 42503
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HRI Dental & Vision, Paramount.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. Susan Ballou Gibson Dmd, Msd 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 42503 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 16

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

MOUNTAINVIEW BEHAVIORAL & NEUROSCIENCE CENTER LLC
Psychiatry & Neurology (Psychiatry)
110 HARDIN LN, SUITE 1
SOMERSET, KY 42503
Pulaski County (606) 451-9748
SANAA ABDEL-RAHMAN MAHMOUD M.D.
Allergy & Immunology
110 HARDIN LN, STE 3
SOMERSET, KY 42503
Pulaski County (606) 451-0115
MOHAMMAD AFZAL MD
Internal Medicine
110 HARDIN LN, SUITE 2-B
SOMERSET, KY 42503
Pulaski County (606) 451-0312
LAKE CUMBERLAND GASTROENTEROLOGY AND INTERNAL MEDICINE ASSOC. INC.
Internal Medicine (Gastroenterology)
110 HARDIN LN, SUITE 9
SOMERSET, KY 42503
Pulaski County (606) 679-7317
KHALID IQBAL MD
Internal Medicine (Gastroenterology)
110 HARDIN LN, SUITE 9
SOMERSET, KY 42503
Pulaski County (606) 679-7317
SCOTT MATTHEW STEPHENS M.D.
Internal Medicine
110 HARDIN LN, SUITE 10
SOMERSET, KY 42503
Pulaski County (606) 679-9268
JAMIE GRIDER CRNA
Nurse Anesthetist, Certified Registered
110 HARDIN LN
SOMERSET, KY 42503
Pulaski County (606) 678-3288
MEGAN WEATHERFORD
Psychologist (Counseling)
110 HARDIN LN
SOMERSET, KY 42503
Pulaski County (606) 679-7348

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 Susan Gibson's NPI number?

The NPI number for Susan Gibson is 1902958887. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Where is Susan Gibson located?

Susan Gibson practices at 110 Hardin Ln Suite 2, Somerset, KY 42503. The listed phone number is (606) 678-9664.

What is Susan Gibson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Susan Gibson enrolled in Medicare?

Yes. Susan Gibson is registered in the Medicare PECOS enrollment system.

What insurance does Susan Gibson accept?

Health plans from HRI Dental & Vision and Paramount list Susan Gibson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Susan Gibson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.