THERESA D GIBBS OD
NPI 1912010430
Optometrist in Warrensburg, NY
About Theresa D Gibbs Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THERESA D GIBBS OD (NPI 1912010430) is an individual optometrist in Warrensburg, New York, licensed in New York (TUV006098-1) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Theresa D Gibbs Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Theresa Gibbs reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Newnan, GA 30265
- Reassigned Medicare billing, Georgia enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 12885 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Theresa Gibbs's NPI number?
The NPI number for Theresa Gibbs is 1912010430. It was assigned to this individual provider in the NPPES registry on August 17, 2006.
Where is Theresa Gibbs located?
Theresa Gibbs practices at 3695 Main St, Warrensburg, NY 12885. The listed phone number is (518) 623-2229.
What is Theresa Gibbs's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Theresa Gibbs enrolled in Medicare?
Yes. Theresa Gibbs is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Theresa Gibbs's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Gibbs reassigns Medicare benefits to Amy Jeffries, O.D., P.C. (Newnan, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Theresa Gibbs's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Theresa Gibbs accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 9 other insurers list Theresa Gibbs 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 Theresa Gibbs was last updated on April 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Theresa D Gibbs, OD · NPI 1912010430
Optometrist provider in Warrensburg, New York. Individual provider, active in the CMS NPPES registry since August 17, 2006.
## Identity
- **NPI:** 1912010430 (Entity type: Individual)
- **Enumerated:** August 17, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** TUV006098-1 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 3695 MAIN ST, Warrensburg, NY 12885-1832
- **Phone:** (518) 623-2229
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Amy Jeffries, O.D., P.C. (NPI 1144409418, Newnan, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 16, 2013
- **Other identifiers:** Medicaid 02151339 (NY); Medicare ID-Type Unspecified CC5075 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1912010430) · Data from the CMS NPPES public registry.