DR. JEREMY BRENDON GIBSON D.O.
NPI 1912987504
Pathology - Anatomic Pathology & Clinical Pathology in Rochester, MN

Active since January 19, 2006PECOS EnrolledAccepts Medicare Assignment
1650 4TH ST SE, ROCHESTER, MN 55904(507) 529-6616(507) 529-6622 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Jeremy Brendon Gibson D.o. NPPES

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

DR. JEREMY BRENDON GIBSON D.O. (NPI 1912987504) is an individual anatomic pathology & clinical pathology provider in Rochester, Minnesota, licensed in Minnesota (55625) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Lutheran Hospital Of Indiana, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1912987504
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. JEREMY BRENDON GIBSONCredential: D.O.
Location Address1650 4TH ST SERochester, MN 55904-4717
Mailing Address1650 4th St SeRochester, MN 55904-4717 · (507) 529-6616 · Fax (507) 529-6622
Fax(507) 529-6622
Sole ProprietorNo
Medical School CMSKansas City University Of Med & Biosciences, College Of Osteo MedGraduated 2003
Enumeration DateJanuary 19, 2006
Last NPPES UpdateAugust 28, 2025
NPPES CertifiedAugust 28, 2025
NPI 1912987504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Licenses Licensed in MN · 55625 Licensed in IN · 02007660A Licensed in KY · C3863
Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

1650 4TH ST SE, Rochester, MN 55904

Secondary Practice Locations 2

Location 17950 W Jefferson BlvdFort Wayne, IN 46804-4140 · Phone (260) 435-2856
Location 2250 Park StBowling Green, KY 42101-1760 · Phone (270) 745-1264

Accepted Insurance

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

Dr. Jeremy Brendon Gibson D.o. 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 ID42476905
PECOS Enrollment IDI20250905003012, I20250908002249, I20251020000227
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.

Hospital Affiliations CMS Care Compare

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

Lutheran Hospital Of Indiana

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number150017
Location7950 W Jefferson BlvdFort Wayne, IN 46804 · Allen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55904 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

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.

Emergency Medicine
1650 4TH ST SE
ROCHESTER, MN 55904
Anesthesiology
1650 4TH ST SE
ROCHESTER, MN 55904
General Acute Care Hospital
1650 4TH ST SE
ROCHESTER, MN 55904
Physician Assistant
1650 4TH ST SE
ROCHESTER, MN 55904
Obstetrics & Gynecology
1650 4TH ST SE
ROCHESTER, MN 55904
Obstetrics & Gynecology
1650 4TH ST SE
ROCHESTER, MN 55904
Nurse Anesthetist, Certified Registered
1650 4TH ST SE
ROCHESTER, MN 55904
Nurse Anesthetist, Certified Registered
1650 4TH ST SE
ROCHESTER, MN 55904

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912987504, enumerated as an "individual" on January 19, 2006.

The provider is located at 1650 4TH ST SE ROCHESTER, MN 55904 and the phone number is (507) 529-6616.

Pathology with taxonomy code 207ZP0102X and a focus in Anatomic Pathology & Clinical Pathology.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.

Jeremy Gibson is affiliated with: LUTHERAN HOSPITAL OF INDIANA.