WALLACE GIBBONS MD
NPI 1932134244
Urology in Wenatchee, WA

Q: What is Wallace Gibbons's NPI number?

The NPI number for Wallace Gibbons is 1932134244. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Q: What is Wallace Gibbons's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Wallace Gibbons was last updated on June 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 12, 2006PECOS Enrolled

820 N CHELAN AVE, WENATCHEE, WA 98801(509) 663-8711 Get Directions Write a Review

NPPES record last updated: June 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Wallace Gibbons Md NPPES

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

WALLACE GIBBONS MD (NPI 1932134244) is an individual urology provider in Wenatchee, Washington, licensed in Washington (MD00024544) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932134244

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameWALLACE GIBBONSCredential: MD

Location Address820 N CHELAN AVEWenatchee, WA 98801-2028

Mailing Address820 N Chelan AveWenatchee, WA 98801-2028

Phone(509) 663-8711

Sole ProprietorNo

Enumeration DateJuly 12, 2006

Last NPPES UpdateJune 21, 2022

NPPES CertifiedJune 21, 2022

✔ NPI 1932134244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in WA · MD00024544

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

820 N CHELAN AVE, Wenatchee, WA 98801

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Other Identifiers 4

Medicaid1932134244WA

Other31238WA · L&i

Other315977WA · L&i Post 7/21/13

OtherP01256576WA · Rr Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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)

Wallace Gibbons Md 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 98801 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

$130.99 typical visit price

range $57.27 – $172.80

Typical copayment $32.74 (range $14.31 – $43.20)

Most-billed visit code 99204

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

4 suppliers13 claims57 services$8.05 avg. paid by Medicare

Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each A4432

DME-Orthotic Devices · category DF010N

3 suppliers12 claims720 services$3.47 avg. paid by Medicare

Adhesive remover, wipes, any type, each A4456

DME-Medical/Surgical Supplies · category DA000N

3 suppliers15 claims1,850 services$0.23 avg. paid by Medicare

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

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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.

RICHARD A HESNER PT

Physical Therapist