MARK GIBBONS MD
NPI 1952484784
Otolaryngology in Paris, TX

Active since October 23, 2006PECOS EnrolledAccepts Medicare Assignment
94.99/100
CMS Quality Rating
1001 E AUSTIN ST, PARIS, TX 75460(903) 785-5800(903) 785-5821 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 4, 2026, Mar 25, 2026 (2 updates tracked since 2026).

About Mark Gibbons Md NPPES

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

MARK GIBBONS MD (NPI 1952484784) is an individual otolaryngology provider in Paris, Texas, licensed in Texas (N0768) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Paris Regional Medical Center, and is a graduate of University Of South Carolina School Of Medicine (1996).

NPPES Registry Identity

NPI1952484784
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameMARK GIBBONSCredential: MD
Location Address1001 E AUSTIN STParis, TX 75460-7483
Mailing Address1001 E Austin StParis, TX 75460-7483 · (903) 785-5800 · Fax (903) 785-5821
Fax(903) 785-5821
Sole ProprietorYes
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 1996
Enumeration DateOctober 23, 2006
Last NPPES UpdateMay 4, 20262 updates tracked since enumeration
NPPES CertifiedMay 4, 2026
NPI 1952484784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in TX · N0768
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

1001 E AUSTIN ST, Paris, TX 75460

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

Mark Gibbons Md 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 ID9335326669
PECOS Enrollment IDI20110614000066
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 16

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.

Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
1,230 services23 patients
Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
451 services11 patients
Test for allergy using allergenic extract injected into skin 95024
An allergy skin test involves injecting a small amount of allergenic extract into your skin. This test helps determine if you're allergic to specific substances. If allergic, a small red bump appears at the test site. It's safe and quick.
426 services11 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
270 services270 patients
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.
253 services204 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
203 services19 patients

Hospital Affiliations CMS Care Compare

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

Paris Regional Medical Center

Acute Care Hospitals · Paris, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450196
Location865 Deshong DrParis, TX 75460 · Lamar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75460 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality89.98
Improvement Activities40

Reported Quality Measures

Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use
100%80 patients
Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)
Lower rates are better for this measure.
51%39 patients2/55-star benchmark: 100%
Age-Related Hearing Loss: Comprehensive Audiometric Evaluation
70%100 patients
Documentation of Current Medications in the Medical Record
68%2,677 patients1/55-star benchmark: 100%
Surgical Site Infection (SSI)
Lower rates are better for this measure.
0%36 patients
Tobacco Use and Help with Quitting Among Adolescents
7%187 patients1/55-star benchmark: 100%
Unplanned Reoperation within the 30 Day Postoperative Period
Lower rates are better for this measure.
0%36 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

Audiologist
1001 E AUSTIN ST
PARIS, TX 75460
Otolaryngology
1001 E AUSTIN ST
PARIS, TX 75460
Audiologist
1001 E AUSTIN ST
PARIS, TX 75460
Otolaryngology
1001 E AUSTIN ST
PARIS, TX 75460

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 Mark Gibbons's NPI number?

The NPI number for Mark Gibbons is 1952484784. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Mark Gibbons located?

Mark Gibbons practices at 1001 E Austin St, Paris, TX 75460. The listed phone number is (903) 785-5800.

What is Mark Gibbons's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Mark Gibbons enrolled in Medicare?

Yes. Mark Gibbons is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mark Gibbons accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Mark Gibbons 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.

Is Mark Gibbons affiliated with any hospitals?

According to CMS data, Mark Gibbons is affiliated with Paris Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Mark Gibbons was last updated on May 4, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.