Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GARY MALIK GIBSON MD
NPI 1972247286
Dermatology in Jenkintown, PA

Q: What is Gary Gibson's NPI number?

The NPI number for Gary Gibson is 1972247286. It was assigned to this individual provider in the NPPES registry on April 22, 2022.

Q: What is Gary Gibson's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Q: When was this NPI record last updated?

The NPPES record for Gary Gibson was last updated on October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.

Active since April 22, 2022PECOS Enrolled

500 YORK RD STE 201, JENKINTOWN, PA 19046(215) 517-1212(215) 517-1229 Get Directions Write a Review

NPPES record last updated: October 23, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 18, 2026, Apr 22, 2022 (2 updates tracked since 2022).

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About Gary Malik Gibson Md NPPES

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

GARY MALIK GIBSON MD (NPI 1972247286) is an individual dermatology provider in Jenkintown, Pennsylvania, licensed in Pennsylvania (MD496570) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Warminster, and is a graduate of Howard University College Of Medicine (2022).

NPPES Registry Identity

NPI1972247286

Entity TypeIndividualMale

Primary Taxonomy207N00000X

Provider Legal NameGARY MALIK GIBSONCredential: MD

Location Address500 YORK RD STE 201Jenkintown, PA 19046-2872

Mailing Address801 York StManitowoc, WI 54220-4630 · (920) 663-9008 · Fax (920) 684-1439

Phone(215) 517-1212

Fax(215) 517-1229

Sole ProprietorYes

Medical School CMSHoward University College Of MedicineGraduated 2022

Enumeration DateApril 22, 2022

Last NPPES UpdateOctober 23, 20262 updates tracked since enumeration

NPPES CertifiedOctober 23, 2026

✔ NPI 1972247286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in PA · MD496570

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

500 YORK RD STE 201, Jenkintown, PA 19046

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Secondary Practice Location 1

Location 11190 Old York Rd Ste 200Warminster, PA 18974-2047 · Phone (215) 420-1340 · Fax (215) 420-1363

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gary Malik Gibson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8729548375

PECOS Enrollment IDI20260903000775

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.

Medicare Billing Reassignment

Medicare enrollment records show Gary Gibson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Forefront Dermatology, S.C.

Same address

Dermatology

500 YORK RD STE 201
Jenkintown, PA 19046

Reassigned Medicare billing, Pennsylvania enrollment
Medicare enrollment name: Forefront Dermatology Sc
28 clinicians in this Medicare group

NPI 1932901741 (215) 517-1212

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 19046 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

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

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 7

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

MISS SEAN ELIZABETH CONROY PA-C

Physician Assistant