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DR. DANA LYNN GIBSON M.D.
NPI 1972573269
Pediatrics in Frankfort, KY

Active since January 26, 2006PECOS Enrolled
202 LIMESTONE ST S STE 1A, FRANKFORT, KY 40601(502) 223-8400(502) 875-3073 Get Directions Write a Review

NPPES record last updated: February 19, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 9, 2024, Jan 12, 2023 (2 updates tracked since 2023).

About Dr. Dana Lynn Gibson M.d. NPPES

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

DR. DANA LYNN GIBSON M.D. (NPI 1972573269) is an individual pediatrics provider in Frankfort, Kentucky, licensed in Kentucky (25301) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972573269
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. DANA LYNN GIBSONCredential: M.D.
Location Address202 LIMESTONE ST S STE 1AFrankfort, KY 40601-4320
Mailing AddressPo Box 776879Chicago, IL 60677-6879 · (502) 588-9490 · Fax (502) 272-5116
Phone(502) 223-8400
Fax(502) 875-3073
Sole ProprietorNo
Enumeration DateJanuary 26, 2006
Last NPPES UpdateFebruary 19, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2024
✔ NPI 1972573269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in KY · 25301
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
202 LIMESTONE ST S STE 1A, Frankfort, KY 40601
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Other Identifiers 1

Medicaid64253016KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Dana Lynn Gibson M.d. 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Dana Gibson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Norton Children's Medical Group, LLC
38 mi
Clinical Genetics (M.D.)
4803 OLYMPIA PARK PLZ STE 1100
Louisville, KY 40241
  • Reassigned Medicare billing, Kentucky enrollment
  • Medicare enrollment name: Norton Childrens Medical Group LLC
  • 1,008 clinicians in this Medicare group
NPI 1013559921 (502) 272-5336
Lake Cumberland Regional Hospital, LLC
73 mi
Internal Medicine
350 HOSPITAL WAY, SUITE 100
Somerset, KY 42503
  • Reassigned Medicare billing, Kentucky enrollment
  • 89 clinicians in this Medicare group
NPI 1447330451 (606) 451-2619

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 40601 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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 2

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

STEVEN KYLE SKAGGS DO
Pediatrics
202 LIMESTONE ST S STE 1A
FRANKFORT, KY 40601
Franklin County (502) 223-8400
SHANNON LEIGH HALL-MILLION DNP
Nurse Practitioner (Pediatrics)
202 LIMESTONE ST S STE 1A
FRANKFORT, KY 40601
Franklin County (502) 223-8400

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 Dana Gibson's NPI number?

The NPI number for Dana Gibson is 1972573269. It was assigned to this individual provider in the NPPES registry on January 26, 2006.

Where is Dana Gibson located?

Dana Gibson practices at 202 Limestone St S Ste 1A, Frankfort, KY 40601. The listed phone number is (502) 223-8400.

What is Dana Gibson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Dana Gibson enrolled in Medicare?

Yes. Dana Gibson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Dana Gibson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dana Gibson reassigns Medicare benefits to 2 organizations: Norton Children's Medical Group, LLC (Louisville, KY) and Lake Cumberland Regional Hospital, LLC (Somerset, KY). Each 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 Dana Gibson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dana Gibson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Dana Gibson 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 Dana Gibson was last updated on February 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.