THOMAS M. GIBBONS, OD, LLC
NPI 1992142418
Clinic/Center - Medical Specialty in Cape Girardeau, MO

Active since May 23, 2013
115 S BROADVIEW ST, CAPE GIRARDEAU, MO 63703(573) 651-0660 Get Directions Write a Review

NPPES record last updated: September 17, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Thomas M. Gibbons, Od, Llc NPPES

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

THOMAS M. GIBBONS, OD, LLC (NPI 1992142418) is a healthcare organization registered as a medical specialty in Cape Girardeau, Missouri and active in the NPI registry since May 2013. The organization lists Thomas Matthew Gibbons, Owner, as its authorized official.

NPPES Registry Identity

NPI1992142418
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameTHOMAS M. GIBBONS, OD, LLC
Location Address115 S BROADVIEW STCape Girardeau, MO 63703-5760
Mailing Address115 S Broadview StCape Girardeau, MO 63703-5760 · (573) 651-0660
Organization SubpartNo
Authorized OfficialThomas Matthew GibbonsOwner · (573) 651-0660
Enumeration DateMay 23, 2013
Last NPPES UpdateSeptember 17, 2013
✔ NPI 1992142418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in MO · T03048
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
115 S BROADVIEW ST, Cape Girardeau, MO 63703

Other Identifiers 1

Medicare UPINU34134

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thomas M. Gibbons, Od, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Thomas M. Gibbons, Od, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Optometry
NPI 1376672345
115 S BROADVIEW ST
Cape Girardeau, MO 63703
(573) 651-0660
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Thomas M. Gibbons, Od, LLC's NPI number?

The NPI number for Thomas M. Gibbons, Od, LLC is 1992142418. It was assigned to this organization in the NPPES registry on May 23, 2013.

Where is Thomas M. Gibbons, Od, LLC located?

Thomas M. Gibbons, Od, LLC is located at 115 S Broadview St, Cape Girardeau, MO 63703. The listed phone number is (573) 651-0660.

What is Thomas M. Gibbons, Od, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is Thomas M. Gibbons, Od, LLC enrolled in Medicare?

Yes. Thomas M. Gibbons, Od, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Thomas M. Gibbons, Od, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Thomas M. Gibbons, Od, LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Thomas M. Gibbons, Od, LLC was last updated on September 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.