MEGHAN MARIE GIBSON PA
NPI 1992410179
Physician Assistant in Stamford, CT

NPI Status: Active since January 23, 2023

Contact Information

260 LONG RIDGE RD
STAMFORD, CT
ZIP 06902
Phone: (475) 619-6200

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  • Individual
  • Female
  • Years of Experience 4
  • Physician Assistant
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About MEGHAN GIBSON

This page provides the complete NPI Profile along with additional information for Meghan Gibson, a primary care provider established in Stamford, Connecticut with a medical specialization in Physician Assistant and more than 4 years of experience. The healthcare provider is registered in the NPI registry with number 1992410179 assigned on January 2023. The practitioner's primary taxonomy code is 363A00000X with license number 6423 (CT). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1992410179
Provider Name
MEGHAN MARIE GIBSON PA
Gender
Female
Entity Type
Individual
Location Address
260 LONG RIDGE RD STAMFORD, CT 06902
Location Phone
(475) 619-6200
Mailing Address
PO BOX 19305 CHARLOTTE, NC 28219
Medical School Name
OTHER
Graduation Year
2022
Is Sole Proprietor?
No
Enumeration Date
01-23-2023
Last Update Date
07-28-2024
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A primary care provider (PCP) like Meghan Gibson sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Location Map

Secondary Locations

  • 333 Cedar St
    New Haven, CT 06510
    (203) 785-4338

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
6423
License State
CT
Taxonomy Description
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

0010-13133 (NC)

Medicare Participation & PECOS Enrollment Status

Meghan Gibson is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Meghan Gibson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 4880050061

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20241014002831

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $23.46 for a new patient copayment and $18.88 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 06902 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $93.86
  • Minimum New Patient Price $60.82
  • Maximum New Patient Price $183.1
  • Average New Patient Copayment $23.46
  • Minimum New Patient Copayment $15.2
  • Maximum New Patient Copayment $45.77

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $75.55
  • Minimum Established Patient Price $19.76
  • Maximum Established Patient Price $149.26
  • Average Established Patient Copayment $18.88
  • Minimum Established Patient Copayment $4.94
  • Maximum Established Patient Copayment $37.31

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1992410179, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
2
Unchanged
Pos 5
4
Doubled → 8
Pos 6
1
Unchanged
Pos 7
0
Doubled → 0
Pos 8
1
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 4 → 8 0 → 0 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 8 + 2 + 8 + 1 + 0 + 1 + 1 + 4 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1992410179.

Other Providers at the Same Location


The following 17 providers are registered at the same or a nearby location.

Internal Medicine
260 LONG RIDGE RD
STAMFORD, CT 06902
Physician Assistant
260 LONG RIDGE RD
STAMFORD, CT 06902
Internal Medicine (Nephrology)
260 LONG RIDGE RD
STAMFORD, CT 06902
Physician Assistant (Surgical)
260 LONG RIDGE RD
STAMFORD, CT 06902
Durable Medical Equipment & Medical Supplies
260 LONG RIDGE RD
STAMFORD, CT 06902
Internal Medicine (Endocrinology, Diabetes & Metabolism)
260 LONG RIDGE RD
STAMFORD, CT 06902
Physical Medicine & Rehabilitation
260 LONG RIDGE RD
STAMFORD, CT 06902
Orthopaedic Surgery
260 LONG RIDGE RD
STAMFORD, CT 06902
Specialist/Technologist (Athletic Trainer)
260 LONG RIDGE RD
STAMFORD, CT 06902
Family Medicine (Adult Medicine)
260 LONG RIDGE RD
STAMFORD, CT 06902
Physical Medicine & Rehabilitation (Sports Medicine)
260 LONG RIDGE RD
STAMFORD, CT 06902
Nurse Practitioner (Family)
260 LONG RIDGE RD
STAMFORD, CT 06902
Nurse Practitioner (Family)
260 LONG RIDGE RD
STAMFORD, CT 06902
Family Medicine
260 LONG RIDGE RD
STAMFORD, CT 06902
Nurse Practitioner (Acute Care)
260 LONG RIDGE RD
STAMFORD, CT 06902
Registered Nurse (Infusion Therapy)
260 LONG RIDGE RD
STAMFORD, CT 06902
Physical Therapist
260 LONG RIDGE RD
STAMFORD, CT 06902

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992410179, enumerated as an "individual" on January 23, 2023.

The provider is located at 260 LONG RIDGE RD STAMFORD, CT 06902 and the phone number is (475) 619-6200.

Physician Assistant with taxonomy code 363A00000X.