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Active NPI 1205335510 Individual Practitioner Male Practitioner

Cody J. Gibbs , NP-C

Nurse Practitioner • Canton, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Cody Gibbs, NP-C is a certified Nurse Practitioner practicing in Canton, IL. With approximately 9 years of clinical experience since completing medical education in 2017, Cody Gibbs delivers high-quality medical care to the local community at 180 S MAIN ST.

Cody Gibbs is affiliated with Graham Hospital Association and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

180 S Main St

Canton, IL 615202608

Telephone 3096470201
Fax 3096496880
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Canton, IL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs -0.9 yrs vs City Avg
City Avg: 9.9 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
9 Specialists

Practicing in Canton, IL (4929 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
38.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gibbs (9 Years) 9 Yrs
Canton Specialty Average (9.9 Years) 9.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
15 14 $119.95 $74.24

Medical Specialties & State Licenses

CMS Verified: 2021-04-13
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209017218

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Apn License
209017218 (IL)

Hospital & Practice Group Affiliations

Graham Hospital Association

180 S Main St, Canton, IL 615202608

Phone: 3096470201

Secondary Practice Locations

601 E Fort St

Farmington, IL 615311338

Phone: 3092452406

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. A Savegnago , MD

Family Medicine

NPI 1003924085

Doctor of Medicine (M.D.)

Dr. John Mccarthy , MD

Internal Medicine

NPI 1033327069

Doctor of Medicine (M.D.)

Dara Wagner , APN-C

Nurse Practitioner - Family

NPI 1063046464

APNC

Tracy Iversen , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1063261345

Psychiatric-Mental Health Nurse Practitioner

Jessica Bugos , APRN

Nurse Practitioner

NPI 1063976058

Advanced Practice Registered Nurse

Stephen Westhafer

Nurse Practitioner - Family

NPI 1093550436

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 02, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location February 02, 2018

Registered at 180 S MAIN ST, CANTON, IL 615202608 (Tel: 3096470201)

📍
Updated Business Mailing Address February 02, 2018

Registered at 180 S MAIN ST, CANTON, IL 615202608 (Tel: 3096470201)

👤
Provider Name / Credentials Updated February 02, 2018

Recorded as CODY GIBBS, NP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 02, 2018

Nurse Practitioner (License #209017218 in IL)

🟢
Initial NPI Registration & Enumeration February 02, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205335510
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 02, 2018
Last Update: April 13, 2021
Sole Proprietor: No

Mailing Address

180 S Main St

Canton, IL 615202608

Phone: 3096470201

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.