Active NPI 1427646496 Individual Practitioner Male Practitioner

Joshua Gibson , APRN FNP-C

Nurse Practitioner • Fairview Heights, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Joshua Gibson, APRN FNP-C is a certified Nurse Practitioner practicing in Fairview Heights, IL. With approximately 18 years of clinical experience since completing medical education in 2008, Joshua Gibson delivers high-quality medical care to the local community at 326 FOUNTAINS PKWY.

Joshua Gibson maintains professional affiliations with Osf Multi-Specialty Group, Urology Of St Louis Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include automated urinalysis test, ultrasound measurement of bladder capacity after voiding, 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

326 Fountains Pkwy

Fairview Heights, IL 622082041

Telephone 6182773109

Associated Practice Facility / Clinic

🏢 Xrt Iii, Inc Facility NPI 1861587586

Medicare Profile & Education

Medical School

Other

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Fairview Heights, IL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs +7.7 yrs vs City Avg

City Avg: 10.3 Yrs

State Avg: 10.4 Yrs

Regional Practice Density

6 Specialists

Practicing in Fairview Heights, IL (4929 Statewide)

Telehealth Adoption Rate

16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gibson (18 Years) 18 Yrs

Fairview Heights Specialty Average (10.3 Years) 10.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	518	272	$11.78	$2.18
51798 Ultrasound measurement of bladder capacity after voiding	439	244	$43.91	$10.38
99213 Established patient office or other outpatient visit, typically 15 minutes	329	207	$267.94	$74.66
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	292	161	$49.00	$13.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	203	146	$395.63	$105.19
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	97	55	$233.81	$66.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	72	72	$536.60	$138.26
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	41	41	$381.24	$110.34
51702 Simple insertion of temporary bladder tube	40	14	$205.41	$50.34
51700 Simple bladder irrigation and/or instillation	30	26	$225.45	$61.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$327.26	$93.01
76770 Complete ultrasound scan behind abdominal cavity	22	21	$269.00	$85.70
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$238.62	$70.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	518	324	$11.46	$2.20
51798 Ultrasound measurement of bladder capacity after voiding	353	237	$43.27	$10.19
99213 Established patient office or other outpatient visit, typically 15 minutes	308	221	$228.63	$75.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	192	151	$308.43	$106.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	80	80	$435.31	$140.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$299.46	$94.89
51700 Simple bladder irrigation and/or instillation	44	41	$231.59	$63.11
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	30	13	$127.00	$52.33
99441 Telephone medical discussion with physician, 5-10 minutes	30	27	$157.37	$46.14
51702 Simple insertion of temporary bladder tube	27	13	$174.45	$48.36
99442 Telephone medical discussion with physician, 11-20 minutes	22	19	$254.82	$75.47
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$380.00	$111.68
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	14	11	$220.79	$67.53
76770 Complete ultrasound scan behind abdominal cavity	13	13	$261.69	$88.90
54235 Injection procedure to induce erection	11	11	$263.93	$76.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	1,302	13	$0.95	$0.12
81003 Automated urinalysis test	485	313	$11.03	$2.21
99213 Established patient office or other outpatient visit, typically 15 minutes	479	301	$195.68	$76.91
51798 Ultrasound measurement of bladder capacity after voiding	372	254	$51.71	$10.23
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	180	30	$775.90	$174.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$244.67	$96.59
51702 Simple insertion of temporary bladder tube	59	16	$172.00	$51.14
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	38	31	$111.45	$27.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	33	$224.31	$105.97
51700 Simple bladder irrigation and/or instillation	31	29	$254.58	$65.59
81002 Urinalysis, manual test	23	16	$7.48	$3.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	20	$175.43	$48.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$336.69	$143.43
99441 Telephone medical discussion with physician, 5-10 minutes	15	15	$150.00	$47.21
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	15	12	$174.13	$60.94
74178 Ct scan of abdomen and pelvis before and after contrast	14	14	$700.00	$300.81
82565 Blood creatinine level	13	13	$12.00	$5.05
99221 Initial hospital inpatient care per day, typically 30 minutes	12	11	$249.47	$87.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	101	84	$10.00	$2.25
99213 Established patient office or other outpatient visit, typically 15 minutes	93	76	$196.84	$77.16
51798 Ultrasound measurement of bladder capacity after voiding	76	68	$49.60	$10.06
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	70	13	$700.00	$140.01
51702 Simple insertion of temporary bladder tube	22	11	$163.33	$52.41
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	20	$185.03	$47.81
51700 Simple bladder irrigation and/or instillation	15	15	$243.86	$65.92
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	14	12	$110.00	$27.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	13	$210.59	$111.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$217.48	$97.04

Medical Specialties & State Licenses

CMS Verified: 2021-09-15

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209.022464

(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.

Hospital & Practice Group Affiliations

Osf Multi-Specialty Group

2 Saint Anthonys Way, Alton, IL 620024569

Urology Of St Louis Inc

6812 State Route 162 200, Maryville, IL 620628562

Phone: 6182880900

Osf Multi-Specialty Group

2200 Central Ave, Alton, IL 620024569

Phone: 6184337600

Osf Multi-Specialty Group

8600 State Route 91, Peoria, IL 616157829

Phone: 3096835050

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Seth Strope , MD

Urology

NPI 1427109248

Doctor of Medicine (M.D.)

Dr. William Critchlow , MD

Urology

NPI 1700296621

Doctor of Medicine (M.D.)

Dr. Michael Guignon , MD

Urology

NPI 1700973674

Doctor of Medicine (M.D.)

Dr. James Rybak , MD

Urology

NPI 1801042700

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location September 15, 2021

Registered at 326 FOUNTAINS PKWY, FAIRVIEW HEIGHTS, IL 622082041 (Tel: 6182773109)

📍

Updated Business Mailing Address September 15, 2021

Registered at 12855 N 40 DR STE 375, SAINT LOUIS, MO 631418657 (Tel: 3145676071)

✅

NPI Profile Active January 06, 2021

NPI status registered as active in NPPES database

📍

Updated Practice Location January 06, 2021

Registered at 62 STONEBROOKE, TROY, IL 622942468 (Tel: 6186236847)

📍

Updated Business Mailing Address January 06, 2021

Registered at 62 STONEBROOKE, TROY, IL 622942468 (Tel: 6186236847)

👤

Provider Name / Credentials Updated January 06, 2021

Recorded as JOSHUA GIBSON, APRN FNP-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2021

Nurse Practitioner (License #209.022464 in IL)

🟢

Initial NPI Registration & Enumeration January 06, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1427646496

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 06, 2021

Last Update: September 15, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

12855 N 40 Dr Ste 375

Saint Louis, MO 631418657

Phone: 3145676071

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.