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Deactivated NPI 1235153503 Deactivated / Inactive NPI Male Practitioner

Dr. Ray A Gibson , MD

Specialist • Glasgow, KY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Ray Gibson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 27, 2006
NPI Deactivation Date January 03, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Ray Gibson, MD was a registered Specialist practicing in Glasgow, KY. Throughout an active medical career spanning 14 years, Dr. Gibson provided care at the practice location at 310 N L ROGERS WELLS BLVD until profile deactivation on 2020-01-03.

Historical Medicare Part B clinical services included cervical or vaginal cancer screening; pelvic and clinical breast examination, screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory, established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

310 N L Rogers Wells Blvd

Glasgow, KY 421411300

Telephone 2706511111
Fax 2706595854
Associated Practice Facility / Clinic
🏢 T J Samson Community Hospital Facility NPI 1477609865

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Glasgow, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 37.0 Yrs
State Avg: 36.7 Yrs
Regional Practice Density
4 Specialists

Practicing in Glasgow, KY (431 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
62.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination
28 28 $68.00 $24.97
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory
20 20 $48.20 $17.90
99213 Established patient office or other outpatient visit, typically 15 minutes
19 17 $124.00 $47.25

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License KY 15124

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

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

29 Associated Practitioners
Dr. Sachin Bahadur , MD

Anesthesiology - Pain Medicine

NPI 1023458999

Doctor of Medicine (M.D.)

NPI 1053631101

Doctor of Osteopathic Medicine (D.O.)

NPI 1083886568

Doctor of Medicine (M.D.)

Ashley Collins , APRN

Nurse Practitioner

NPI 1134590854

Advanced Practice Registered Nurse

NPI 1184765620

Doctor of Medicine (M.D.)

Dr. John Craddock , MD

Obstetrics & Gynecology

NPI 1184767196

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated January 03, 2020

Record deactivated on January 03, 2020

NPI Profile Active September 18, 2014

NPI status registered as active in NPPES database

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Updated Practice Location September 18, 2014

Registered at 310 N L ROGERS WELLS BLVD, GLASGOW, KY 421411300 (Tel: 2706511111)

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Updated Business Mailing Address September 18, 2014

Registered at 310 N L ROGERS WELLS BLVD, GLASGOW, KY 421411300 (Tel: 2706511111)

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Provider Name / Credentials Updated September 18, 2014

Recorded as RAY GIBSON, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2014

Specialist (License #15124 in KY)

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Initial NPI Registration & Enumeration July 27, 2006

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: 1235153503
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 27, 2006
Last Update: September 18, 2014
Deactivation Date: January 03, 2020

Mailing Address

310 N L Rogers Wells Blvd

Glasgow, KY 421411300

Phone: 2706511111

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.