Active NPI 1275713760 Individual Practitioner Male Practitioner

Dr. Simon A. L. Gibbs , MD

Surgery • Waterville, ME

Professional Overview & Biography Verified Profile Summary

Dr. Simon Gibbs, MD is a certified Surgery practicing in Waterville, ME. With approximately 39 years of clinical experience since completing medical education in 1987, Dr. Gibbs delivers high-quality medical care to the local community at 180 KENNEDY MEMORIAL DR.

Dr. Gibbs is affiliated with Sebasticook Valley Health and does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, biopsy of large bowel using an endoscope, biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

180 Kennedy Memorial Dr
Suite 304

Waterville, ME 049014540

Telephone 2078617874

Fax 2078614646

Associated Practice Facility / Clinic

🏢 Silvermount Womens Healthcare Facility NPI 1295786937

Medicare Profile & Education

Medical School

Other

Graduation Year

1987

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Waterville, ME

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

39 Yrs +10.3 yrs vs City Avg

City Avg: 28.7 Yrs

State Avg: 24.7 Yrs

Regional Practice Density

7 Specialists

Practicing in Waterville, ME (246 Statewide)

Telehealth Adoption Rate

14.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

81.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gibbs (39 Years) 39 Yrs

Waterville Specialty Average (28.7 Years) 28.7 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
99213 Established patient office or other outpatient visit, typically 15 minutes	24	18	$158.33	$61.38
45380 Biopsy of large bowel using an endoscope	19	19	$931.00	$147.27
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	18	18	$958.00	$101.95
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	11	11	$999.00	$230.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$222.00	$76.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$200.46	$77.69
99213 Established patient office or other outpatient visit, typically 15 minutes	26	23	$124.27	$62.16
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	21	21	$958.00	$106.55
45380 Biopsy of large bowel using an endoscope	17	17	$1192.00	$165.15
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	12	12	$1019.00	$169.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45380 Biopsy of large bowel using an endoscope	28	28	$1081.11	$170.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$199.00	$79.34
99213 Established patient office or other outpatient visit, typically 15 minutes	23	21	$122.65	$63.80
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	22	22	$864.45	$105.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$86.00	$34.49
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	11	11	$922.64	$173.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	30	30	$791.80	$113.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$194.03	$80.24
99213 Established patient office or other outpatient visit, typically 15 minutes	28	25	$117.00	$64.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$83.88	$34.65
45380 Biopsy of large bowel using an endoscope	15	15	$1030.13	$133.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	35	31	$113.14	$50.56
45380 Biopsy of large bowel using an endoscope	29	28	$1003.24	$187.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$188.29	$74.40
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	28	28	$768.93	$108.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	65	50	$112.00	$49.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$187.00	$74.08
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	33	33	$764.00	$123.56
45380 Biopsy of large bowel using an endoscope	25	25	$996.00	$193.18
45378 Diagnostic exam of large bowel using a flexible endoscope	23	23	$906.00	$184.52
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	13	$80.00	$24.87
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	15	15	$611.00	$184.46
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$430.00	$197.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	80	67	$112.69	$49.44
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	58	55	$768.86	$116.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$189.79	$73.65
45380 Biopsy of large bowel using an endoscope	47	47	$1005.06	$167.59
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	24	$81.51	$24.48
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	26	26	$574.36	$181.74
45378 Diagnostic exam of large bowel using a flexible endoscope	24	24	$919.78	$182.54
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	15	15	$1192.83	$239.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$180.00	$75.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$259.45	$124.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	46	37	$113.13	$48.88
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	34	34	$749.00	$113.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$185.19	$73.20
45378 Diagnostic exam of large bowel using a flexible endoscope	26	26	$888.00	$181.64
45380 Biopsy of large bowel using an endoscope	26	26	$976.00	$197.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$253.00	$124.36
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	12	12	$558.00	$180.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$166.00	$75.43

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License ME 017545

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID U.k. Gmc Reg #

3247815

Hospital & Practice Group Affiliations

Sebasticook Valley Health

447 N Main St, Pittsfield, ME 049673707

Phone: 2074874000

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Michael Durr , MD

Surgery

NPI 1235286287

Doctor of Medicine (M.D.)

Dr. Craig Thompson , MD

Surgery

NPI 1457356594

Doctor of Medicine (M.D.)

Dr. George Elias , DO

Surgery

NPI 1578809794

Doctor of Osteopathic Medicine (D.O.)

Jeffrey Gagnon , PA

Physician Assistant - Surgical

NPI 1811137888

Physician Assistant

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active December 08, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location December 08, 2011

Registered at 180 KENNEDY MEMORIAL DR, SUITE 304, WATERVILLE, ME 049014540 (Tel: 2078617874)

📍

Updated Business Mailing Address December 08, 2011

Registered at 222 KENNEDY MEMORIAL DR, WATERVILLE, ME 049014526 (Tel: 2078613000)

👤

Provider Name / Credentials Updated December 08, 2011

Recorded as SIMON GIBBS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 08, 2011

Surgery (License #017545 in ME)

🟢

Initial NPI Registration & Enumeration November 13, 2007

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: 1275713760

Entity Type:

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

Enumeration Date: November 13, 2007

Last Update: December 08, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

222 Kennedy Memorial Dr

Waterville, ME 049014526

Phone: 2078613000

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.