Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1336120062 Individual Practitioner Male Practitioner

Dr. Timothy E Gibson , MD

Pediatrics • Worcester, MA

Professional Overview & Biography Verified Profile Summary

Dr. Timothy Gibson, MD is a registered healthcare professional specializing in Pediatrics in Worcester, MA. Practice services are available at 55 LAKE AVE N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

55 Lake Ave N

Worcester, MA 016550002

Telephone 5083341000
Fax 7744426060
Associated Practice Facility / Clinic
🏢 Umass Memorial Medical Center Facility NPI 1679574933

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Worcester, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.2 Yrs
State Avg: 25.7 Yrs
Regional Practice Density
118 Specialists

Practicing in Worcester, MA (2760 Statewide)

Telehealth Adoption Rate
0.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-08
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MA 212163

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics - Pediatric Emergency Medicine

NUCC Taxonomy Code: 2080P0204X

State License MA 212163

A pediatrician who has special qualifications to manage emergencies in infants and children.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
110005892A (MA)
Commercial Insurance / Payer ID Medicare
A3400004 (MA)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Stacy Meulenaere , OTR, L

Occupational Therapist

NPI 1003096660

Occupational Therapist Registered, L

Dr. Yoonyie Cho , MD

Anesthesiology

NPI 1003253675

Doctor of Medicine (M.D.)

Dr. Max Hazeltine , MD

Student in an Organized Health Care Education/Training Program

NPI 1003347568

Doctor of Medicine (M.D.)

Dr. Irma Hashmi , DO

Internal Medicine - Gastroenterology

NPI 1003348137

Doctor of Osteopathic Medicine (D.O.)

Baylee Arnold

Emergency Medicine

NPI 1003495300
Dr. Julia Waldman , DO

Student in an Organized Health Care Education/Training Program

NPI 1003510058

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location July 08, 2026

Registered at 55 LAKE AVE N, WORCESTER, MA 016550002 (Tel: 5083341000)

NPI Profile Active May 25, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 25, 2017

Registered at 55 LAKE AVE N, DEPARTMENT OF PEDIATRIC HOSPITALIST MEDICINE, WORCESTER, MA 016550002 (Tel: 5088563590)

📍
Updated Business Mailing Address May 25, 2017

Registered at PO BOX 415348, BOSTON, MA 022410001 (Tel: 8002258885)

👤
Provider Name / Credentials Updated May 25, 2017

Recorded as TIMOTHY GIBSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 25, 2017

Pediatrics (License #212163 in MA)

NPI Profile Active June 11, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location June 11, 2014

Registered at 55 LAKE AVE N, DEPARTMENT OF PEDIATRIC HOSPITALIST MEDICINE, WORCESTER, MA 016550002 (Tel: 5088563590)

📍
Updated Business Mailing Address June 11, 2014

Registered at PO BOX 415348, BOSTON, MA 022410001 (Tel: 8002258885)

👤
Provider Name / Credentials Updated June 11, 2014

Recorded as TIMOTHY GIBSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2014

Pediatrics (License #212163 in MA)

🟢
Initial NPI Registration & Enumeration November 09, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1336120062
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 09, 2005
Last Update: July 08, 2026
Sole Proprietor: No

Mailing Address

Po Box 415348

Boston, MA 022410001

Phone: 8002258885

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.