Active NPI 1417989401 Individual Practitioner Male Practitioner

Michael Anthony Gibbons

Orthopaedic Surgery • Duluth, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Michael Gibbons is a certified Orthopaedic Surgery practicing in Duluth, MN. With approximately 37 years of clinical experience since graduating from University Of Minnesota Medical School in 1989, Michael Gibbons delivers high-quality medical care to the local community at 400 E 3RD ST.

Michael Gibbons maintains professional affiliations with Polinsky Medical Rehabilitation Center, Deer River Healthcare Center Inc, The Duluth Clinic Ltd and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, replacement of knee joint, both sides of knee, replacement of thigh bone and hip joint with prosthesis. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

400 E 3rd St

Duluth, MN 558051951

Telephone 2187868364

Associated Practice Facility / Clinic

🏢 The Duluth Clinic, Ltd Facility NPI 1245278209

Medicare Profile & Education

Medical School

University Of Minnesota Medical School

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Duluth, MN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

37 Yrs +11.9 yrs vs City Avg

City Avg: 25.1 Yrs

State Avg: 22.9 Yrs

Regional Practice Density

29 Specialists

Practicing in Duluth, MN (674 Statewide)

Telehealth Adoption Rate

6.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

84.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gibbons (37 Years) 37 Yrs

Duluth Specialty Average (25.1 Years) 25.1 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	16	$222.06	$87.89
27447 Replacement of knee joint, both sides of knee	14	14	$7961.89	$1148.51
27130 Replacement of thigh bone and hip joint with prosthesis	14	13	$7805.57	$1183.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$220.38	$76.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	17	16	$149.00	$63.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$217.00	$78.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$211.00	$93.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	29	29	$145.90	$64.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$318.74	$130.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	22	$206.45	$95.65
27447 Replacement of knee joint, both sides of knee	11	11	$7549.00	$1222.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	41	$207.38	$96.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$304.06	$132.79
99213 Established patient office or other outpatient visit, typically 15 minutes	28	28	$138.61	$66.03
27447 Replacement of knee joint, both sides of knee	17	16	$7549.00	$1239.63
27130 Replacement of thigh bone and hip joint with prosthesis	14	14	$7685.84	$1249.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$310.42	$126.84
99213 Established patient office or other outpatient visit, typically 15 minutes	22	19	$149.32	$50.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	21	$193.86	$78.14
27447 Replacement of knee joint, both sides of knee	16	15	$7634.38	$1357.29
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$272.15	$109.78
27130 Replacement of thigh bone and hip joint with prosthesis	12	12	$7379.25	$1322.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	48	$189.80	$76.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$286.66	$124.76
99213 Established patient office or other outpatient visit, typically 15 minutes	28	27	$133.61	$48.91
27447 Replacement of knee joint, both sides of knee	25	25	$7273.72	$1333.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$201.00	$73.47
27130 Replacement of thigh bone and hip joint with prosthesis	20	19	$6949.80	$1240.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	43	38	$87.07	$50.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	36	$142.05	$76.17
27447 Replacement of knee joint, both sides of knee	25	24	$6862.00	$1301.33
27130 Replacement of thigh bone and hip joint with prosthesis	25	25	$6864.00	$1302.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$216.30	$122.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$140.64	$73.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	40	35	$65.30	$49.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	37	$94.47	$75.39
27447 Replacement of knee joint, both sides of knee	31	30	$7156.58	$1336.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$106.60	$73.67
27130 Replacement of thigh bone and hip joint with prosthesis	20	18	$6739.61	$1295.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$146.71	$125.23
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$334.00	$97.36

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License MN 38183

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

323216600 (MN)

Medicaid State Provider ID

32151900 (WI)

Hospital & Practice Group Affiliations

Deer River Healthcare Center Inc

115 10th Ave Ne, Deer River, MN 566368795

Phone: 2182468275

The Duluth Clinic Ltd

402 E 2nd St, Duluth, MN 558051906

Phone: 2187864000

The Duluth Clinic Ltd

530 E 2nd St, Duluth, MN 558051913

Phone: 2187868364

The Duluth Clinic Ltd

400 E 3rd St, Duluth, MN 558051951

Phone: 2187868364

Polinsky Medical Rehabilitation Center

1600 Miller Trunk Hwy, Duluth, MN 558115640

Phone: 2187865360

Polinsky Medical Rehabilitation Center

1600 Miller Trunk Hwy, Duluth, MN 558115640

Phone: 2187865360

The Duluth Clinic Ltd

502 E 2nd St, Duluth, MN 558051913

Phone: 2187868364

Practice Associates & Co-Workers

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

40 Associated Practitioners

Molly Dwyer , APRN, CNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1003468760

Advanced Practice Registered Nurse, Certified Nurse Practitioner

Dr. Amy Larson , MD

Hospitalist

NPI 1003565292

Doctor of Medicine (M.D.)

Kelsey O'neil , APRN, CNP

Nurse Practitioner - Family

NPI 1003677303

Advanced Practice Registered Nurse, Certified Nurse Practitioner

Annette Barker

Nurse Practitioner - Family

NPI 1003845595

Bruce Derauf

Radiology - Diagnostic Radiology

NPI 1003847385

Nizar Saleh

Internal Medicine - Cardiovascular Disease

NPI 1003857889

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active May 10, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location May 10, 2011

Registered at 400 E 3RD ST, DULUTH, MN 558051951 (Tel: 2187868364)

📍

Updated Business Mailing Address May 10, 2011

Registered at 400 E 3RD ST, DULUTH, MN 558051951 (Tel: 2187868364)

👤

Provider Name / Credentials Updated May 10, 2011

Recorded as MICHAEL GIBBONS

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2011

Orthopaedic Surgery (License #38183 in MN)

🟢

Initial NPI Registration & Enumeration July 07, 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: 1417989401

Entity Type:

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

Enumeration Date: July 07, 2006

Last Update: May 10, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

400 E 3rd St

Duluth, MN 558051951

Phone: 2187868364

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.