Active NPI 1619257508 Individual Practitioner Male Practitioner

Dr. Benjamin R Gibson , MD

Urology • Cambridge, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Benjamin Gibson, MD is a certified Urology practicing in Cambridge, OH. With approximately 20 years of clinical experience since graduating from University Of Cincinnati College Of Medicine in 2006, Dr. Gibson delivers high-quality medical care to the local community at 1225 WOODLAWN AVE STE 114.

Dr. Gibson is affiliated with Physicians Group Of Southeastern Ohio Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, ultrasound measurement of bladder capacity after voiding, automated urinalysis test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1225 Woodlawn Ave Ste 114

Cambridge, OH 437253094

Telephone 7402137129

Fax 4402016574

Associated Practice Facility / Clinic

🏢 Gu Ohio, Llc Facility NPI 1871248740

Medicare Profile & Education

Medical School

University Of Cincinnati College Of Medicine

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Cambridge, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs -9.5 yrs vs City Avg

City Avg: 29.5 Yrs

State Avg: 25.7 Yrs

Regional Practice Density

3 Specialists

Practicing in Cambridge, OH (564 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

77.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gibson (20 Years) 20 Yrs

Cambridge Specialty Average (29.5 Years) 29.5 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	889	477	$327.18	$116.12
51798 Ultrasound measurement of bladder capacity after voiding	658	353	$38.90	$9.83
99213 Established patient office or other outpatient visit, typically 15 minutes	601	403	$246.13	$82.15
81003 Automated urinalysis test	442	324	$10.00	$2.19
52000 Diagnostic exam of bladder and urethra using an endoscope	361	300	$820.00	$212.55
81002 Urinalysis, manual test	287	255	$15.00	$3.41
51741 Electronic assessment of bladder emptying	190	176	$40.00	$6.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	149	149	$306.29	$101.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	142	142	$395.63	$153.89
50590 Shock wave crushing of kidney stones	131	70	$1812.57	$528.22
76872 Ultrasound scan of pelvic region through rectum	75	71	$310.60	$62.69
51700 Simple bladder irrigation and/or instillation	71	61	$250.00	$64.92
55700 Biopsy of prostate gland	49	48	$778.00	$215.53
52648 Laser vaporization of prostate including control of bleeding using an endoscope	39	38	$5589.74	$639.25
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	38	32	$1050.00	$287.71
52332 Insertion of stent in urinary duct (ureter) using an endoscope	36	32	$485.69	$87.02
74420 Imaging of urinary tract	27	24	$150.00	$23.08
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	26	$288.65	$123.21
52648 Laser vaporization of prostate including control of bleeding using an endoscope	26	26	$6000.00	$1402.23
52356 Crushing of stone of ureter with insertion of stent using an endoscope	25	23	$1422.00	$320.34
99221 Initial hospital inpatient care per day, typically 30 minutes	20	19	$297.80	$75.14
52315 Complicated removal of foreign body, stone, or stent in urethra or bladder using an endoscope	18	17	$1505.00	$424.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	13	$117.00	$48.83

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	685	389	$390.00	$114.77
81003 Automated urinalysis test	654	426	$10.00	$2.18
51798 Ultrasound measurement of bladder capacity after voiding	589	357	$38.00	$9.23
99213 Established patient office or other outpatient visit, typically 15 minutes	477	285	$278.13	$81.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	292	292	$338.00	$102.70
52000 Diagnostic exam of bladder and urethra using an endoscope	283	264	$820.00	$215.35
51741 Electronic assessment of bladder emptying	142	135	$40.00	$6.42
51700 Simple bladder irrigation and/or instillation	97	70	$250.00	$63.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	97	97	$500.00	$153.40
50590 Shock wave crushing of kidney stones	67	44	$1813.00	$522.76
76872 Ultrasound scan of pelvic region through rectum	58	55	$311.81	$62.51
55700 Biopsy of prostate gland	44	42	$778.00	$216.15
52204 Biopsy of the bladder using an endoscope	41	41	$1288.00	$333.43
99221 Initial hospital inpatient care per day, typically 30 minutes	34	27	$310.00	$76.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	29	$103.00	$50.91
52648 Laser vaporization of prostate including control of bleeding using an endoscope	30	30	$6000.00	$1414.36
99231 Follow-up hospital inpatient care per day, typically 15 minutes	24	20	$120.00	$46.43
52332 Insertion of stent in urinary duct (ureter) using an endoscope	21	20	$480.00	$112.34
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	19	19	$1050.00	$289.79
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	19	19	$200.00	$37.95
52648 Laser vaporization of prostate including control of bleeding using an endoscope	18	18	$6000.00	$641.05
52281 Dilation of bladder canal (urethra) using an endoscope	17	13	$1188.00	$296.62
52356 Crushing of stone of ureter with insertion of stent using an endoscope	16	16	$1270.00	$382.51
52315 Complicated removal of foreign body, stone, or stent in urethra or bladder using an endoscope	13	12	$1505.00	$429.97
64561 Insertion of sacral nerve neurostimulator electrode array	12	12	$2505.00	$893.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
51798 Ultrasound measurement of bladder capacity after voiding	281	126	$38.00	$9.26
81003 Automated urinalysis test	272	139	$10.00	$2.16
99213 Established patient office or other outpatient visit, typically 15 minutes	169	102	$279.07	$83.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	107	107	$338.00	$104.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	102	61	$390.00	$116.68
52000 Diagnostic exam of bladder and urethra using an endoscope	85	78	$820.00	$218.86
51741 Electronic assessment of bladder emptying	45	45	$40.00	$6.33
51700 Simple bladder irrigation and/or instillation	34	25	$250.00	$69.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$500.00	$156.14
52204 Biopsy of the bladder using an endoscope	26	26	$1288.00	$354.51
50590 Shock wave crushing of kidney stones	14	12	$1813.00	$522.50
52648 Laser vaporization of prostate including control of bleeding using an endoscope	13	13	$4461.54	$649.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J9201 Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg	990	13	$16.60	$3.96
81003 Automated urinalysis test	475	339	$26.00	$2.20
52000 Diagnostic exam of bladder and urethra using an endoscope	372	307	$452.30	$201.93
51798 Ultrasound measurement of bladder capacity after voiding	310	190	$22.23	$9.62
99213 Established patient office or other outpatient visit, typically 15 minutes	190	182	$164.00	$73.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	179	161	$238.00	$105.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	169	169	$362.00	$160.29
J3490 Unclassified drugs	130	11	$95.00	$93.79
51700 Simple bladder irrigation and/or instillation	116	100	$164.00	$73.18
51741 Electronic assessment of bladder emptying	113	108	$33.43	$7.24
51720 Instillation of anti-cancer drug into bladder	99	13	$184.00	$82.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	74	74	$98.00	$44.24
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	51	47	$303.12	$135.51
99231 Follow-up hospital inpatient care per day, typically 15 minutes	50	35	$87.00	$38.71
74420 Imaging of urinary tract	47	42	$54.72	$25.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$236.00	$104.09
52356 Crushing of stone of ureter with insertion of stent using an endoscope	43	39	$933.88	$431.79
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	41	39	$631.78	$284.28
55700 Biopsy of prostate gland	38	38	$546.00	$243.72
76872 Ultrasound scan of pelvic region through rectum	38	38	$334.00	$136.65
99221 Initial hospital inpatient care per day, typically 30 minutes	35	34	$228.00	$102.28
52648 Laser vaporization of prostate including control of bleeding using an endoscope	29	29	$2427.86	$702.85
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	14	13	$644.86	$295.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	13	$206.57	$78.92
11980 Insertion of hormone pellets beneath the skin	14	12	$208.00	$92.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	2,301	13	$7.30	$6.03
81003 Automated urinalysis test	1,181	777	$26.00	$2.42
J9201 Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg	1,170	18	$16.60	$4.74
52000 Diagnostic exam of bladder and urethra using an endoscope	831	648	$284.00	$180.63
51798 Ultrasound measurement of bladder capacity after voiding	792	453	$40.00	$11.72
99213 Established patient office or other outpatient visit, typically 15 minutes	496	440	$158.00	$70.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	359	359	$363.00	$158.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	340	282	$235.00	$104.35
51741 Electronic assessment of bladder emptying	258	249	$95.24	$6.93
51700 Simple bladder irrigation and/or instillation	242	181	$157.00	$71.21
J3490 Unclassified drugs	240	14	$95.00	$83.23
51720 Instillation of anti-cancer drug into bladder	169	23	$180.00	$81.42
99231 Follow-up hospital inpatient care per day, typically 15 minutes	136	105	$63.00	$38.90
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	117	110	$225.00	$135.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	94	92	$94.00	$43.25
55700 Biopsy of prostate gland	85	83	$542.00	$237.59
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	83	81	$206.75	$53.43
76872 Ultrasound scan of pelvic region through rectum	83	81	$197.06	$117.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	78	78	$235.00	$104.87
74420 Imaging of urinary tract	67	56	$41.00	$25.00
99221 Initial hospital inpatient care per day, typically 30 minutes	67	63	$166.28	$98.93
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	64	60	$543.00	$254.92
52648 Laser vaporization of prostate including control of bleeding using an endoscope	62	61	$1550.00	$682.23
52356 Crushing of stone of ureter with insertion of stent using an endoscope	52	45	$664.33	$420.73
51705 Removal of skin suture with change of bladder tube	51	16	$194.00	$90.70
J9031 Bcg (intravesical) per instillation	47	16	$323.00	$138.48
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	37	35	$474.00	$291.81
11980 Insertion of hormone pellets beneath the skin	30	15	$183.00	$84.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	19	$235.00	$77.64
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	17	$116.00	$71.76
52287 Exam with injections of chemical for destruction of bladder using an endoscope	17	13	$682.00	$327.40
99213 Established patient office or other outpatient visit, typically 15 minutes	15	15	$158.00	$47.89
52332 Insertion of stent in urinary duct (ureter) using an endoscope	13	11	$1151.08	$150.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	1,905	15	$7.00	$6.05
81003 Automated urinalysis test	1,104	764	$26.00	$2.69
52000 Diagnostic exam of bladder and urethra using an endoscope	859	668	$284.00	$157.33
51798 Ultrasound measurement of bladder capacity after voiding	757	406	$40.00	$14.62
99213 Established patient office or other outpatient visit, typically 15 minutes	539	473	$158.00	$69.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	415	415	$363.00	$156.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	318	280	$235.00	$103.05
51720 Instillation of anti-cancer drug into bladder	306	36	$180.00	$81.14
J9031 Bcg (intravesical) per instillation	305	36	$323.00	$135.59
51700 Simple bladder irrigation and/or instillation	266	210	$157.00	$70.07
51741 Electronic assessment of bladder emptying	236	224	$98.00	$7.74
99231 Follow-up hospital inpatient care per day, typically 15 minutes	143	93	$63.00	$38.50
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	119	114	$225.34	$134.16
74420 Imaging of urinary tract	110	97	$41.00	$16.87
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	106	100	$210.00	$56.44
76872 Ultrasound scan of pelvic region through rectum	105	99	$200.00	$90.04
55700 Biopsy of prostate gland	105	99	$542.00	$238.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	99	99	$235.00	$103.94
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	92	89	$447.35	$231.95
52648 Laser vaporization of prostate including control of bleeding using an endoscope	90	89	$1550.00	$689.85
52356 Crushing of stone of ureter with insertion of stent using an endoscope	88	82	$658.00	$410.17
99221 Initial hospital inpatient care per day, typically 30 minutes	54	50	$166.00	$99.48
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	36	33	$474.00	$290.07
52287 Exam with injections of chemical for destruction of bladder using an endoscope	18	15	$682.00	$301.98
52234 Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm	17	15	$403.00	$247.24
52332 Insertion of stent in urinary duct (ureter) using an endoscope	16	16	$1064.25	$116.57
99213 Established patient office or other outpatient visit, typically 15 minutes	15	13	$158.00	$47.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$235.00	$72.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$94.00	$42.03
51702 Simple insertion of temporary bladder tube	13	12	$95.69	$61.11
51102 Aspiration of bladder with insertion of bladder tube to skin surface	11	11	$331.00	$144.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	2,105	16	$7.00	$5.90
81003 Automated urinalysis test	1,368	975	$26.00	$3.01
51798 Ultrasound measurement of bladder capacity after voiding	887	536	$40.00	$17.88
52000 Diagnostic exam of bladder and urethra using an endoscope	822	666	$284.00	$155.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	792	590	$235.00	$102.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	456	456	$363.16	$156.02
99213 Established patient office or other outpatient visit, typically 15 minutes	432	391	$158.00	$69.44
51741 Electronic assessment of bladder emptying	238	230	$97.41	$8.00
51720 Instillation of anti-cancer drug into bladder	215	27	$180.00	$83.97
J9031 Bcg (intravesical) per instillation	215	27	$323.00	$127.08
99231 Follow-up hospital inpatient care per day, typically 15 minutes	205	107	$63.00	$38.22
51700 Simple bladder irrigation and/or instillation	200	156	$121.44	$69.05
74420 Imaging of urinary tract	130	103	$41.00	$17.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	129	129	$235.00	$103.64
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	114	105	$225.00	$132.86
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	102	92	$343.00	$234.46
55700 Biopsy of prostate gland	101	100	$407.15	$235.43
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	101	99	$179.70	$57.18
76872 Ultrasound scan of pelvic region through rectum	100	98	$200.00	$89.01
52356 Crushing of stone of ureter with insertion of stent using an endoscope	81	73	$662.06	$412.60
99221 Initial hospital inpatient care per day, typically 30 minutes	68	61	$166.00	$98.10
52332 Insertion of stent in urinary duct (ureter) using an endoscope	46	36	$1043.22	$111.09
52648 Laser vaporization of prostate including control of bleeding using an endoscope	44	44	$1550.00	$682.18
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	36	28	$474.00	$280.59
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	23	16	$116.00	$70.41
52287 Exam with injections of chemical for destruction of bladder using an endoscope	18	16	$665.39	$298.24
52234 Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm	15	14	$403.00	$227.50
52351 Diagnostic examination of the bladder, bladder canal (urethra), and urinary duct (ureter) or kidney using an endoscope	14	14	$506.00	$302.80

Medical Specialties & State Licenses

CMS Verified: 2022-08-11

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License OH 35097558

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0052742 (OH)

Hospital & Practice Group Affiliations

Physicians Group Of Southeastern Ohio Inc

1225 Woodlawn Ave, Cambridge, OH 437253094

Phone: 7402555189

Physicians Group Of Southeastern Ohio Inc

3620 Court Dr, Zanesville, OH 437016455

Phone: 7404541248

Physicians Group Of Southeastern Ohio Inc

1523 Walnut St, Coshocton, OH 438122289

Phone: 7402555189

Secondary Practice Locations

905 N 21st St Ste D

Newark, OH 430557251

Phone: 7402555189

Practice Associates & Co-Workers

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

1 Associated Practitioners

Alexandrea Johnson

Nurse Practitioner - Family

NPI 1215787601

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location March 04, 2022

Registered at 1225 WOODLAWN AVE STE 114, CAMBRIDGE, OH 437253094 (Tel: 7402137129)

📍

Updated Business Mailing Address March 04, 2022

Registered at 1225 WOODLAWN AVE STE 114, CAMBRIDGE, OH 437253094 (Tel: 7402137129)

✅

NPI Profile Active July 24, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location July 24, 2012

Registered at 945 BETHESDA DR, SUITE 200, ZANESVILLE, OH 437010801 (Tel: 7404554923)

📍

Updated Business Mailing Address July 24, 2012

Registered at 945 BETHESDA DR, SUITE 260, ZANESVILLE, OH 437010801 (Tel: 7404554923)

👤

Provider Name / Credentials Updated July 24, 2012

Recorded as BENJAMIN GIBSON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2012

Urology (License #35097558 in OH)

🟢

Initial NPI Registration & Enumeration August 23, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1619257508

Entity Type:

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

Enumeration Date: August 23, 2011

Last Update: April 13, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1225 Woodlawn Ave Ste 114

Cambridge, OH 437253094

Phone: 7402137129

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.