Deactivated NPI 1821097486 Deactivated / Inactive NPI Male Practitioner

Dr. Gary R Gibson , MD

Internal Medicine • Cortland, OH

⚠️

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. Gary Gibson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 18, 2005

NPI Deactivation Date March 18, 2006

Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Gary Gibson, MD was a registered Internal Medicine practicing in Cortland, OH. Throughout an active medical career spanning 1 years, Dr. Gibson provided care at the practice location at 310 WINDSOR DR until profile deactivation on 2006-03-18.

Historical Medicare Part B clinical services included established patient outpatient office visit, insertion of needle into vein for collection of blood sample, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

310 Windsor Dr

Cortland, OH 444102705

Telephone 3306370356

Fax 3306370361

Associated Practice Facility / Clinic

🏢 Warren Physicians Group Inc Facility NPI 1144401076

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Cortland, OH

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 44.6 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

8 Specialists

Practicing in Cortland, OH (5516 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.3% 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 (2021)

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	420	217	$334.00	$126.34
36415 Insertion of needle into vein for collection of blood sample	345	192	$20.00	$2.99
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	144	144	$344.00	$129.37
85610 Blood test, clotting time	91	17	$30.00	$4.29
G0444 Annual depression screening, 5 to 15 minutes	78	78	$57.00	$18.03
99213 Established patient office or other outpatient visit, typically 15 minutes	55	48	$224.00	$88.68
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	54	31	$69.00	$21.81
93000 Routine ekg using at least 12 leads including interpretation and report	34	27	$71.00	$13.61
81002 Urinalysis, manual test	26	19	$30.00	$3.35
G0008 Administration of influenza virus vaccine	11	11	$82.00	$16.19

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	601	238	$333.69	$105.18
36415 Insertion of needle into vein for collection of blood sample	446	251	$20.00	$2.98
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	229	229	$341.38	$111.33
85610 Blood test, clotting time	197	24	$30.00	$4.26
99213 Established patient office or other outpatient visit, typically 15 minutes	157	105	$224.06	$72.53
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	89	41	$321.00	$98.37
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	85	35	$68.98	$21.98
G0008 Administration of influenza virus vaccine	62	62	$82.00	$16.07
90756 Vaccine for influenza for injection into muscle	50	50	$84.00	$27.70
G0444 Annual depression screening, 5 to 15 minutes	49	49	$57.00	$17.12
81002 Urinalysis, manual test	39	32	$30.00	$3.45
93000 Routine ekg using at least 12 leads including interpretation and report	31	27	$71.00	$16.39
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	30	30	$614.00	$195.81
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	17	$224.00	$68.35
99239 Hospital discharge day management, more than 30 minutes	19	19	$325.00	$99.66
99238 Hospital discharge day management, 30 minutes or less	16	16	$223.00	$72.17
99496 Transitional care management services for problem of high complexity	14	14	$549.00	$235.62
90672 Vaccine for influenza for nasal administration	12	12	$100.00	$26.88
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$418.00	$136.93

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	671	254	$334.00	$103.43
36415 Insertion of needle into vein for collection of blood sample	521	280	$20.00	$2.93
85610 Blood test, clotting time	278	32	$30.00	$4.28
99213 Established patient office or other outpatient visit, typically 15 minutes	261	170	$224.00	$71.16
82962 Blood glucose (sugar) test performed by hand-held instrument	249	104	$20.00	$3.15
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	242	242	$334.00	$110.48
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	125	50	$69.00	$21.42
93000 Routine ekg using at least 12 leads including interpretation and report	105	103	$71.00	$16.09
81002 Urinalysis, manual test	103	85	$30.00	$3.38
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	89	36	$321.00	$98.23
G0444 Annual depression screening, 5 to 15 minutes	86	86	$57.00	$16.87
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	71	71	$75.00	$27.51
G0008 Administration of influenza virus vaccine	71	71	$82.00	$15.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	29	$136.00	$43.23
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	28	19	$224.00	$71.06
99238 Hospital discharge day management, 30 minutes or less	21	21	$223.00	$71.03
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	16	$614.00	$171.86
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	17	17	$447.00	$159.49
99496 Transitional care management services for problem of high complexity	15	14	$549.00	$221.63
99495 Transitional care management services for problem of at least moderate complexity	12	12	$390.00	$156.96
99239 Hospital discharge day management, more than 30 minutes	12	11	$325.00	$95.83

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	482	194	$123.05	$97.11
85610 Blood test, clotting time	352	40	$14.71	$4.75
82962 Blood glucose (sugar) test performed by hand-held instrument	318	103	$8.91	$3.13
99213 Established patient office or other outpatient visit, typically 15 minutes	285	179	$115.30	$66.21
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	222	222	$165.31	$105.46
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	194	23	$2.12	$1.81
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	160	59	$33.11	$19.41
81002 Urinalysis, manual test	148	128	$11.27	$3.39
G0008 Administration of influenza virus vaccine	123	123	$31.95	$19.14
36415 Insertion of needle into vein for collection of blood sample	114	97	$14.14	$2.94
Q2035 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria)	87	87	$22.00	$17.67
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	66	64	$142.73	$133.57
93000 Routine ekg using at least 12 leads including interpretation and report	60	59	$29.73	$15.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	48	42	$78.83	$40.11
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	43	19	$161.00	$63.68
90756 Vaccine for influenza for injection into muscle	21	21	$24.05	$22.33
17000 Destruction of skin growth	20	20	$75.10	$60.21
20610 Aspiration and/or injection of fluid from large joint	17	15	$77.35	$53.86
82270 Stool analysis for blood to screen for colon tumors	16	16	$5.00	$4.29
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	15	15	$75.00	$23.57

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	584	244	$104.80	$96.78
85610 Blood test, clotting time	380	46	$12.00	$5.28
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	358	38	$2.03	$1.81
82948 Blood glucose (sugar) measurement using reagent strip	224	97	$8.00	$4.26
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	197	197	$113.48	$102.96
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	184	62	$20.09	$17.88
99213 Established patient office or other outpatient visit, typically 15 minutes	143	109	$71.02	$65.70
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	140	26	$72.00	$65.86
G0008 Administration of influenza virus vaccine	120	120	$25.00	$23.76
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	109	109	$141.39	$131.01
81002 Urinalysis, manual test	107	91	$9.00	$3.17
93000 Routine ekg using at least 12 leads including interpretation and report	74	72	$20.64	$15.24
36415 Insertion of needle into vein for collection of blood sample	64	54	$3.00	$2.94
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin)	62	62	$20.00	$17.32
82962 Blood glucose (sugar) test performed by hand-held instrument	60	48	$3.50	$3.15
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	45	45	$20.67	$18.65
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	39	28	$199.92	$180.34
99239 Hospital discharge day management, more than 30 minutes	36	26	$106.67	$97.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	26	$43.07	$38.75
81000 Manual urinalysis test with examination using microscope, non-automated	26	20	$15.00	$4.26
17000 Destruction of skin growth	24	21	$65.00	$59.65
20610 Aspiration and/or injection of fluid from large joint	19	14	$61.58	$55.15
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	18	18	$164.44	$148.29
Q2035 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria)	15	15	$21.15	$17.34
99496 Transitional care management services for problem of high complexity	14	12	$225.00	$206.50

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 35048883

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0631865 (OH)

Commercial Insurance / Payer ID Aetna

4122159 (OH)

Commercial Insurance / Payer ID Anthem

000000147036 (OH)

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Sohair Rostom , MD

Internal Medicine

NPI 1306876693

Doctor of Medicine (M.D.)

Dr. Mourad Rostom , MD

Internal Medicine

NPI 1427088715

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location January 06, 2011

Registered at 310 WINDSOR DR, CORTLAND, OH 444102705 (Tel: 3306370356)

📍

Updated Business Mailing Address January 06, 2011

Registered at 310 WINDSOR DR, CORTLAND, OH 444102705 (Tel: 3306370356)

👤

Provider Name / Credentials Updated January 06, 2011

Recorded as GARY GIBSON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2011

Internal Medicine (License #35048883 in OH)

🔄

NPI Profile Reactivated April 05, 2006

Record officially reactivated for active practice on April 05, 2006

⚠️

NPI Profile Deactivated March 18, 2006

Record deactivated on March 18, 2006

🟢

Initial NPI Registration & Enumeration July 18, 2005

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: 1821097486

Entity Type:

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

Enumeration Date: July 18, 2005

Last Update: January 06, 2011

Deactivation Date: March 18, 2006

Sole Proprietor: No

Update or Correct Profile

Mailing Address

310 Windsor Dr

Cortland, OH 444102705

Phone: 3306370356

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.