Jacob Troy Gibby, MD

Primary specialty

Neuroradiology PhysicianTaxonomy code 2085N0700X

License

13494110-1205 Issued in UT

Practice address

3152 N University Ave Ste 100
Provo, UT 84604-4746

Phone

(801) 229-2002

NPI assigned

Mar 25, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in UT, NE2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Diagnostic Radiology

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Regional West Medical CenterGroup PAC ID 1759285885, 66 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Regional West Medical Center Hospital, Scottsbluff, NE, CCN 280061
• Box Butte General Hospital Hospital, Alliance, NE, CCN 281360
• Morrill County Community Hospital Hospital, Bridgeport, NE, CCN 281318
• Community Hospital Hospital, Torrington, WY, CCN 531307
• Kimball Health Services Hospital, Kimball, NE, CCN 281305

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Regional West Medical Center

  • Emergency Medicine Physician
  • Scottsbluff, NE
  • NPI 1982718219

  Diagnostic Radiology, UT

  Medicare reassignment Care Compare group NPD
• Alpharad Inc

  • Radiologic Technologist
  • Provo, UT
  • NPI 1487836979
  Medicare reassignment NPD
• Gunnison Valley Hospital

  • Critical Access Hospital
  • Gunnison, UT
  • NPI 1952463036
  Medicare reassignment NPD
• Box Butte General Hospital

  • Critical Access Hospital
  • Alliance, NE
  • NPI 1811929060
  Medicare reassignment NPD
• Box Butte General Hospital

  • Clinic/Center
  • Alliance, NE
  • NPI 1871652453
  Medicare reassignment NPD
• Faith Regional Physician Services, LLC

  • Family Medicine Physician
  • Norfolk, NE
  • NPI 1265489157
  Medicare reassignment NPD
• Gunnison Valley Hospital

  • Rural Health Clinic/Center
  • Manti, UT
  • NPI 1063038628
  NPD
• Box Butte General Hospital

  • Critical Access Hospital Clinic/Center
  • Alliance, NE
  • NPI 1346309929
  NPD
• Box Butte General Hospital

  • Rural Health Clinic/Center
  • Hemingford, NE
  • NPI 1609944388
  NPD
• Faith Regional Physician Services, LLC

  • Anesthesiology Physician
  • Norfolk, NE
  • NPI 1275074577
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Box Butte General Hospital

  • Critical Access Hospital
  • Alliance, NE
  • NPI 1811929060
  Care Compare affiliation
• Community Hospital

  • Critical Access Hospital
  • Torrington, WY
  • NPI 1669410643
  Care Compare affiliation
• Kimball County Hospital

  • Critical Access Hospital
  • Kimball, NE
  • NPI 1093780652
  Care Compare affiliation
• Kimball County Hospital

  • Rural Health Clinic/Center
  • Pine Bluffs, WY
  • NPI 1629524335

  Hospital

  Care Compare affiliation
• Morrill County Community Hospital

  • Critical Access Hospital
  • Bridgeport, NE
  • NPI 1609816149
  Care Compare affiliation
• Regional West Medical Center

  • General Acute Care Hospital
  • Scottsbluff, NE
  • NPI 1639101199
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1083174056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3152 N UNIVERSITY AVE STE 100",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846044746",
            "telephone_number": "801-229-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3152 N UNIVERSITY AVE STE 100",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846044746",
            "telephone_number": "801-229-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBY",
        "first_name": "JACOB",
        "middle_name": "TROY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-25",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085D0003X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Neuroimaging",
            "state": "UT",
            "license": "13494110-1205",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "UT",
            "license": "13494110-1205",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "UT",
            "license": "13494110-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Ghelfi, PHD
• Nathan W. Gibbons, LCSW
• Patsy Gibbs, MS, BCBA
• Amanda Gibby, SSW
• Conrad Curtis Gibby, M.D.
• Wendell A Gibby, MD
• Wendell Andrew Gibby, M.D.
• Clare Gibeault
• Jamee Ann Gibert, NP
• Grace Gibson

• Neuroradiology Physician in Provo, UT
• Providers in Provo, UT by specialty
• Neuroradiology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.