Individual provider Active NPI

James Gibson, MD

  • Surgery Physician
  • Springfield, MO
National Provider Identifier
1124061684
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
R1C87 Issued in MO
Practice address
3015 S Ridge Dr
Springfield, MO 65809-3729
Phone
(417) 887-2342
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X R1C87 MO Primary

Addresses

Primary practice location

3015 S Ridge Dr
Springfield, MO 65809-3729

Mailing address

PO Box 802843
Kansas City, MO 64180-2843

Other practice location 1

525 Branson Landing Blvd Ste 307
Branson, MO 65616-2126
Phone (417) 875-3000

Other identifiers 3

IdentifierTypeStateIssuer
106983OtherBLUE CROSS/BLUE SHIELD
109513001MedicaidAR
201677408MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050822000200 MO Practitioner - General Surgery 7810927274 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R1C87MOMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cox-Monett Hospital, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Cox Monett Hospital Inc Surgery CurrentSince Nov 5, 2021 Accepting new patients
Cox-Monett Hospital, Inc. CurrentSince Nov 5, 2021 Accepting new patients
Cox-Monett Hospital Inc Current Accepting new patients
Skaggs Community Hospital Association Past Accepting new patients
Lester E Cox Medical Centers PastSince May 30, 2013 Accepting new patients
Ozarks Medical Center Past Accepting new patients
Lester E Cox Medical Centers Past Accepting new patients
Lester E Cox Medical Centers PastSince Nov 1, 2011 Accepting new patients
Ferrell Duncan Clinic, Inc PastSince Jan 1, 2005 Accepting new patients

Locations

75 Smithson Dr
Ste A
Cassville, MO 65625
Phone (417) 847-3500

1000 E US Highway 60
Monett, MO 65708
Phone (417) 354-1269

Interoperability endpoints

  • Direct secure messaging: james.gibson@cernerdirect.coxhealth.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1124061684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 802843",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641802843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 S RIDGE DR",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658093729",
            "telephone_number": "417-887-2342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 Branson Landing Blvd Ste 307",
            "address_purpose": "LOCATION",
            "city": "Branson",
            "state": "MO",
            "postal_code": "656162126",
            "country_code": "US",
            "telephone_number": "417-875-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "R1C87",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "106983",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109513001",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201677408",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.