NPIMap

Individual provider Active NPI

Jordan Gibbon, DPM

  • Foot & Ankle Surgery Podiatrist
  • Duncan, OK
National Provider Identifier
1164914826
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
374 Issued in OK
Practice address
2945 W Elk Ave Ste 100
Duncan, OK 73533-1541
Phone
(580) 252-3400
NPI assigned
May 30, 2018
Last updated
Oct 18, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 374 OK Primary

Addresses

Primary practice location

2945 W Elk Ave Ste 100
Duncan, OK 73533-1541

Mailing address

205 W Steele St
Marlow, OK 73055-1233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210715004408 OK Practitioner - Podiatry 7012319809 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Solutions Practice ManagementGroup PAC ID 5698840775, 21 clinicians
Duncan Regional Hospital, IncGroup PAC ID 5193613057, 69 clinicians

Practice addresses (Care Compare)

1401 Duncan Regional Loop
Duncan, OK 73533-1594
Phone (580) 252-0100

1415 N Whisenant Dr
Duncan, OK 73533-1650
Phone (580) 252-5300

2150 W Elk Ave
Duncan, OK 73533-1827
Phone (580) 251-6657

2915 W Elk Ave
Duncan, OK 73533-1541
Phone (580) 252-3400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue282
Removal of skin lesions11
Removal of nail tissue151
Removal or shaving of skin growth32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Solutions Practice Management CurrentSince Aug 1, 2021 Accepting new patients
Solutions Practice Management CurrentSince Aug 1, 2021 Accepting new patients
Duncan Regional Hospital, Inc. Current Accepting new patients
Duncan Regional Hospital, Inc CurrentSince Jun 5, 2023 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Duncan Regional Hospital, Inc Past Accepting new patients

Locations

2230 Duncan Regional Loop
Duncan, OK 73533
Phone (580) 252-0100

2515 N Whisenant Dr
Duncan, OK 73533
Phone (580) 251-6806

2945 W Elk Ave
Duncan, OK 73533
Phone (580) 252-3400

2945 W Elk Ave
Ste 100
Duncan, OK 73533
Phone (580) 252-3400

Interoperability endpoints

  • Direct secure messaging: jordan.gibbon@direct.drhhealth.org

Organizations & group practices 6

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

Hospital & facility affiliations 10

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

NPI Registry JSON

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1164914826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W STEELE ST",
            "city": "MARLOW",
            "state": "OK",
            "postal_code": "730551233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2945 W ELK AVE STE 100",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735331541",
            "telephone_number": "580-252-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBON",
        "first_name": "JORDAN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-30",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OK",
            "license": "374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncan, OK

Sources for this page

Verify at the official NPI Registry.