Individual provider Active NPI

Craig Gibson, D.O.

  • Family Medicine Physician
  • Iowa Falls, IA
National Provider Identifier
1205283041
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO-05406 Issued in IA
Practice address
920 S Oak St Ste 1
Iowa Falls, IA 50126-9506
Phone
(641) 648-7101
NPI assigned
May 23, 2016
Last updated
Aug 19, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X DO-05406 IA Primary

Addresses

Primary practice location

920 S Oak St Ste 1
Iowa Falls, IA 50126-9506

Mailing address

920 S Oak St Ste 1
Iowa Falls, IA 50126-9506
Phone (641) 648-7101

Other practice location 1

94 Old Short Hills Rd
Livingston, NJ 07039-5672
Phone (973) 322-5777

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address HFHandclinicsmedicalrecords@mercyhealth.com
Direct Messaging Address craiggibson@elmhn.cernerdirect.com Direct
Direct Messaging Address craiggibson@elmhn.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20190724003945 IA Practitioner - Family Practice 5597091835 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ellsworth Municipal HospitalGroup PAC ID 2668366311, 16 clinicians

Practice addresses (Care Compare)

1000 10TH Ave
Ackley, IA 50601-1701
Phone (641) 648-7107

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ellsworth Municipal Hospital Single Specialty CurrentSince Sep 1, 2019 Accepting new patients
Ellsworth Municipal Hospital Single Specialty CurrentSince Jul 1, 2025 Accepting new patients

Locations

1000 10th Ave
Ackley, IA 50601
Phone (641) 648-7107

322 College Ave
Iowa Falls, IA 50126
Phone (641) 648-3306

920 S Oak St
Iowa Falls, IA 50126
Phone (641) 648-4631

920 S Oak St
Ste 1
Iowa Falls, IA 50126
Phone (641) 648-4233

Interoperability endpoints

  • Direct secure messaging: craiggibson@elmhn.cernerdirect.com
  • Direct secure messaging: hfhandclinicsmedicalrecords@mercyhealth.com

Organizations & group practices 2

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 6

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": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1205283041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 S OAK ST STE 1",
            "city": "IOWA FALLS",
            "state": "IA",
            "postal_code": "501269506",
            "telephone_number": "641-648-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 S OAK ST STE 1",
            "city": "IOWA FALLS",
            "state": "IA",
            "postal_code": "501269506",
            "telephone_number": "641-648-7101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "94 Old Short Hills Rd",
            "address_purpose": "LOCATION",
            "city": "Livingston",
            "state": "NJ",
            "postal_code": "070395672",
            "country_code": "US",
            "telephone_number": "973-322-5777",
            "fax_number": "973-322-8720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-23",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "DO-05406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "HFHandclinicsmedicalrecords@mercyhealth.com",
            "affiliation": "N",
            "address_1": "920 S Oak St Ste 1",
            "city": "Iowa Falls",
            "state": "IA",
            "country_code": "US",
            "postal_code": "501269506",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "craiggibson@elmhn.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "MercyOne North Iowa Direct email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "920 S Oak St Ste 1",
            "city": "Iowa Falls",
            "state": "IA",
            "country_code": "US",
            "postal_code": "501269506",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "craiggibson@elmhn.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Hansen Family Hospital Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "920 S Oak St Ste 1",
            "city": "Iowa Falls",
            "state": "IA",
            "country_code": "US",
            "postal_code": "501269506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Iowa Falls, IA

Sources for this page

Verify at the official NPI Registry.