Active NPI
John Scott Gibson, MD
- Internal Medicine Physician
- McMinnville, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD14370
- Practice address
- 2375 NE Cumulus Ave
McMinnville, OR 97128-8861 - Phone
- (503) 472-0888
- Fax
- (503) 434-7246
- NPI assigned
- Sep 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | MD14370 | OR | |
| Internal Medicine Physician | 207R00000X | MD14370 | OR | Primary |
Addresses
Primary practice location
2375 NE Cumulus Ave
McMinnville, OR 97128-8861
Mailing address
PO Box 2
McMinnville, OR 97128-0002
Phone (503) 472-0888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 141879 | Medicaid | OR |
Other names 1
- J Scott Gibson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Loma Linda University School of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2375 NE Cumulus Ave
McMinnville, OR 97128-8861
Phone (503) 472-0888
Hospital & facility affiliations
- Willamette Valley Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 189 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 92 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14370 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yamhill Valley Surgical Center Inc. | Current | Accepting new patients | |
| J Scott Gibson MD PC | Gastroenterology | Current | Accepting new patients |
Locations
2375 NE Cumulus Ave
McMinnville, OR 97128
Phone (503) 472-0888
851 NE Baker St
Ste 3
McMinnville, OR 97128
Phone (503) 472-0888
2375 NE Cumulus Ave
Ste 1
McMinnville, OR 97128
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 and National Provider Directory roles.
-
- Gastroenterology Physician
- McMinnville, OR
- NPI 1508001074
-
- Ambulatory Surgical Clinic/Center
- McMinnville, OR
- NPI 1740394741
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- McMinnville, OR
- NPI 1346269982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560902400000",
"number": "1255433520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2",
"city": "MCMINNVILLE",
"state": "OR",
"postal_code": "971280002",
"telephone_number": "503-472-0888",
"fax_number": "503-434-7246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2375 NE CUMULUS AVE",
"city": "MCMINNVILLE",
"state": "OR",
"postal_code": "971288861",
"telephone_number": "503-472-0888",
"fax_number": "503-434-7246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "JOHN",
"middle_name": "SCOTT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-05",
"last_updated": "2019-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "OR",
"license": "MD14370",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "MD14370",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "141879",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "J",
"last_name": "GIBSON",
"middle_name": "SCOTT",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in McMinnville, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; 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.