Active NPI
Jeffrey Lynn Gibson, DO
- Family Medicine Physician
- Nowata, OK
National Provider Identifier
1306807011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 3261
- Practice address
- 307A S Locust
Nowata, OK 74048-3622 - Phone
- (918) 273-2761
- Fax
- (918) 273-2753
- NPI assigned
- Mar 31, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 3261 | OK | Primary |
Addresses
Primary practice location
307A S Locust
Nowata, OK 74048-3622
Mailing address
307A S Locust
Nowata, OK 74048-3622
Phone (918) 273-2761
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090323000048 | OK | Practitioner - Family Practice | 1052475928 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Oklahoma State University College of Osteopathic Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
307 A S Locust St
Nowata, OK 74048-3622
Phone (918) 273-2761
307 S Locust St
A
Nowata, OK 74048-3622
Hospital & facility affiliations
- Amedisys Home Health
- Angels Care Home Health of East Oklahoma
- Ascension St John Nowata
- Ascension St John Jane Phillips
- Ascension St John Medical Center
- St John Owasso
- Ascension St John Nowata
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 34 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3261 | OK | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jane Phillips Nowata Hospital Inc | Current | Accepting new patients | |
| Jeffrey L Gibson DO PC | Family Medicine | Current | Accepting new patients |
Locations
307A S Locust St
Nowata, OK 74048
Phone (918) 273-2761
237 S Locust St
Nowata, OK 74048
Phone (918) 273-3102
Dept 2881
Tulsa, OK 74182
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.
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Bartlesville, OK
- NPI 1598723140
-
- Home Health Agency
- Broken Arrow, OK
- NPI 1851359194
-
- General Acute Care Hospital
- Bartlesville, OK
- NPI 1215914254
Hospital
-
- Medicare Defined Swing Bed Hospital Unit
- Bartlesville, OK
- NPI 1427428986
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1306807011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307A S LOCUST",
"city": "NOWATA",
"state": "OK",
"postal_code": "740483622",
"telephone_number": "918-273-2761",
"fax_number": "918-273-2753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307A S LOCUST",
"city": "NOWATA",
"state": "OK",
"postal_code": "740483622",
"telephone_number": "918-273-2761",
"fax_number": "918-273-2753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "JEFFREY",
"middle_name": "LYNN",
"name_prefix": "Mr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-31",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "3261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nowata, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.