Dwayne L Gibbs, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

91-205 Issued in NM

Practice address

630 W Maple St
Farmington, NM 87401-6113

Phone

(505) 609-6300

Fax

(505) 609-6301

NPI assigned

Feb 26, 2007

Last updated

Nov 8, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

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

Merit-based Incentive Payment System (MIPS)

Final score

90.97 of 100Reported as group

Quality

79.73

Promoting interoperability

100

Improvement activities

40

Cost

78.87

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• San Juan Regional Medical Center Inc

  dba SJHP Gastroenterology

  • Gastroenterology Physician
  • Farmington, NM
  • NPI 1639662901
  Medicare reassignment NPD
• Dwayne L Gibbs MD PC

  • Surgery Physician
  • Farmington, NM
  • NPI 1245485994
  Authorized official Same address or phone
• San Juan Regional Medical Center Inc

  dba SJR General Surgeons

  • Surgery Physician
  • Farmington, NM
  • NPI 1104142215
  NPD
• San Juan Regional Medical Center Inc

  dba Sjrmc Internal Medicine

  • Internal Medicine Physician
  • Farmington, NM
  • NPI 1225076003
  NPD
• San Juan Regional Medical Center Inc

  dba San Juan Health Partners Walk-in Clinic

  • Family Medicine Physician
  • Bloomfield, NM
  • NPI 1508219916
  NPD
• San Juan Regional Medical Center Inc

  dba SJHP Family Medicine Farmington

  • Family Medicine Physician
  • Farmington, NM
  • NPI 1710589015
  NPD

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541635200000",
    "number": "1316073141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6210",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874996210",
            "telephone_number": "505-324-2098",
            "fax_number": "505-324-6454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 W MAPLE ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874016113",
            "telephone_number": "505-609-6300",
            "fax_number": "505-609-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "DWAYNE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2018-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NM",
            "license": "91-205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "53885",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• George H Peacock MD PC
• Aimee Lucia Georgina
• Geps Physician Group of New Mexico, PC
• Matthew R Geter
• Dewey I Getz, DDS MSD PC
• Brian Alexander Gibson, DMD
• Gifted Hands Surgical Assisting LLC
• Clarissa Gilbert, FCNP
• Susan Gilbert, NP
• Blair Gordon Gill, M.D.

• Surgery Physician in Farmington, NM
• Providers in Farmington, NM by specialty
• Surgery Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; 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.

Verify at the official NPI Registry.