Individual provider Active NPI

George V Gibson Jr., DO

  • Orthopaedic Surgery Physician
  • Springfield, IL
National Provider Identifier
1336361559
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
036169353 Issued in IL
Practice address
1301 S Koke Mill Rd
Springfield, IL 62711-9252
Phone
(217) 547-9100
Fax
(217) 547-9236
NPI assigned
May 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 036169353 IL Primary
Orthopaedic Surgery Physician 207X00000X 5101016496 MI

Addresses

Primary practice location

1301 S Koke Mill Rd
Springfield, IL 62711-9252

Mailing address

1301 S Koke Mill Rd
Springfield, IL 62711-9252
Phone (217) 547-9100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110407000798 MI Practitioner - Orthopedic Surgery 4587848023 Reassigns benefits to 1 organization
I20240514002644 IL Practitioner - Orthopedic Surgery 4587848023 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic Center of IlGroup PAC ID 0143299628, 29 clinicians

Practice addresses (Care Compare)

515 N College St
Lincoln, IL 62656-1401
Phone (217) 732-9081

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement74
Knee replacement63

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036169353ILMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iha Health Service Corporation CurrentSince Mar 1, 2019 Accepting new patients
Iha Health Services Corporation Current Accepting new patients
Orthopaedic Surgery Center of Illinois, LLC CurrentSince Jul 15, 2024 Accepting new patients
St Francis Hospital of the Hospital Sisters of the Third Order of St F CurrentSince May 5, 2024 Accepting new patients
Iha Health Services Corporation Orthopaedic Surgery CurrentSince Mar 1, 2019 Accepting new patients
Orthopaedic Center of Il Orthopaedic Surgery CurrentSince May 1, 2024 Accepting new patients
Orthopaedic Center of Illinois Past Accepting new patients

Locations

1750 E Lake Shore Dr
Ste 200
Decatur, IL 62521
Phone (217) 422-2500

515 N College St
Lincoln, IL 62656
Phone (217) 732-9681

1215 Franciscan Dr
Litchfield, IL 62056
Phone (217) 324-2191

3136 Old Jacksonville Rd
Ste 250
Springfield, IL 62704
Phone (217) 862-0500

1301 S Koke Mill Rd
Springfield, IL 62711
Phone (217) 547-9100

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400

7575 Grand River Rd
Ste 114
Brighton, MI 48114
Phone (810) 844-7576

2305 Genoa Business Park Dr
Ste 210
Brighton, MI 48114
Phone (734) 712-1700

7575 Grand River Rd
Ste 202
Brighton, MI 48114
Phone (810) 844-7566

2305 Genoa Business Park Dr
Ste 120
Brighton, MI 48114
Phone (810) 494-6881

2305 Genoa Business Park Dr
Ste 200
Brighton, MI 48114
Phone (810) 494-6840

128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677

Interoperability endpoints

  • Direct secure messaging: georgegibson@oci.allscriptsdirect.net

Organizations & group practices 7

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": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1336361559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 S KOKE MILL RD",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627119252",
            "telephone_number": "217-547-9100",
            "fax_number": "217-547-9236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 S KOKE MILL RD",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627119252",
            "telephone_number": "217-547-9100",
            "fax_number": "217-547-9236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "GEORGE",
        "middle_name": "V",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036169353",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "5101016496",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

Verify at the official NPI Registry.