Active NPI
George V Gibson Jr., DO
- Orthopaedic Surgery Physician
- Springfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 036169353
- 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
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 |
|---|---|---|---|---|
| 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, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
Practice addresses (Care Compare)
515 N College St
Lincoln, IL 62656-1401
Phone (217) 732-9081
Hospital & facility affiliations
- Memorial Medical Center
- St Johns Hospital
- St Francis Hospital
- Abraham Lincoln Memorial Hospital
- Hillsboro Area Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 74 |
| Knee replacement | 63 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036169353 | IL | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iha Health Service Corporation | Current | Accepting new patients | |
| Iha Health Services Corporation | Current | Accepting new patients | |
| Orthopaedic Surgery Center of Illinois, LLC | Current | Accepting new patients | |
| St Francis Hospital of the Hospital Sisters of the Third Order of St F | Current | Accepting new patients | |
| Iha Health Services Corporation | Orthopaedic Surgery | Current | Accepting new patients |
| Orthopaedic Center of Il | Orthopaedic Surgery | Current | 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
- 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.
-
- Orthopaedic Surgery Physician
- Springfield, IL
- NPI 1154300572
-
- Ambulatory Surgical Clinic/Center
- Springfield, IL
- NPI 1760457204
-
- Critical Access Hospital
- Litchfield, IL
- NPI 1326057076
-
dba IHA Canton Obstetrics and Gynecology
- Obstetrics & Gynecology Physician
- Canton, MI
- NPI 1457408965
-
dba Trinity Health IHA Medical Group OB/GYN Float
- Obstetrics & Gynecology Physician
- Ypsilanti, MI
- NPI 1831053701
-
- Orthopaedic Surgery Physician
- Ypsilanti, MI
- NPI 1093174237
-
- Durable Medical Equipment & Medical Supplies
- Springfield, IL
- NPI 1144372798
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Lincoln, IL
- NPI 1154329753
-
- Critical Access Hospital
- Hillsboro, IL
- NPI 1194705210
-
dba Hillsboro Area Hospital Primary Care Clinic
- Rural Health Clinic/Center
- Hillsboro, IL
- NPI 1811774771
Hospital
-
- General Acute Care Hospital
- Springfield, IL
- NPI 1255317590
-
- Critical Access Hospital
- Litchfield, IL
- NPI 1326057076
-
dba HSHS St. John's Hospital
- General Acute Care Hospital
- Springfield, IL
- NPI 1205818481
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.