Benjamin R Gibson, MD
Individual provider Active NPI Urology Physician · Cambridge, OH
NPI 1619257508 · NPPES record last updated Apr 13, 2023
Key facts
- NPI
- 1619257508
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Urology Physician 208800000X
- License
- 35097558 (OH)
- Practice address
- 1225 Woodlawn Ave Ste 114
Cambridge, OH 43725-3094 - Phone
- (740) 213-7129
- Fax
- (440) 201-6574
- NPI assigned
- Aug 23, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Urology
- Education
- University of Cincinnati College of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Physicians Group of Southeastern Ohio Inc
Practice addresses (Care Compare)
1225 Woodlawn Ave
Suite 114
Cambridge, OH 43725-3094
Phone (740) 255-5189
1523 Walnut St
Coshocton, OH 43812-2289
Phone (740) 255-5189
3620 Court Dr
Suite K
Zanesville, OH 43701-6455
Phone (740) 454-1248
Hospital & facility affiliations
- Southeastern Ohio Regional Medical Center
- Genesis Hospital
- Coshocton Regional Medical Center
- Barnesville Hospital Association, Inc
- Wheeling Hospital, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 9.05 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 30.17
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 72 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111013000439 | OH | Practitioner - Urology | 3678745726 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Home Primary Care Center | Current | Accepting new patients | |
| Gu Ohio, LLC | Urology | Current |
Accepting new patients |
| Physicians Group of Southeastern Ohio Inc | Current |
Accepting new patients |
Locations
1225 Woodlawn Ave
Ste 114
Cambridge, OH 43725
Phone (255) 518-9740
1523 Walnut St
Coshocton, OH 43812
Phone (740) 255-5189
905 N 21st St
Ste D
Newark, OH 43055
Phone (740) 255-5189
3620 Court Dr
Ste K
Zanesville, OH 43701
Phone (740) 454-1248
945 Bethesda Dr
Ste 200
Zanesville, OH 43701
Phone (740) 454-4788
945 Bethesda Dr
Ste 260
Zanesville, OH 43701
Phone (740) 450-4180
945 Bethesda Dr
Ste 330
Zanesville, OH 43701
Phone (740) 454-4038
Interoperability endpoints
- benjamin.gibson.p27@direct.pgseo.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 35097558 | OH | Yes |
Addresses
Primary practice location
1225 Woodlawn Ave Ste 114
Cambridge, OH 43725-3094
Mailing address
1225 Woodlawn Ave Ste 114
Cambridge, OH 43725-3094
Phone (740) 213-7129
Other practice location 1
905 N 21st St Ste D
Newark, OH 43055-7251
Phone (740) 255-5189
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0052742 | Medicaid | OH |
Other providers in Cambridge, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.