Individual provider Active NPI

Eric Nicholas Gibb, M.D.

  • Family Medicine Physician
  • Buena Vista, CO
National Provider Identifier
1659466019
Registry record updated Feb 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35510 Issued in CO
Practice address
907 S Main St
Buena Vista, CO 81211-2218
Phone
(719) 207-1951
Fax
(888) 516-1373
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35510 CO Primary

Addresses

Primary practice location

907 S Main St
Buena Vista, CO 81211-2218

Mailing address

PO Box 937
Buena Vista, CO 81211-0937
Phone (719) 207-1951

Other identifiers 1

IdentifierTypeStateIssuer
01355106MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2017 through Apr 1, 2027

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75.69 of 100Reported as group
Quality
71.4
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Medical Center of Buena Vista, PC Family Medicine PastSince Feb 13, 2008 Accepting new patients
Doug Johnson MD PC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487289600000",
    "number": "1659466019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 937",
            "city": "BUENA VISTA",
            "state": "CO",
            "postal_code": "812110937",
            "telephone_number": "719-207-1951",
            "fax_number": "888-516-1373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 S MAIN ST",
            "city": "BUENA VISTA",
            "state": "CO",
            "postal_code": "812112218",
            "telephone_number": "719-207-1951",
            "fax_number": "888-516-1373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBB",
        "first_name": "ERIC",
        "middle_name": "NICHOLAS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2017-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "35510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01355106",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buena Vista, CO

Sources for this page

Verify at the official NPI Registry.