Kyle Gibson

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

087297 Issued in IA

Practice address

5409 Avenue O
Fort Madison, IA 52627-9601

Phone

(319) 376-1135

NPI assigned

Apr 27, 2017

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

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southeast Iowa Regional Medical Center Inc 259 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southeast Iowa Regional Medical Center Hospital, West Burlington, IA, CCN 160057
• Henry County Health Center Hospital, Mount Pleasant, IA, CCN 161356

Merit-based Incentive Payment System (MIPS)

Final score

77.06 of 100Reported as group

Quality

64.36

Promoting interoperability

81

Improvement activities

40

Cost

75.01

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kgibson@fmchosp.gwaydirect.com

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.

• Southeast Iowa Regional Medical Center, Inc.

  • General Practice Physician
  • West Burlington, IA
  • NPI 1164433884

  IA

  Medicare reassignment Care Compare group NPD
• Henry County Health Center Inc

  • General Practice Physician
  • Mount Pleasant, IA
  • NPI 1871177477

  IA

  Medicare reassignment NPD
• Southeast Iowa Regional Medical Center, Inc.

  • Home Health Agency
  • West Burlington, IA
  • NPI 1760461644
  Care Compare group NPD (past)
• Southeast Iowa Regional Medical Center, Inc.

  • Community Based Hospice Care Agency
  • West Burlington, IA
  • NPI 1053315002
  Care Compare group
• Southeast Iowa Regional Medical Center, Inc.

  • General Acute Care Hospital
  • West Burlington, IA
  • NPI 1134168263
  Care Compare group
• Southeast Iowa Regional Medical Center, Inc.

  • Skilled Nursing Facility
  • West Burlington, IA
  • NPI 1265411144
  Care Compare group
• Southeast Iowa Regional Medical Center, Inc.

  • Specialty Pharmacy
  • West Burlington, IA
  • NPI 1679329395
  Care Compare group
• Henry County Health Center, Inc.

  • Medicare Defined Swing Bed Hospital Unit
  • Mount Pleasant, IA
  • NPI 1346824943
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Henry County Health Center, Inc.

  • Critical Access Hospital
  • Mount Pleasant, IA
  • NPI 1811571417

  Hospital

  Care Compare affiliation
• Southeast Iowa Regional Medical Center, Inc.

  • General Acute Care Hospital
  • West Burlington, IA
  • NPI 1134168263

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1679008635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10050 S ROUTE N",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652038998",
            "telephone_number": "573-808-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5409 AVENUE O",
            "city": "FORT MADISON",
            "state": "IA",
            "postal_code": "526279601",
            "telephone_number": "319-376-1135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "KYLE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-27",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "087297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fort Madison Health Center, Inc.
• Fort Madison Lenscrafters
• Nichole Robin Francis, ARNP-C
• Sara M Garcia, PHARM. D.
• Amanda Christine Garr, ARNP
• Amy Gnann, FNP
• Richard Mark Goddard, M.D.
• Christina Goebel, MD
• Robert J Goodwill, M.D.
• Tatenda Goronga, MD

• All providers in Fort Madison, IA
• Physician Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; 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.