NPIMap

Individual provider Active NPI

Terrie M Gibson, MD

  • Interventional Cardiology Physician
  • Oklahoma City, OK
National Provider Identifier
1770587784
Registry record updated Apr 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
23287 Issued in OK
Practice address
3433 NW 56TH St
Ste 400
Oklahoma City, OK 73112-4430
Phone
(405) 947-3341
NPI assigned
Jun 8, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 23287 OK
Interventional Cardiology Physician 207RI0011X 23287 OK Primary

Addresses

Primary practice location

3433 NW 56TH St
Ste 400
Oklahoma City, OK 73112-4430

Mailing address

3433 NW 56TH St
Ste 400
Oklahoma City, OK 73112-4430
Phone (405) 947-3341

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050531001007 OK Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5799727764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
Louisiana State University School of Medicine in Shreveport, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integris Cardiovascular Physicians LLCGroup PAC ID 3577730068, 116 clinicians

Practice addresses (Care Compare)

3433 NW 56TH St
Suite 400
Oklahoma City, OK 73112-4430
Phone (405) 947-3341

Hospital & facility affiliations

  • Integris Baptist Medical Center, Inc Hospital, Oklahoma City, OK, CCN 370028
  • Integris Canadian Valley Hospital Hospital, Yukon, OK, CCN 370211
  • Integris Health Edmond Hospital Hospital, Edmond, OK, CCN 370236
  • Integris Health Enid Hospital Hospital, Enid, OK, CCN 370016
  • Jackson County Memorial Hospital Authority Hospital, Altus, OK, CCN 370022

Merit-based Incentive Payment System (MIPS)

Final score
84.7 of 100Reported as group
Quality
73.46
Promoting interoperability
100
Improvement activities
40
Cost
69.29

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting22
Pacemaker insertion or repair11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Integris Cardiovascular Physicians LLC Cardiovascular Disease CurrentSince Nov 8, 2011 Accepting new patients
Integris Baptist Medical Center Inc Past Accepting new patients
Summit Medical Center Past Accepting new patients
Integris Baptist Associates Cardiovascular Disease Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

708 N Hill St
Hobart, OK 73651
Phone (580) 726-2325

118 S Louis Tittle Ave
Mangum, OK 73554
Phone (580) 782-2000

3300 NW Expressway St
Oklahoma City, OK 73112
Phone (405) 251-2815

3433 NW 56th St
Oklahoma City, OK 73112
Phone (405) 947-3341

3433 NW 56th St
Ste 400
Oklahoma City, OK 73112
Phone (405) 946-9831

1002 NE Highway 66
Ste 3
Sayre, OK 73662
Phone (580) 210-1565

1205 Health Center Pkwy
Ste 120
Yukon, OK 73099
Phone (405) 947-3341

1205 Health Center Pkwy
Ste 100
Yukon, OK 73099
Phone (405) 350-1882

Interoperability endpoints

  • Direct secure messaging: tgibson8499@direct.integrisok.com

Organizations & group practices 5

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.

Hospital & facility affiliations 8

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": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523491200000",
    "number": "1770587784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3433 NW 56TH ST",
            "address_2": "STE 400",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124430",
            "telephone_number": "405-947-3341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3433 NW 56TH ST",
            "address_2": "STE 400",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124430",
            "telephone_number": "405-947-3341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "TERRIE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-08",
        "last_updated": "2018-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OK",
            "license": "23287",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OK",
            "license": "23287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.