Kibibi Gaughan, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD440939 Issued in PA

Practice address

101 Fairview Cir
Lebanon, PA 17042-9581

Phone

(717) 279-7303

Fax

(717) 279-7471

NPI assigned

Jan 16, 2007

Last updated

Oct 17, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in PA

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.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wellspan Vna Home Care Home health agency, York, PA, CCN 397004
• Amedisys Home Health Home health agency, Lancaster, PA, CCN 397401
• Wellspan Vna Home Care Hospice, Lebanon, PA, CCN 391561
• Wellspan Good Samaritan Hospital Hospital, Lebanon, PA, CCN 390066
• Wellspan York Hospital Hospital, York, PA, CCN 390046
• Upmc Pinnacle Hospitals Hospital, Harrisburg, PA, CCN 390067
• Milton S Hershey Medical Center Hospital, Hershey, PA, CCN 390256

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kgaughan14210@wellspan.direct-ci.com

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.

• Wellspan Medical Group

  dba WellSpan Digestive Health

  • Gastroenterology Physician
  • York, PA
  • NPI 1669770004
  Medicare reassignment Care Compare group NPD
• Wellspan Medical Group

  dba WellSpan Family Medicine - Waynesboro

  • Family Medicine Physician
  • Waynesboro, PA
  • NPI 1053024778
  NPD
• Wellspan Medical Group

  dba WellSpan Pediatric Surgical Specialist

  • Pediatric Surgery Physician
  • York, PA
  • NPI 1104799428
  NPD

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

• Amedisys Pennsylvania, L.L.C.

  dba Amedisys Home Health

  • Home Health Agency
  • Lancaster, PA
  • NPI 1780889402
  Care Compare affiliation Name & address match
• The Good Samaritan Hospital of Lebanon, Pennsylvania

  dba WellSpan Good Samaritan Hospital

  • Ambulatory Surgical Clinic/Center
  • Lebanon, PA
  • NPI 1205902343

  Hospital

  Care Compare affiliation
• The Good Samaritan Hospital of Lebanon, Pennsylvania

  dba WellSpan Good Samaritan Hospital

  • General Acute Care Hospital
  • Lebanon, PA
  • NPI 1407928500
  Care Compare affiliation
• The Good Samaritan Hospital of Lebanon, Pennsylvania

  dba WellSpan Good Samaritan Hospital

  • Emergency Medicine Physician
  • Lebanon, PA
  • NPI 1730754284

  Hospital

  Care Compare affiliation
• The Milton S Hershey Medical Center

  • General Acute Care Hospital
  • Hershey, PA
  • NPI 1568435477
  Care Compare affiliation
• Upmc Pinnacle Hospitals

  • Ambulatory Surgical Clinic/Center
  • Harrisburg, PA
  • NPI 1164526588

  Hospital

  Care Compare affiliation
• Upmc Pinnacle Hospitals

  • General Acute Care Hospital
  • Harrisburg, PA
  • NPI 1265537674
  Care Compare affiliation
• Upmc Pinnacle Hospitals

  • Ambulatory Surgical Clinic/Center
  • Harrisburg, PA
  • NPI 1346344769

  Hospital

  Care Compare affiliation
• Upmc Pinnacle Hospitals

  • General Acute Care Hospital
  • Harrisburg, PA
  • NPI 1407813603
  Care Compare affiliation
• Upmc Pinnacle Hospitals

  • Ambulatory Surgical Clinic/Center
  • Harrisburg, PA
  • NPI 1528940962

  Hospital

  Care Compare affiliation
• Upmc Pinnacle Hospitals

  • Ambulatory Surgical Clinic/Center
  • Mechanicsburg, PA
  • NPI 1922425651

  Hospital

  Care Compare affiliation
• Upmc Pinnacle Hospitals

  dba UPMC Pinnacle West Shore

  • General Acute Care Hospital
  • Mechanicsburg, PA
  • NPI 1972613305
  Care Compare affiliation

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

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    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1902957905",
    "addresses": [
        {
            "country_code": "US",
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            "address_1": "601 MEMORY LN",
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            "postal_code": "174022231",
            "telephone_number": "717-259-7303",
            "fax_number": "717-279-7471"
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        {
            "country_code": "US",
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            "address_1": "101 FAIRVIEW CIR",
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            "postal_code": "170429581",
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            "fax_number": "717-279-7471"
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    ],
    "practiceLocations": [
        {
            "address_1": "105 4th St # 727",
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        {
            "address_1": "2 Keefer Dr",
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        },
        {
            "address_1": "3193 Cape Horn Rd",
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        {
            "address_1": "264 Granite Run Dr",
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            "country_code": "US",
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        {
            "address_1": "13515 Wolfe Rd Ste C",
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            "country_code": "US",
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            "country_name": "United States",
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            "address_1": "1790 Old Trail Rd Ste A",
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            "country_code": "US",
            "telephone_number": "717-938-6588",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 W Swartzville Rd",
            "address_purpose": "LOCATION",
            "city": "Reinholds",
            "state": "PA",
            "postal_code": "175699641",
            "country_code": "US",
            "telephone_number": "717-484-4347",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "354 Alexander Spring Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Carlisle",
            "state": "PA",
            "postal_code": "170157451",
            "country_code": "US",
            "telephone_number": "717-477-2764",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 E Main St",
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            "city": "Waynesboro",
            "state": "PA",
            "postal_code": "172682332",
            "country_code": "US",
            "telephone_number": "717-765-5085",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1575 Bannister St Ste 1",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174044946",
            "country_code": "US",
            "telephone_number": "717-812-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 W King St Ste C",
            "address_purpose": "LOCATION",
            "city": "Littlestown",
            "state": "PA",
            "postal_code": "173401446",
            "country_code": "US",
            "telephone_number": "717-339-2390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4131A Oregon Pike",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175229550",
            "country_code": "US",
            "telephone_number": "717-859-1123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Frederick St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Hanover",
            "state": "PA",
            "postal_code": "173313518",
            "country_code": "US",
            "telephone_number": "717-851-7050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 Monument Rd Ste 140",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174035057",
            "country_code": "US",
            "telephone_number": "717-741-8003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1135 Georgetown Rd Unit 201",
            "address_purpose": "LOCATION",
            "city": "Christiana",
            "state": "PA",
            "postal_code": "175099543",
            "country_code": "US",
            "telephone_number": "717-466-2462",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "46 Walnut Bottom Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Shippensburg",
            "state": "PA",
            "postal_code": "172578219",
            "country_code": "US",
            "telephone_number": "717-532-4148",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "820 Chambersburg Rd",
            "address_purpose": "LOCATION",
            "city": "Gettysburg",
            "state": "PA",
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            "country_code": "US",
            "telephone_number": "717-337-4410",
            "country_name": "United States",
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        },
        {
            "address_1": "40 V Twin Dr Ste 204",
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            "state": "PA",
            "postal_code": "173257878",
            "country_code": "US",
            "telephone_number": "717-339-2424",
            "country_name": "United States",
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        },
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            "address_1": "2060 Carlisle Rd",
            "address_purpose": "LOCATION",
            "city": "Aspers",
            "state": "PA",
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            "country_code": "US",
            "telephone_number": "717-339-2585",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1575 Bannister St Ste 1",
            "address_purpose": "LOCATION",
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            "state": "PA",
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            "country_code": "US",
            "telephone_number": "717-812-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 N 4th St Fl 2",
            "address_purpose": "LOCATION",
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            "state": "PA",
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            "country_code": "US",
            "telephone_number": "717-274-0474",
            "fax_number": "717-270-2374",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "720 Norman Dr",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170427481",
            "country_code": "US",
            "telephone_number": "717-639-3230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 Roosevelt Ave",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174042244",
            "country_code": "US",
            "telephone_number": "717-356-6250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 Perri Ave",
            "address_purpose": "LOCATION",
            "city": "Myerstown",
            "state": "PA",
            "postal_code": "170673200",
            "country_code": "US",
            "telephone_number": "717-949-6581",
            "fax_number": "717-949-2816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAUGHAN",
        "first_name": "KIBIBI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD440939",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "226201",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025290710001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "6538657",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9211298",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "2545705",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY HEALTH PLAN",
            "identifier": "1591119",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donald E. Garrison, D.O.
• Quincy Ann Garrison
• Kerri Marie Garruba, PSY.D., ABPP
• Andrea Gately, A-GNP-C
• Cheryl L Gates, CRNP
• Sandra L Gaviola, RRT
• Christy Gazdziak, FNP-BC
• McKenna Geesey, PHARMD
• Lisa S Gehenio, CRNP
• Tanya Geiger-Bromery, MD

• Family Medicine Physician in Lebanon, PA
• Providers in Lebanon, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; 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.