NPIMap

Individual provider Active NPI

Ken Gibson

  • Family Medicine Physician
  • Trafford, PA
National Provider Identifier
1942278387
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD039674E Issued in PA
Practice address
833 State Route 130
Level Green Shoppes
Trafford, PA 15085-9700
Phone
(412) 856-7332
NPI assigned
Mar 10, 2006
Last updated
Apr 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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 MD039674E PA Primary

Addresses

Primary practice location

833 State Route 130
Level Green Shoppes
Trafford, PA 15085-9700

Mailing address

833 State Route 130
Level Green Shoppes
Trafford, PA 15085-9700

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ken.gibson@upmcdirect.com UPMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20100505001028 PA Practitioner - Family Practice 0547398976 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Jefferson Medical College of Thomas Jefferson University, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Upmc Community Medicine IncGroup PAC ID 2062318975, 736 clinicians

Practice addresses (Care Compare)

2 Hot Meal St
Pittsburgh, PA 15203-2348

3520 Route 130
Irwin, PA 15642-1438
Phone (724) 744-2043

4614 William Penn Hwy
Upmc Keystone Primary Care Ou Andtong
Murrysville, PA 15668-2004
Phone (724) 327-0212

6530 State Route 22 100
Delmont, PA 15626-1747
Phone (724) 468-6477

6530 State Route 22 200
Delmont, PA 15626-1747
Phone (412) 647-8384

833 State Route 130
Trafford, PA 15085-9700
Phone (412) 856-7332

875 N Hermitage Rd
Hermitage, PA 16148-3278

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.75 of 100Reported as group
Quality
70.53
Promoting interoperability
100
Improvement activities
40
Cost
75.31

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medcine Inc Family Medicine CurrentSince Oct 20, 1989 Accepting new patients
Upmc Community Medicine, Inc Current Accepting new patients
Upmc Community Medicine Inc Family Medicine CurrentSince Oct 20, 1989 Accepting new patients
William Penn Care Center Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Upmc Community Medicine Inc Family Medicine Past Accepting new patients

Locations

6530 State Route 22
Ste 200
Delmont, PA 15626
Phone (724) 468-5500

875 N Hermitage Rd
Ste 3
Hermitage, PA 16148
Phone (724) 347-4622

4614 Wm Penn Hwy
Murrysville, PA 15668
Phone (724) 327-0212

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

833 State Route 130
Trafford, PA 15085
Phone (412) 856-7332

Interoperability endpoints

  • Direct secure messaging: ken.gibson@upmcdirect.com

Organizations & group practices 6

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.

Hospital & facility affiliations 34

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

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1942278387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 STATE ROUTE 130",
            "address_2": "LEVEL GREEN SHOPPES",
            "city": "TRAFFORD",
            "state": "PA",
            "postal_code": "150859700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 STATE ROUTE 130",
            "address_2": "LEVEL GREEN SHOPPES",
            "city": "TRAFFORD",
            "state": "PA",
            "postal_code": "150859700",
            "telephone_number": "412-856-7332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "KEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2021-04-06",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD039674E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ken.gibson@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Trafford, PA

Sources for this page

Verify at the official NPI Registry.