Individual provider Active NPI

John W. Gibbs, D.O.

  • Orthopaedic Surgery Physician
  • Auburn, NY
National Provider Identifier
1962470443
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
247820 Issued in NY
Practice address
77 Nelson St Ste 120
Auburn, NY 13021-1900
Phone
(315) 252-7599
Fax
(315) 253-8104
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 247820 NY Primary

Addresses

Primary practice location

77 Nelson St Ste 120
Auburn, NY 13021-1900

Mailing address

17 Lansing St
Auburn, NY 13021-1983
Phone (315) 255-7576

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20090728000566 NY Practitioner - Orthopedic Surgery 9032139514 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of New England, College of Osteo Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Auburn Memorial Medical Services PCGroup PAC ID 6406931385, 121 clinicians

Practice addresses (Care Compare)

77 Nelson St
Suite 120
Auburn, NY 13021-1941
Phone (315) 252-7559

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Liverpool, NY, CCN 337255
  • Auburn Community Hospital Hospital, Auburn, NY, CCN 330235

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)63
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Auburn Memorial Medical Services, PC Orthopaedic Surgery CurrentSince May 1, 2025 Accepting new patients
Western New York Medical Practice P.C. CurrentSince Jan 1, 2015 Accepting new patients
Rochester General Hospital Orthopaedic Surgery CurrentSince Sep 3, 2015 Accepting new patients
The Unity Hospital of Rochester CurrentSince Aug 24, 2015 Accepting new patients
Auburn Community Hospital CurrentSince May 1, 2025 Accepting new patients
Auburn Community Hospital CurrentSince May 1, 2025 Accepting new patients
Auburn Memorial Medical Services, PC Orthopaedic Surgery CurrentSince May 1, 2025 Accepting new patients
Rochester General Hospital Orthopaedic Surgery CurrentSince Sep 3, 2015 Accepting new patients
The Unity Hospital of Rochester CurrentSince Aug 24, 2015 Accepting new patients

Locations

77 Nelson St
Ste 120
Auburn, NY 13021
Phone (315) 252-7550

2410 Ridgeway Ave
Rochester, NY 14626
Phone (585) 225-7150

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

125 Red Creek Dr
Ste 205
Rochester, NY 14623
Phone (585) 321-0110

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

125 Red Creek Dr
#205
Rochester, NY 14623
Phone (585) 321-0110

17 Lansing St
Sennett, NY 13021
Phone (315) 255-7011

Interoperability endpoints

  • Direct secure messaging: jgibbs@amms.medentdirect.com

Organizations & group practices 9

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 2

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1962470443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 LANSING ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130211983",
            "telephone_number": "315-255-7576",
            "fax_number": "315-702-8104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 NELSON ST STE 120",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130211900",
            "telephone_number": "315-252-7599",
            "fax_number": "315-253-8104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "JOHN",
        "middle_name": "W.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "247820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, NY

Sources for this page

Verify at the official NPI Registry.