DR. GLEN R GIBSON MD NPI 1609874973

NPI Information

  • NPI: 1609874973
  • Provider Name: DR. GLEN R GIBSON, MD
  • Classification: Surgery - 2086X0206X
  • Specialization: Surgical Oncology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2003 MEDICAL PKWY
    SUITE 301
    ANNAPOLIS, MD
    ZIP 21401
  • Phone: (410) 266-9966

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NPI Details

DR. Glen R Gibson, MD is a surgical oncology surgery in Annapolis, MD with 29 years of experience. The provider is a surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. DR. Glen R Gibson, MD NPI is 1609874973. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1997

The provider's business location address is:

2003 MEDICAL PKWY
SUITE 301
ANNAPOLIS, MD
ZIP 21401-992
Phone: (410) 266-9966
Fax: (410) 266-6819

The NPI 1609874973 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Repair of abdomen using abdominal lining graft (HCPCS:49905)
  • Imaging of lymph nodes during surgery (HCPCS:38900)
  • Removal of gallbladder using an endoscope (HCPCS:47562)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Biopsy or removal of deep lymph nodes of underarm (HCPCS:38525)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Partial removal of liver tissue (HCPCS:47100)
  • Removal or destruction of cysts or growths of abdominal cavity, 5.0 cm or less (HCPCS:49203)
  • Colonoscopy (HCPCS:NAN13)
  • Hernia repair (minimally invasive) (HCPCS:NAN16)
  • Mastectomy (HCPCS:NAN04)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 7/12/2005 and was last updated on 12/5/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086X0206XSurgerySurgical OncologyD0062550MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1102077OTHERJHHC
2J91072MEDICARE UPIN
3148797ZADNMEDICARE PIN
41703604OTHERAMERICHOICE
5254989OTHERKAISER
6407972800MEDICAIDMARYLAND
7610307700OTHERFEDERAL WORKMANS COMP
82363265OTHERUNITED HEALTHCARE
93758040OTHERCIGNA
10K5850009OTHERBCBS DC
11145726104OTHERFEDERAL WORKMAN'S COMP (ANNE ARUNDEL MEDICAL CENTER)
1264670903OTHERBCBS (HOS)
1364670904OTHERBCBS (HOS)
1464670908OTHERBCBS
152137029OTHERMAMSI
163943260OTHERAETNA HMO
17129NM350MEDICARE PIN
180001OTHERBCBS
1964670901OTHERBCBS
207105042OTHERAETNA PPO
21287909OTHERAMERIGROUP
22407175105MEDICAIDMARYLAND
23P00422597MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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