DR. ROBERT RANDALL GIBSON MD NPI 1700904406

NPI Information

  • NPI: 1700904406
  • Provider Name: DR. ROBERT RANDALL GIBSON, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 212 CARLANNA LAKE RD STE 100
    KETCHIKAN, AK
    ZIP 99901
  • Phone: (907) 228-8140

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NPI Details

DR. Robert Randall Gibson, MD is a family medicine in Ketchikan, AK. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Robert Randall Gibson, MD NPI is 1700904406. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

212 CARLANNA LAKE RD STE 100
KETCHIKAN, AK
ZIP 99901-642
Phone: (907) 228-8140

The NPI 1700904406 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)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen (HCPCS:87635)
  • Sarscov2 vac 50mcg/0.25ml im (HCPCS:91306)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • Hemoglobin a1c level (HCPCS:83036)
  • Telephone medical discussion with physician, 21-30 minutes (HCPCS:99443)
  • Telehealth originating site facility fee (HCPCS:Q3014)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Coronavirus vaccine 14 (HCPCS:91313)
  • Automated urinalysis test (HCPCS:81003)
  • Urine microalbumin (protein) analysis (HCPCS:82044)
  • Creatinine level to test for kidney function or muscle injury (HCPCS:82570)
  • X-ray of chest, 2 views (HCPCS:71046)

The enumeration date for this NPI number is 3/27/2007 and was last updated on 1/25/2013.

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
1207Q00000XFamily MedicineA51581CALIFORNIANo
2207Q00000XFamily Medicine29061COLORADONo
3207Q00000XFamily Medicine5493ALASKAYes

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
1MD3965MEDICAIDALASKA
28EB631MEDICARE PINALASKA
3U56146MEDICARE UPINALASKA

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: 3/30/2025

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