WILFORD K GIBSON MD
NPI 1184681678
Orthopaedic Surgery in Norfolk, VA

Quality Rating: 75 out of 100 score

NPI Status: Active since April 27, 2006

Contact Information

6160 KEMPSVILLE CIR
SUITE 200B
NORFOLK, VA
ZIP 23502
Phone: (757) 321-3383
Fax: (757) 321-3332

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Table of Contents

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Medicare Participation & PECOS Status
Areas of Expertise
Durable Medical Equipment
Physician Visit Costs
Overall Quality Performance
Quality Reporting
Hospital Affiliations - Privileges
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Years of Experience 41
Orthopaedic Surgery
Accepts Medicare Approved Payment
PECOS Enrolled
Medicare Quality Reporting

About WILFORD GIBSON

This page provides the complete NPI Profile along with additional information for Wilford Gibson, a provider established in Norfolk, Virginia with a medical specialization in Orthopaedic Surgery and more than 41 years of experience. The healthcare provider is registered in the NPI registry with number 1184681678 assigned on April 2006. The practitioner's primary taxonomy code is 207X00000X with license number 0101040284 (VA). The provider is registered as an individual and his NPI record was last updated 10 years ago.

NPI: 1184681678
Provider Name: WILFORD K GIBSON MD
Gender: Male
Entity Type: Individual
Location Address: 6160 KEMPSVILLE CIR SUITE 200B NORFOLK, VA 23502
Location Phone: (757) 321-3383
Location Fax: (757) 321-3332
Mailing Address: 230 CLEARFIELD AVENUE SUITE 124 VIRGINIA BEACH, VA 23462
Mailing Phone: (757) 321-3383
Mailing Fax: (757) 321-3332
Medical School Name: OTHER
Graduation Year: 1985
Is Sole Proprietor?: No
Enumeration Date: 04-27-2006
Last Update Date: 09-15-2015
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Orthopaedic Surgery
Taxonomy Code: 207X00000X
Type: Allopathic & Osteopathic Physicians
License No.: 0101040284
License State: VA
Taxonomy Description: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State
F80367	MEDICARE UPIN (02)
6403999	MEDICAID (05)	VA
200000943	MEDICARE PIN (08)	VA

Medicare Participation & PECOS Enrollment Status

Wilford Gibson is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Wilford Gibson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
PECOS PAC ID: 8921083387
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.
PECOS Enrollment ID: I20040621000628
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.
Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

DME-Other DME (DE000N)
Walker, folding, wheeled, adjustable or fixed height (HCPCS:E0143)
1 DME suppliers used 18 Medicare Claims 18 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Aspiration and/or injection of fluid from large joint
Computer-assisted surgery for muscle and bone procedure
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Established patient office or other outpatient visit, 40-54 minutes
Hip replacement
Initial hospital inpatient care per day, typically 50 minutes
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
Knee replacement
Lower limb (leg) arthroscopy (minimally invasive joint repair)
New patient office or other outpatient visit, 30-44 minutes
New patient office or other outpatient visit, 45-59 minutes
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and
Replacement of knee joint, both sides of knee
Replacement of thigh bone and hip joint with prosthesis
Upper limb (arm) arthroscopy (minimally invasive joint repair)
X-ray of both hips, 3-4 views
X-ray of hip, 2-3 views
X-ray of knee, 3 views
X-ray of shoulder, minimum of 2 views

Physician Visit Costs

The typical physician office visit costs for Medicare beneficiaries in this area are: $21.72 for a new patient copayment and $17.52 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 23502 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

Average New Patient Price $86.88
Minimum New Patient Price $56.19
Maximum New Patient Price $170.3

Average New Patient Copayment $21.72
Minimum New Patient Copayment $14.04
Maximum New Patient Copayment $42.57

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

Average Established Patient Price $70.08
Minimum Established Patient Price $18.07
Maximum Established Patient Price $138.91

Average Established Patient Copayment $17.52
Minimum Established Patient Copayment $4.51
Maximum Established Patient Copayment $34.72

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 75, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

Final Score: 75 out of 100

The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
Quality Score: N/A

The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability Score: N/A

The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities Score: N/A

The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost Score: N/A

The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
Cost Score: N/A

The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure	Performance	Number of Patients
Consultation of the Prescription Drug Monitoring Program	Yes	N/A
Clinicians would attest to reviewing the patients’ history of controlled substance prescription using state prescription drug monitoring program (PDMP) data prior to the issuance of a Controlled Substance Schedule II (CSII) opioid prescription lasting longer than 3 days. For the transition year, clinicians would attest to 60 percent review of applicable patient’s history. For the Quality Payment Program Year 2 and future years, clinicians would attest to 75 percent review of applicable patient’s history performance.
Documentation of Current Medications in the Medical Record	98%	2947
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration
e-Prescribing	78%	41
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
Medication Reconciliation	96%	658
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
Patient-Specific Education	95%	1734
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
Pneumococcal Vaccination Status for Older Adults	0%	790
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan	16%	1602
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2
Preventive Care and Screening: Influenza Immunization	0%	702
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	59%	113
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record	Yes	N/A
• Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following: • Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care); • Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/or Provision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management.
Provide Education Opportunities for New Clinicians	Yes	N/A
MIPS eligible clinicians acting as a preceptor for clinicians-in-training (such as medical residents/fellows, medical students, physician assistants, nurse practitioners, or clinical nurse specialists) and accepting such clinicians for clinical rotations in community practices in small, underserved, or rural areas.
Provide Patient Access	96%	1734
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information.
Secure Messaging	4%	1734
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period.
Security Risk Analysis	Yes	N/A
Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process.
Syndromic Surveillance Reporting	Yes	N/A
The MIPS eligible clinician is in active engagement with a public health agency to submit syndromic surveillance data. To earn a 5 % bonus in the promoting interoperability performance category score for submitting to one or more public health or clinical data registries also attest to PI_TRANS_PHCDRR_2_MULTI.
Use of High-Risk Medications in the Elderly	1% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better.	790
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication. 2) Percentage of patients who were ordered at least two of the same high-risk medication

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Wilford Gibson is affiliated with the following medical facilities:

Hospital Name	Address	Phone	Hospital Type
BON SECOURS MARYVIEW MEDICAL CENTER	3636 HIGH STREET PORTSMOUTH, VA 23707	(757) 398-2200	Acute Care Hospitals
SENTARA LEIGH HOSPITAL	830 KEMPSVILLE ROAD NORFOLK, VA 23502	(757) 261-6700	Acute Care Hospitals
SENTARA VIRGINIA BEACH GENERAL HOSPITAL	1060 FIRST COLONIAL ROAD VIRGINIA BEACH, VA 23454	(757) 395-8000	Acute Care Hospitals

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	1	8	4	6	8	1	6	7	8
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	1	16	4	12	8	2	6	14
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 6 + 4 + 1 + 2 + 8 + 2 + 6 + 1 + 4 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 8									8

The NPI number 1184681678 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 20 providers are registered at the same or nearby location.

NPI	Name / Type	Taxonomy	Address
1679578967	DR. GEORGE WILKINS HUBBARD MD Individual	Specialist	6160 KEMPSVILLE CIR STE 101B NORFOLK, VA 23502 (757) 461-2515
1740285030	DR. STEPHEN DAVID WOHLGEMUTH MD Individual	Specialist	6160 KEMPSVILLE CIR STE 101B NORFOLK, VA 23502 (757) 461-2515
1821093113	DR. GEORGE HOFFMAN MD Individual	Specialist	6160 KEMPSVILLE CIR STE 101B NORFOLK, VA 23502 (757) 461-2515
1720077431	DR. ANTHONY W ZYDLEWSKI MD Individual	Internal Medicine (Nephrology)	6160 KEMPSVILLE CIR SUITE 302A NORFOLK, VA 23502 (757) 466-9288
1679543078	MS. WINIFRED DIANE BRAGG MD Individual	Physical Medicine & Rehabilitation (Pain Medicine)	6160 KEMPSVILLE CIR STE 303A NORFOLK, VA 23502 (757) 333-3360
1972556041	PAULETTE BROWN MPA, PA-C Individual	Physician Assistant (Surgical)	6160 KEMPSVILLE CIR SUITE 317 B NORFOLK, VA 23502 (757) 461-4278
1023050465	SOUTHERN SURGICAL ASSOCIATES, PLLC T/A NORFOLK SURGICAL GROUP Organization	Specialist	6160 KEMPSVILLE CIR SUITE 101B NORFOLK, VA 23502 (757) 461-2515
1073725099	LISA ZOCCO P C Organization	Psychologist	6160 KEMPSVILLE CIR SUITE 327A NORFOLK, VA 23502 (757) 466-7300
1578700647	JENNIFER LYNN DOBUCKI DPT Individual	Physical Therapist	6160 KEMPSVILLE CIR #303A NORFOLK, VA 23502 (757) 333-3360
1053375238	DR. CHRISTOPHER KARRER HERSH M.D. Individual	Orthopaedic Surgery (Hand Surgery)	6160 KEMPSVILLE CIR SUITE 102A NORFOLK, VA 23502 (757) 461-8300
1962698720	SANDEEP MAGOON MD Individual	Internal Medicine (Nephrology)	6160 KEMPSVILLE CIR SUITE 302A NORFOLK, VA 23502 (757) 466-9288
1457740458	RBH MD LLC Organization	Clinic/Center (Medical Specialty)	6160 KEMPSVILLE CIR SUITE 102-A NORFOLK, VA 23502 (757) 461-3141
1043275803	JOANN WEBBER DERVAY MD Individual	Physical Medicine & Rehabilitation (Pain Medicine)	6160 KEMPSVILLE CIR SUITE 200B NORFOLK, VA 23502 (757) 321-3383
1861459422	DR. JOHN J SCHAFFER MD Individual	Orthopaedic Surgery	6160 KEMPSVILLE CIR SUITE 200B NORFOLK, VA 23502 (757) 321-3383
1639125271	VANN-VIRGINIA CENTER FOR ORTHOPAEDICS PC Organization	Orthopaedic Surgery	6160 KEMPSVILLE CIR SUITE 200 B NORFOLK, VA 23502 (757) 321-3300
1982880191	DR. MICHAEL ANDREW CAMPBELL MD Individual	Orthopaedic Surgery	6160 KEMPSVILLE CIR SUITE 200B NORFOLK, VA 23502 (757) 321-3383
1083976948	JONATHAN ALEXANDER HULL PA-C Individual	Physician Assistant	6160 KEMPSVILLE CIR SUITE 200B NORFOLK, VA 23502 (757) 321-3383
1568998151	STEEL CITY LLC Organization	Pharmacy (Community/Retail Pharmacy)	6160 KEMPSVILLE CIR SUITE 104A NORFOLK, VA 23502 (757) 800-1601
1609831742	J ABBOTT BYRD III MD Individual	Orthopaedic Surgery	6160 KEMPSVILLE CIR SUITE 200B NORFOLK, VA 23502 (757) 321-3383
1114017803	NORFOLK HAND SURGERY CENTER IN Organization	Orthopaedic Surgery (Hand Surgery)	6160 KEMPSVILLE CIR 102A NORFOLK, VA 23502 (757) 461-8300

Frequently Asked Questions

What is Wilford Gibson MD NPI number?

The NPI number assigned to this healthcare provider is 1184681678, enumerated in the NPI registry as an "individual" on April 27, 2006

Where is the provider located?

The provider is located at 6160 Kempsville Cir Suite 200b Norfolk, Va 23502 and the phone number is (757) 321-3383

What is the provider specialty code?

The provider's speciality is Orthopaedic Surgery with taxonomy code 207X00000X

How many years of experience does Wilford Gibson MD have?

The provider has more than 41 years of experience.

What insurance does Wilford Gibson MD accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Is Wilford Gibson MD registered in PECOS?

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

How much is a visit to Wilford Gibson MD?

Medicare beneficiaries should expect a typical cost of $86.88 with an average copayment of $21.72 for new patient appointments. Established patients should expect a typical charge of $70.08 and an average copayment of 17.52. Please review your insurance plan or contact the provider directly to determine your specific costs.

What are some of the services provided by Wilford Gibson MD?

The most common procedures or services performed by this practitioner are: Aspiration and/or injection of fluid from large joint, Computer-assisted surgery for muscle and bone procedure, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Established patient office or other outpatient visit, 40-54 minutes, Hip replacement, Initial hospital inpatient care per day, typically 50 minutes, Injection, triamcinolone acetonide, not otherwise specified, 10 mg, Knee replacement, Lower limb (leg) arthroscopy (minimally invasive joint repair), New patient office or other outpatient visit, 30-44 minutes, New patient office or other outpatient visit, 45-59 minutes, Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and, Replacement of knee joint, both sides of knee, Replacement of thigh bone and hip joint with prosthesis, Upper limb (arm) arthroscopy (minimally invasive joint repair), X-ray of both hips, 3-4 views, X-ray of hip, 2-3 views, X-ray of knee, 3 views and X-ray of shoulder, minimum of 2 views.

Is Wilford Gibson MD affiliated to any hospitals?

The practitioner is affiliated to the following hospital(s): BON SECOURS MARYVIEW MEDICAL CENTER, SENTARA LEIGH HOSPITAL and SENTARA VIRGINIA BEACH GENERAL HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

How do I update my NPI information?

This NPI record was last updated on April 27, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.

About WILFORD GIBSON

Location Map

Specialty - Primary Taxonomy

Orthopaedic Surgery

Insurance Plans Accepted

Additional Identifiers

Medicare Participation & PECOS Enrollment Status

Is the provider registered in PECOS? Yes

PECOS PAC ID: 8921083387

PECOS Enrollment ID: I20040621000628

Accepts Medicare Assignment? Yes

Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

Eligible to Order or Refer a Home Health Agency (HHA): Yes

Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

Durable Medical Equipment

Areas of Expertise

Aspiration and/or injection of fluid from large joint

Computer-assisted surgery for muscle and bone procedure

Established patient office or other outpatient visit, 20-29 minutes

Established patient office or other outpatient visit, 30-39 minutes

Established patient office or other outpatient visit, 40-54 minutes

Hip replacement

Initial hospital inpatient care per day, typically 50 minutes

Injection, triamcinolone acetonide, not otherwise specified, 10 mg

Knee replacement

Lower limb (leg) arthroscopy (minimally invasive joint repair)

New patient office or other outpatient visit, 30-44 minutes

New patient office or other outpatient visit, 45-59 minutes

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and

Replacement of knee joint, both sides of knee

Replacement of thigh bone and hip joint with prosthesis

Upper limb (arm) arthroscopy (minimally invasive joint repair)

X-ray of both hips, 3-4 views

X-ray of hip, 2-3 views

X-ray of knee, 3 views

X-ray of shoulder, minimum of 2 views

Physician Visit Costs

New Patients Visit Costs *

Established Patients Visit Costs *

Overall MIPS Quality Performance

Final Score: 75 out of 100

Quality Score: N/A

Promoting Interoperability Score: N/A

Improvement Activities Score: N/A

Cost Score: N/A