BLAINE GIBBY D.O. – NPI #1013443555
Family Medicine

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.

Health Care Provider Taxonomy Code for Family Medicine

BLAINE GIBBY is a physician located in TWIN FALLS, ID. NPPES has assigned the NPI number 1013443555 to BLAINE GIBBY on May 03, 2017. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 2 years ago on May 01, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BLAINE GIBBY below.

NPI Profile for
BLAINE GIBBY

NPI Number
1013443555
Enumeration Date

(more than 9 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
BLAINE GIBBY
Credentials
D.O.
Primary location
730 N COLLEGE RD STE A&B
TWIN FALLS, ID 83301-3416
Phone: (208) 814-8000 Fax: (208) 933-4919
1 Other location(s):
804 S Walnut St
Freeman, SD 57029-2033
Phone: (605) 925-4219
Mailing address
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone: Fax:
Sole Proprietor
No
Updated
Certification Date
May 01, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for BLAINE GIBBY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidSD1013443555
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 SD 12127
390200000X
- Student in an Organized Health Care Education/Training Program

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED - Graduated 2017
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
BLAINE GIBBY is affiliated with the following medical group(s):
  • HOSPITAL
    • AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER
      1325 S CLIFF AVE POST OFFICE BOX 5045
      SIOUX FALLS, SD 57117
    • FREEMAN MEDICAL CENTER - CAH
      510 E 8TH ST POST OFFICE BOX 370
      FREEMAN, SD 57029
  • NURSING HOME
    • OAKVIEW TERRACE
      510 E 8TH ST
      FREEMAN, SD 57029

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If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
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Can I hide my NPI profile from the public?
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