Jerry M Gibbs (NPI# 1215156591, PAC ID# 8426115379) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1215156591 |
| PAC ID by PECOS | 8426115379 |
| Professional Enrollment ID | I20090320000527 |
| Full Name | Jerry M Gibbs |
| Organization Legal Name | HOUSTON RADIOLOGY ASSOCIATED |
| Address |
18300 Saint John Dr Houston TX 77058-6302 |
| Phone Number | 2812069020 |
| Gender | M |
| Medical School | UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 8022092451 |
| Number of Group Practice Members | 73 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450358 | HOUSTON METHODIST HOSPITAL |
| 450820 | HOUSTON METHODIST SUGARLAND HOSPITAL |
| 670077 | HOUSTON METHODIST WEST HOSPITAL |
| 670122 | HOUSTON METHODIST THE WOODLANDS HOSPITAL |
| 450844 | HOUSTON METHODIST WILLOWBROOK HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4401 Garth Rd, Baytown, TX 77521-2122 | 2812069020 | HOUSTON RADIOLOGY ASSOCIATED |
| 18220 State Hwy 249, Houston, TX 77070-4347 | 2812069020 | HOUSTON RADIOLOGY ASSOCIATED |
| 18300 Saint John Dr, Houston, TX 77058-6302 | 2812069020 | HOUSTON RADIOLOGY ASSOCIATED |
| 18500 Katy Fwy, Houston, TX 77094-1110 | 2812069020 | HOUSTON RADIOLOGY ASSOCIATED |
| 17201 Interstate 45 S, Shenandoah, TX 77385-3311 | 2812069020 | HOUSTON RADIOLOGY ASSOCIATED |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_076_overall | Prevention of Central Venous Catheter (CVC) - Related Bloodstream Infections | 100% | |
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 100% | |
| MIPS_EC_195_overall | Radiology: Stenosis Measurement in Carotid Imaging Reports | 100% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 100% |
| Organization Legal Name | HOUSTON RADIOLOGY ASSOCIATED |
| Physicians | 68 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan Levine | Diagnostic Radiology | Houston Radiology Associated | 18300 Saint John Dr, Houston, TX 77058-6302 |
| John A Hancock | Diagnostic Radiology | Houston Radiology Associated | 6565 Fannin St, Ms281, Houston, TX 77030-2703 |
| Michael Donaldson Luck | Diagnostic Radiology | Houston Radiology Associated | 18300 Saint John Dr, Houston, TX 77058-6302 |
| Mark Alfred Sultenfuss | Diagnostic Radiology | Houston Radiology Associated | 18300 Saint John Dr, Houston, TX 77058-6302 |
| Jerry W Polasek | Diagnostic Radiology | Houston Radiology Associated | 18500 Katy Fwy, Houston, TX 77094-1110 |
| Andrew G Tenn | Diagnostic Radiology | Houston Radiology Associated | 6565 Fannin St, Ms281, Houston, TX 77030-2703 |
| Nam Yu | Diagnostic Radiology | Houston Radiology Associated | 18300 Saint John Dr, Houston, TX 77058-6302 |
| Kapil Shroff | Diagnostic Radiology | Houston Radiology Associated | 6565 Fannin St, Ms281, Houston, TX 77030-2703 |
| John L Haddad | Diagnostic Radiology | Houston Radiology Associated | 6565 Fannin St, Ms281, Houston, TX 77030-2703 |
| Morris A Weiner | Diagnostic Radiology | Houston Radiology Associated | 18220 State Hwy 249, Houston, TX 77070-4347 |
| Street Address |
18300 SAINT JOHN DR |
| City | HOUSTON |
| State | TX |
| Zip | 77058-6302 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Loc T Nguyen | Anesthesiology | Space City Anesthesia | 18300 Saint John Dr, Houston, TX 77058-6302 |
| Jonathan Levine | Diagnostic Radiology | Houston Radiology Associated | 18300 Saint John Dr, Houston, TX 77058-6302 |
| Brooke Straub | Anesthesiology Assistant | Space City Anesthesia | 18300 Saint John Dr, Houston, TX 77058-6302 |
| Michael Mcinroe | Anesthesiology | Space City Anesthesia | 18300 Saint John Dr, Houston, TX 77058-6302 |
| Michael Donaldson Luck | Diagnostic Radiology | Houston Radiology Associated | 18300 Saint John Dr, Houston, TX 77058-6302 |
| Mark Alfred Sultenfuss | Diagnostic Radiology | Houston Radiology Associated | 18300 Saint John Dr, Houston, TX 77058-6302 |
| Nam Yu | Diagnostic Radiology | Houston Radiology Associated | 18300 Saint John Dr, Houston, TX 77058-6302 |
| Mark Savrick | Anesthesiology | Space City Anesthesia | 18300 Saint John Dr, Houston, TX 77058-6302 |
| Lucho L Rossman | Diagnostic Radiology | Houston Radiology Associated | 18300 Saint John Dr, Houston, TX 77058-6302 |
| Steven S Coggins | Anesthesiology | Space City Anesthesia | 18300 Saint John Dr, Houston, TX 77058-6302 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark Barlow | Plastic and Reconstructive Surgery | 2060, Suite 310, Nassau Bay, TX 77058 | |
| Tikisha L Smith | Nurse Practitioner | Minuteclinic Diagnostic of Texas LLC | 2469 Bay Area Blvd, Houston, TX 77058-1519 |
| Cindy N Berthelot | Dermatology | 2565 Bay Area Blvd, Houston, TX 77058-1521 | |
| Amy M Lord | Clinical Social Worker | Carole and Ronald Krist Samaritan Counseling Center | 16441 Space Ctr Blvd, Suite C100, Houston, TX 77058-2015 |
| Jacklin G Tawadrous | Psychologist, Clinical | Carole and Ronald Krist Samaritan Counseling Center | 16441 Space Ctr Blvd, Suite C100, Houston, TX 77058-2015 |
| Holly M Teitsma | Psychologist, Clinical | Carole and Ronald Krist Samaritan Counseling Center | 16441 Space Ctr Blvd, Suite C100, Houston, TX 77058-2015 |
| Athena R Patelis | Psychologist, Clinical | Carole and Ronald Krist Samaritan Counseling Center | 16441 Space Ctr Blvd, Suite C100, Houston, TX 77058-2015 |
| Lauren Wood | Clinical Social Worker | Carole and Ronald Krist Samaritan Counseling Center | 16441 Space Ctr Blvd, Suite C100, Houston, TX 77058-2015 |
| Vissett Scott Sun | Optometry | Hopping Eye Associates Ltd LLP | 1234 Bay Area Blvd E, Houston, TX 77058-2538 |
| Desiree Hopping | Optometry | Hopping Eye Associates Ltd LLP | 1234 Bay Area Blvd E, Houston, TX 77058-2538 |
| Find all physicians in zip 77058 | |||
| City | HOUSTON |
| Zip Code | 77058 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | HOUSTON + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Jerry M Gibbs.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.