Doctor profile · Federal record

Dr. SHELBY GIBBONS, PA-C

Surgical Physician Assistant (CMS: PHYSICIAN ASSISTANT) · Surgical Physician Assistant · BOISE, ID

  • NPI 1265009781
  • Accepts Medicare
  • 3 yrs in practice
  • Licensed in 2 states
  • Female
  • Group practice
  • No sanctions

Practice & contact

Operates at 7 locations .

NPPES Updated May 11, 2026
Primary practice
2619 W FAIRVIEW AVE STE 3100
BOISE, ID 837026722
(208) 706-2663
fax (208) 486-4300
Additional location
150 Andover Park W
Tukwila, WA 981882801
(425) 979-2663
fax (425) 524-4447
Additional location
1620 Lake Tapps Pkwy SE Ste 115
Auburn, WA 980928376
(253) 246-2860
fax (253) 246-2861
Show 4 more locations
Additional location
24060 SE Kent Kangley Rd Ste D-100
Maple Valley, WA 980386851
(425) 358-7708
fax (425) 656-5047
Additional location
27005 168th Pl SE Ste 201
Covington, WA 980424902
(253) 630-3660
fax (253) 631-1591
Additional location
4011 Talbot Rd S Ste 300
Renton, WA 980555791
(425) 656-5060
fax (425) 656-5047
Additional location
2619 W Fairview Ave, Suite 3100
Boise, ID 83702
Mailing address
190 E BANNOCK ST
BOISE, ID 837126241

Credentials & registration

NPPES · NUCC
NPI registered
June 2021 — 5 yrs on file
Profile last updated
May 8, 2024
Year of graduation
2023 — 3 yrs since
Specialty taxonomy
363AS0400X — NUCC code
State licenses (2)
Idaho #PA-2723 · Washington #PA61349330

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1265009781. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
261
Distinct HCPCS
4
Medicare allowed
$16,617
HCPCS Description Services Patients Avg allowed
99213 Established patient office or other outpatient visit, 20-29 minutes 113 87 $85
73630 X-ray of foot, minimum of 3 views 71 52 $34
73610 X-ray of ankle, minimum of 3 views 55 39 $37
99214 Established patient office or other outpatient visit, 30-39 minutes 22 18 $119

In context: peer comparison

Among 13 peers in this city , average services per provider: 47. This provider delivers 5.6× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$62
Transactions
2
Manufacturers
2
Payer (manufacturer) Industry Txns Amount
Sawtooth Surgical Solutions Inc 1 $37.10
Smith+Nephew, Inc. 1 $24.90

By nature of payment

Food and Beverage
$62

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
54
Patients
54
Total drug cost
$342
Drug Type Claims Patients Total cost
Oxycodone Hcl Generic 42 42 $268
Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) Brand 12 12 $74

Hospital affiliations

CMS Hospital Compare