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 .
- 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 - 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
Show 4 more locations
Credentials & registration
- 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
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
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
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
Medicare Part D · 2023
Top prescriptions
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 |