Doctor profile · Federal record
Dr. Jennie Gibson, PA-C
Physician Assistant · Physician Assistant · South Bend, IN
- NPI 1639886708
- Accepts Medicare
- 4 yrs in practice
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 4 locations .
- Primary practice
-
53880 Carmichael Dr
South Bend, IN 466351567
(574) 247-9441 - Additional location
-
2349 Lake Ave Ste 201
Plymouth, IN 465637837 - Additional location
-
303 S Nappanee St Ste F
Elkhart, IN 465142066 - Additional location
-
60160 Bodnar Blvd
Mishawaka, IN 465449338 - Mailing address
-
3600 W Bethel Ave
Muncie, IN 473045407
Show 1 more location
Credentials & registration
- NPI registered
- October 2022 — 4 yrs on file
- Profile last updated
- September 3, 2024
- Year of graduation
- 2022 — 4 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State licenses (2)
- Indiana #10003788A · Michigan #5601011393
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1639886708. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
97
Distinct HCPCS
2
Medicare allowed
$2,331
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
J1100 |
Injection, dexamethasone sodium phosphate, 1 mg | 74 | 14 | $0 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 23 | 20 | $101 |
In context: peer comparison
Among 14 peers in South Bend Physician Assistant, average services per provider: 107. This provider delivers 0.9× the peer median.Open Payments
Industry payments received
All-time total
$681
Transactions
12
Manufacturers
4
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Amgen INC. | 5 | $364.19 | |
| Radius Health, INC. | 4 | $153.26 | |
| Alexion Pharmaceuticals, INC. | 2 | $147.26 | |
| Orthofix Medical, INC. | 1 | $16.31 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
195
Patients
174
Total drug cost
$812
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Tramadol Hcl | Generic | 78 | 66 | $117 |
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 38 | 33 | $214 |
| Methylprednisolone | Generic | 36 | 34 | $272 |
| Oxycodone Hcl | Generic | 22 | 21 | $56 |
| Cephalexin | Generic | 21 | 20 | $152 |
Hospital affiliations
Frequently asked questions
What is Dr. Jennie Gibson's medical specialty?
Dr. Jennie Gibson practices Physician Assistant in South Bend, IN.
Where does Dr. Jennie Gibson practice?
Dr. Jennie Gibson practices at 53880 Carmichael Dr, South Bend, IN 466351567. Office phone: 5742479441.
What is Dr. Jennie Gibson's NPI?
Dr. Jennie Gibson's National Provider Identifier (NPI) is 1639886708, issued by NPPES.
Does Dr. Jennie Gibson accept Medicare assignment?
Yes. Dr. Jennie Gibson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jennie Gibson commonly perform?
Top Medicare-reported procedures in 2023: Injection, dexamethasone sodium phosphate, 1 mg (HCPCS J1100); Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.