Carl Anthony Gibson, M.D.
Endocrinology, Diabetes & Metabolism Physician · Newport News, VA
Carl Anthony Gibson, M.D. is an endocrinology, diabetes & metabolism physician with a practice address in Newport News, Virginia, and NPI 1003888264, issued on Feb 2, 2006. Check the license (Virginia 0101242986, as entered in NPPES) on the Virginia Department of Health Professions; the Medicare figures below come from public CMS files.
- Name
- Carl Anthony Gibson
- Credential
- M.D.
- Primary taxonomy
- Endocrinology, Diabetes & Metabolism Physician 207RE0101X
- License number
- 0101242986 VA
Self-reported in NPPES; status is on the state search - Practice location
- 12200 Warwick Blvd, Newport News, VA 23601
- Phone
- (757) 534-5909
- Enumerated
- Feb 2, 2006
- Record last updated
- Nov 27, 2013 (not updated in 13 years: call before relying on the address or phone)
- Fax
- (757) 534-5911
- Medicare enrollment
- Enrolled (PECOS I20090303000131); accepts Medicare assignment
- Medical or professional school
- University Of Alabama School Of Medicine, 1987
- Entity
- Type 1 · individual
8 nearest endocrinology, diabetes & metabolism physician records → All 264 in Virginia → Look up another NPI →
Also registered at 12200 Warwick Blvd
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Javier Amadeo, MDNeurological Surgery Physician1396784690
- Romney Andersen, MDOrthopaedic Surgery Physician1629173653
- Hosam Attaya, M.D.Diagnostic Radiology Physician1760778518
- Sandy Bacallao, NPNurse Practitioner1154860484
- John Barley, D.O.Sports Medicine (Family Medicine) Physician1386908358
- Kamel Ben-Othmane, MDNeurology Physician1316966328
Verify Carl Anthony Gibson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersVirginia Department of Health Professions
Search for license 0101242986Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
2.3 times the Medicare Part D claims of the average endocrinology, diabetes & metabolism physician in 2024
6,169 Medicare Part D claims for 779 beneficiaries, against an average of 2,630 among the 8,223 providers of this specialty who prescribed in Part D. Brand-name drugs were 50% of claims.
Most prescribed
- Levothyroxine Sodium509 claims
- Lantus Solostar382 claims
- Ozempic373 claims
- Jardiance273 claims
- Atorvastatin Calcium250 claims
- Methimazole233 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 94.1 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $204.87
10 payments; by number, the most common kind was food and beverage; the largest payer was Insulet Corporation. The 5,661 providers of this specialty with any payment received $5,742.15 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Riverside Physician Services IncNewport News, VA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Carl Anthony Gibson among 264 endocrinology, diabetes & metabolism physician records in Virginia
Carl Anthony Gibson, M.D. is one of 264 endocrinology, diabetes & metabolism physician records with a practice address in Virginia. 84% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 8% of them.
- NPI issued2006 · 8% of these records are older, 61% newer
- In a Medicare fileYes · 84% of these records are
- In the CMS Doctors and Clinicians fileYes · 71% of these records are
- Graduated1987 · median 2004 among the 188 with a school on file
- Record last updated2013 · 54% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RE0101X and a Virginia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Endocrinology, Diabetes & Metabolism Physician providers in Virginia
There are 264 endocrinology, diabetes & metabolism physician records in Virginia.
All 264 in Virginia → Every provider in Newport News → Endocrinology, Diabetes & Metabolism Physician nationwide →
The 8 endocrinology, diabetes & metabolism physician records with the nearest ZIP codes
- Joel Mabalot, MDNewport News, VA 236011881782233
- Anne Leddy, MDNewport News, VA 236061851489124
- Dwight Matthias, MDNewport News, VA 236061609805332
- Maricel Ridella, MDNewport News, VA 236061740472646
- Cheryl Almirante, MDHampton, VA 236661245329804
- Joseph Chemplavil, M.D.Hampton, VA 236661689609216
- Danielle Eagan, D.OHampton, VA 236661154715878
- Abay Taddesse, MDHampton, VA 236661275747891
Common questions
What is Carl Anthony Gibson, M.D.'s NPI number?
Carl Anthony Gibson, M.D.'s National Provider Identifier (NPI) is 1003888264, issued on Feb 2, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Carl Anthony Gibson, M.D. located?
The NPPES record lists a practice address at 12200 Warwick Blvd, Newport News, VA, 23601. Phone: (757) 534-5909. Providers update this record themselves, so call before visiting.
How can I verify Carl Anthony Gibson, M.D.'s license?
NPPES lists Virginia license number 0101242986, as entered by the provider. Search the Virginia Department of Health Professions at https://dhp.virginiainteractive.org/lookup/index. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Carl Anthony Gibson, M.D. prescribe under Medicare Part D?
In 2024, Carl Anthony Gibson, M.D. had 6,169 Medicare Part D claims for 779 beneficiaries; the average among endocrinology, diabetes & metabolism physician prescribers was 2,630. Part D covers Medicare prescriptions only.
What is Carl Anthony Gibson, M.D.'s MIPS final score?
The 2023 MIPS final score is 94.1 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.