Jack Michael Gibson, M.D.
Obstetrics & Gynecology Physician · Peoria, IL
Jack Michael Gibson, M.D. is an obstetrics & gynecology physician with a practice address in Peoria, Illinois, and NPI 1346235777, issued on Sep 12, 2005. Check the license (Illinois 036064619, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.
- Name
- Jack Michael Gibson
- Credential
- M.D.
- Primary taxonomy
- Obstetrics & Gynecology Physician 207V00000X
- License number
- 036064619 IL
Self-reported in NPPES; status is on the state search - Practice location
- 530 NE Glen Oak Ave, Peoria, IL 61637
- Phone
- (309) 696-2297
- Enumerated
- Sep 12, 2005
- Record last updated
- Jul 18, 2019 (not updated in 7 years: call before relying on the address or phone)
- Medicaid ID
- 036064619 IL
- Medicare enrollment
- Enrolled (PECOS I20060203000156); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest obstetrics & gynecology physician records → All 2,062 in Illinois → Look up another NPI →
Also registered at 530 NE Glen Oak Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Motaz Abas, MDInternal Medicine Physician1215510201
- Mohammed Abdulaaima, MDInternal Medicine Physician1861952707
- Makram Abou Ghaida, MDStudent in an Organized Health Care Education/Training Program1659119253
- Bassel Abouzeid, MDObstetrics & Gynecology Physician1376160846
- Susan Abraham, M.D.Internal Medicine Physician1598926818
- Angela AdamsOccupational Therapist1124564802
Verify Jack Michael Gibson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
Search for license 036064619Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $20.46
1 payment: food and beverage; the largest payer was Inspire Medical Systems, Inc. The 21,429 providers of this specialty with any payment received $1,030.61 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
- The Board OF Trustees OF The University OF IllinoisPeoria, IL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Jack Michael Gibson among 2,062 obstetrics & gynecology physician records in Illinois
Jack Michael Gibson, M.D. is one of 2,062 obstetrics & gynecology physician records with a practice address in Illinois. 72% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.
- NPI issued2005 · 0% of these records are older, 88% newer
- In a Medicare fileYes · 72% of these records are
- In the CMS Doctors and Clinicians fileYes · 57% of these records are
- Graduated1981 · median 2006 among the 1,168 with a school on file
- Record last updated2019 · 51% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207V00000X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Obstetrics & Gynecology Physician providers in Illinois
There are 2,062 obstetrics & gynecology physician records in Illinois.
All 2,062 in Illinois → Every provider in Peoria → Obstetrics & Gynecology Physician nationwide →
The 8 obstetrics & gynecology physician records with the nearest ZIP codes
- Bassel Abouzeid, MDPeoria, IL 616371376160846
- Rida Boulos, MDPeoria, IL 616371114991577
- Susan Catt, MDPeoria, IL 616371326200585
- Shruti Chakravarthy, MDPeoria, IL 616371396270146
- Ivonne Durand Ruiz, DOPeoria, IL 616371154909182
- Melvin Fleming, M.D.Peoria, IL 616371134235823
- Ellen Haas, M.D.Peoria, IL 616371124256854
- Kaleb Jacobs, D.O.Peoria, IL 616371124468129
Common questions
What is Jack Michael Gibson, M.D.'s NPI number?
Jack Michael Gibson, M.D.'s National Provider Identifier (NPI) is 1346235777, issued on Sep 12, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Jack Michael Gibson, M.D. located?
The NPPES record lists a practice address at 530 NE Glen Oak Ave, Peoria, IL, 61637. Phone: (309) 696-2297. Providers update this record themselves, so call before visiting.
How can I verify Jack Michael Gibson, M.D.'s license?
NPPES lists Illinois license number 036064619, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
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.