NPPES file of Aug 9, 2026

James Gibson, MD

Clinical Biochemical Genetics Physician · Austin, TX

James Gibson, MD is a clinical biochemical genetics physician with a practice address in Austin, Texas, and NPI 1023121159, issued on Aug 15, 2006. Check the license (Texas M7211, as entered in NPPES) on the Texas Medical Board; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1023121159
Name
James Gibson
Credential
MD
Primary taxonomy
Clinical Biochemical Genetics Physician 207SG0202X
License number
M7211 TX
Self-reported in NPPES; status is on the state search
Practice location
1301 Barbara Jordan Blvd Ste 200, Austin, TX 78723
Phone
(512) 628-1840
Enumerated
Aug 15, 2006
Record last updated
Jan 10, 2012 (not updated in 14 years: call before relying on the address or phone)
Fax
(512) 628-1841
Medicaid IDs
172532704 TX
172532706 TX
Medicare enrollment
Enrolled (PECOS I20050503001166); accepts Medicare assignment
Medical or professional school
Duke University School Of Medicine, 1988
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
Download card Updates feed

Also registered at 1301 Barbara Jordan Blvd Ste 200

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Rene Bartos, MD, MPH, FAAPDevelopmental - Behavioral Pediatrics Physician1679066799
  2. Phillip Berry, MDPediatric Nephrology Physician1568428571
  3. Sireesha Chinthaparthi, MDNeurology with Special Qualifications in Child Neurology Physician1205276623
  4. Courtney Conlon, PNP-PCPediatric Nurse Practitioner1215588975
  5. Lucia Diaz, M.D.Pediatric Dermatology Physician1043454515
  6. Rachel Downey, APRN, CNS, CPNP-ACPediatric Nurse Practitioner1497423511

Verify James Gibson in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersTexas Medical Board
    Search for license M7211
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Texas license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

Is this page about you? You can ask us to correct, restrict or remove it: how.

80% more Medicare Part D claims than the average clinical biochemical genetics physician in 2024

92 Medicare Part D claims, against an average of 51 among the 21 providers of this specialty who prescribed in Part D. Brand-name drugs were 46% of claims.

  1. James Gibson92
  2. Specialty average51

Most prescribed

  1. Vpriv25 claims
  2. Chenodal12 claims
  3. Gabapentin11 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 practice group's MIPS final score for 2023 (Medicare payment program): 71 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score76.2
  2. Costout of 100 · 30%13.6
  3. Promoting interoperabilityout of 100 · 25%97.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Bills Medicare through one group practice

  1. Dell Childrens Medical GroupAustin, TX

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Clinical Biochemical Genetics Physician providers in Texas

There are 4 clinical biochemical genetics physician records in Texas.

The 3 clinical biochemical genetics physician records with the nearest ZIP codes

  1. John Odom, M.D.San Antonio, TX 782071497118004
  2. Sarah Elsea, PH.D.Houston, TX 770301144330275
  3. Qin SunHouston, TX 770211447000807

Common questions

What is James Gibson, MD's NPI number?

James Gibson, MD's National Provider Identifier (NPI) is 1023121159, issued on Aug 15, 2006. An NPI identifies a provider in billing; it is not a license.

Where is James Gibson, MD located?

The NPPES record lists a practice address at 1301 Barbara Jordan Blvd Ste 200, Austin, TX, 78723. Phone: (512) 628-1840. Providers update this record themselves, so call before visiting.

How can I verify James Gibson, MD's license?

NPPES lists Texas license number M7211, as entered by the provider. Search the Texas Medical Board at https://profile.tmb.state.tx.us/Search.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does James Gibson, MD prescribe under Medicare Part D?

In 2024, James Gibson, MD had 92 Medicare Part D claims; the average among clinical biochemical genetics physician prescribers was 51. Part D covers Medicare prescriptions only.

What is James Gibson, MD's MIPS final score?

The 2023 MIPS final score is 71 of 100, reported for the practice group. 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.