Individual provider

Kermit Gibson, DO

General Practice Physician Family Medicine Physician Primary Care Clinic/Center Medicare enrolled

Kermit Gibson, DO is a General Practice Physician in Elkhorn City, KY, registered under NPI 1083760649. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 165 E MAIN ST, Elkhorn City, KY 41522. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

165 E MAIN ST, Elkhorn City, KY 41522 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
02080 KY General Practice Physician primary
02080 KY Family Medicine Physician
02080 KY Primary Care Clinic/Center

This provider holds licence 02080 issued in KY. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - General Practice
PAC ID
7113828476

Medicare enrolment is recorded as approved under the provider type Practitioner - General Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What General Practice covers

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. NUCC Health Care Provider Taxonomy, code 208D00000X
Allopathic & Osteopathic Physicians General Practice

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
208D00000X General Practice Physician 02080 KY primary
207Q00000X Family Medicine Physician 02080 KY
261QP2300X Primary Care Clinic/Center Primary Care 02080 KY

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1083760649 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJan 26, 2007
Last updatedOct 31, 2025
StatusActive
Sole proprietorYes
CredentialDO
Practice address 165 E MAIN ST
Elkhorn City, KY 41522
(606) 754-4158
Fax (606) 754-5452
Other identifiers 64020803 (KY)
112617 · FED BLACK LUNG
1270152 · UMWA FUNDS
This record was updated on Oct 31, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1083760649 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 8 3 7 6 0 6 4
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 7 3 5 6 0 6 8

Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1083760649?
NPI 1083760649 is the National Provider Identifier assigned to Kermit Gibson, DO in Elkhorn City, KY. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does General Practice Physician cover?
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
How do I contact Kermit Gibson, DO?
The phone number on file with NPPES is (606) 754-4158, last updated Oct 31, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Kermit Gibson, DO accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1083760649 a valid number?
Yes. 1083760649 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.