CHARLES W GIBBS, MD
NPI 1114984705, individual, Kansas City, KS, Obstetrics & Gynecology, Maternal & Fetal Medicine
Public list actions
Paid after the action
Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.
| list | identity check | action date | window closed | months paid after | first | last | paid after | 12 months before |
|---|---|---|---|---|---|---|---|---|
| Medicare revocation list 424.535(a)(1) noncompliance (not professionally licensed) | Exact NPI, name verified | Aug 15, 2022 | Oct 15, 2027 | 1 | Apr 2023 | Apr 2023 | $217 | $46K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | CHARLES W GIBBS, MD |
| Type | Individual |
| Status | Active |
| NPI issued | April 27, 2006, last updated October 13, 2014 |
| Practice location | 3901 RAINBOW BLVD, MAILSTOP 2028, Kansas City, KS 66160-0001, 913-588-6201 |
| Mailing address | PO BOX 411851, Kansas City, MO 64141-1851 |
| Specialties | Obstetrics & Gynecology, Maternal & Fetal Medicine (207VM0101X, license 38422 TN) Obstetrics & Gynecology, Maternal & Fetal Medicine (207VM0101X, license 115621 MO) Obstetrics & Gynecology, Maternal & Fetal Medicine (207VM0101X, primary, license 04-32563 KS) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 76820 | Ultrasound scan of fetal umbilical artery blood flow rate | $83K | 23% | $54 | $51 (top 5% from $129) | 57th percentile | |
| 76816 | Follow-up ultrasound scan of pregnant uterus | $76K | 21% | $48 | $69 (top 5% from $135) | 28th percentile | |
| 76819 | Ultrasound scan of fetus | $68K | 19% | $64 | $72 (top 5% from $161) | 43rd percentile | |
| 93976 | Ultrasound of abdomen and pelvis artery and vein blood flow | $34K | 9% | $92 | $37 (top 5% from $191) | 77th percentile | |
| 76817 | Vaginal ultrasound of pregnant uterus | $32K | 9% | $54 | $55 (top 5% from $116) | 49th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $28K | 8% | $62 | $60 (top 5% from $133) | 51st percentile | |
| 76805 | Ultrasound scan of pregnant uterus (14 weeks or more), single or first fetus | $17K | 5% | $76 | $82 (top 5% from $153) | 44th percentile | |
| 76821 | Ultrasound scan of fetal brain artery blood flow rate | $8K | 2% | $54 | $82 (top 5% from $171) | 31st percentile |
In this area
79 providers in KS carry an indicator in the public record, with $22.3M at stake between them. The most common is part of a provider network, on 72 of them, followed by paid after a public list action on 5. 3 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | WE CARE TRANSPORTATION Overland Park, KS, ranked 42 | $4.4M |
|
| 1 | GAIL WALTER Paola, KS, ranked 280 | $11K |
|
| 1 | HOWARD REIFE Overland Park, KS, ranked 452 | $62 |
|
| 3 | CRAIG RESOURCES LLC Wichita, KS, ranked 891 | $11.2M |
|
| 3 | HARRY HYNES MEMORIAL HOSPICE, INC. Wichita, KS, ranked 976 | $1.9M |
|
| 3 | INTERIM HEALTH CARE OF WICHITA INC Wichita, KS, ranked 988 | $1.8M |
|
| 3 | RIVERCROSS HOSPICE L.L.C. Wichita, KS, ranked 997 | $1.5M |
|
| 3 | MIDLAND CARE CONNECTION, INC. Topeka, KS, ranked 1129 | $559K |
|
Recent enforcement in KS
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.