Physician

Michael J Gibbons, M.D.

According to 2025 Medicare claims, Michael Gibbons, M.D. (NPI: 1407857311) practices orthopedic surgery in the Peoria, IL market, with the plurality of this provider's patient population coming from Peoria, IL. This provider's primary affiliated billing organization is MIDWEST ORTHOPAEDIC CENTER S C (NPI: 1710938006; TIN: 371387037) and primary practice location at 61614-5069.

Gibbons' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 711 traditional Medicare patients, billed 48,425 HCPCS/CPT codes, and received $234,759 in Medicare payments. The top billing code was 20610 (Aspiration and/or injection of fluid from large joint). Part D data shows 472 prescription claims across 216 beneficiaries totaling $2,314 in drug costs, led by Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen). DME data shows 58 claims. Open Payments data shows 9 records totaling $444. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have risen steadily, from $1,287 to $2,314. For DME billing, reported payments moved up and down with repeated peaks and valleys, starting at $2,086 and ending at $1,787.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	704	7,696	$304,267
2016	646	5,844	$291,114
2017	757	7,824	$317,658
2018	692	5,339	$338,448
2019	726	4,832	$368,279
2020	510	3,697	$230,005
2021	552	3,884	$257,787
2022	647	4,374	$252,504
2023	779	3,605	$260,885
2024	711	48,425	$234,759

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	57	124	$1,287
2016	68	111	$1,459
2017	91	189	$2,046
2018	84	163	$1,395
2019	108	209	$1,338
2020	125	214	$1,362
2021	149	256	$1,684
2022	166	298	$3,756
2023	216	603	$5,016
2024	216	472	$2,314

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	15	15	$1,329
2016	54	55	$3,863
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	11	11	$465
2020	31	32	$2,086
2021	30	30	$1,424
2022	39	39	$2,330
2023	44	46	$3,045
2024	58	58	$3,001

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
20610	Aspiration and/or injection of fluid from large joint	260	587	$51
73564	X-ray of knee, 4 or more views	230	232	$38
99212	Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	144	160	$38
97110	Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	134	364	$19
J0702	Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	183	410	$5

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	90	542	$1,182
Cephalexin	Cephalexin	163	516	$357
Tramadol Hcl	Tramadol Hcl	93	613	$351
Promethazine Hcl	Promethazine Hcl	84	524	$296
Clindamycin Hcl	Clindamycin Hcl	33	119	$57

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
L1812	Knee orthosis, elastic with joints, prefabricated, off-the-shelf	N	29	29	$1,584
E0143	Walker, folding, wheeled, adjustable or fixed height	N	29	29	$1,417

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	9	$444	Prism Medical
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Michael J. Gibbons, M.D.?

Tedicare shows public-source Medicare data for Michael J. Gibbons, M.D. (NPI 1407857311), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Michael J. Gibbons, M.D. have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Michael J. Gibbons, M.D.?

Michael J. Gibbons, M.D. is linked to MIDWEST ORTHOPAEDIC CENTER S C (billing NPI 1710938006) in the available physician profile data.

Does Michael J. Gibbons, M.D. have Open Payments data?

Michael J. Gibbons, M.D. has 9 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.