Gustaf Isaac Gibson, O.D.
NPI 1215917307ActiveIndividual· Optometrist· Logan, UT
Optometrist (O.D.) in Logan, Utah, trained at Pacific University - College of Optometry (class of 2004). Mostly services rather than prescriptions: Medicare paid $4,950 for 52 patients in 2024, with only 25 Part D claims. Alcon Vision LLC reported $29.61 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1215917307 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | O.D. |
| Sole proprietor | Yes |
| NPI issued | Jan 17, 2006 |
| Last updated in NPPES | Jun 15, 2023 |
| Certified by provider | Jun 15, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 5823517-9934 | UT |
| Optometrist | 152W00000X | 2994T | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Optometry (UT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 52 |
|---|---|
| Services billed | 55 across 3 procedure codes |
| Paid by Medicare | $4,950 |
Part D prescriptions in 2024
| Prescriptions (claims) | 25 · 25 30-day fills |
|---|---|
| Total drug cost | $108.13 |
| Generic share | 100% of claims |
Education and affiliations
| Medical school | Pacific University - College of Optometry |
|---|---|
| Graduation year | 2004 |
| Medicare specialty | Optometry |
Industry payments (Open Payments)
- 2024$29.61 · 2 payments from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Alcon Vision LLC | $29.61 | 2 |
What the 2024 payments were for
- Food and Beverage$29.61 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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