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James Gipson, PT

Physical Therapist in Private Practice · Seattle

NPI 1013781756

Medicare standing
1 flag on the record
Listed below.
Plans that list them
Not verified
Not the same as out of network.
Office
1
Since medical school
3 years
Graduated 2023

On the public record

  • Medicare does not list them as allowed to order and refer

Offices

1 location · Apple Physical Therapy LLC · 285 clinicians in this group

Looking this up.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call James Gipson’s office at (206) 338-2070 to ask if they take your plan before you enroll.

Original Medicare doctor bills

$40,175

Medicare paid this office $40,175 for 70 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Therapy procedure using functional activities60$13,651$33
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes67$9,414$19
Therapy procedure using manual technique, each 15 minutes62$6,974$17
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes42$4,937$21
Evaluation for physical therapy, typically 20 minutes49$4,188$81
See all 6 services
Every Original Medicare service billed
Therapy procedure using functional activities60$13,651$33
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes67$9,414$19
Therapy procedure using manual technique, each 15 minutes62$6,974$17
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes42$4,937$21
Evaluation for physical therapy, typically 20 minutes49$4,188$81
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care13$241$8

Who their Medicare patients are

70 Original Medicare patients in 2024. Average age 74 · Women 57% · Also on Medicaid 16% · Health risk score 0.98. At or below the middle of the specialty; the typical physical therapist in private practice clinician is at 1.03.

Conditions among them: High blood pressure 71% · Diabetes 33% · Coronary heart disease 33% · Chronic kidney disease 20%.

The office billed $86,427, Medicare allowed $53,581 and paid $40,175; for 1,646 services of 10 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Professional record

NPI
1013781756
Licence
CA 305096
Gender
Male
More record details
Sole proprietor
Yes
Taxonomy
Federal specialty code 225100000X (225100000X)
Mailing address
1101 Macias Ln, San Jose, CA, 95120
NPI first listed
2023-11-13
NPI last updated
2023-11-13
NPI record certified
2023-11-13

This is when the NPI record was last certified, not a medical board exam.