Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blaine Gibby, DO

Individual provider Family Medicine Physician · NPI 1013443555

Blaine Gibby, DO is a Family Practice in Twin Falls, Idaho. Graduated from Kansas City University of Med & Biosciences, College of Osteo Med in 2017, 9 years ago. Practices with St Lukes Clinic LLC, a 310-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho and South Dakota.

Years since qualifying
9
Trained at
Kansas City University of Med & Biosciences, College of Osteo Med
Licensed in
ID, SD
In the registry since
2017
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

730 N College Rd Ste A&b
Twin Falls, ID 83301-3416
Phone: (208) 814-8000
Fax: (208) 933-4919
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 804 S Walnut St, Freeman, SD 57029-2033 — (605) 925-4219

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence O-1940 (ID)
Family Medicine Physician Taxonomy 207Q00000X · Licence 12127 (SD)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1013443555
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 3, 2017
Last updated in NPPESMay 1, 2024
Certification dateMay 1, 2024
Mailing address190 E Bannock St, Boise, ID 83712-6241

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolKANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated 2017 (9 years in practice)
Group practice St Lukes Clinic Llc — 310 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Twin Falls