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Dr. Rick Rickey Gibbs, MD

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(Rick Gibbs, MD)

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Specializes in: General Surgery and General Practice

Mercer University School of Medicine (1993)

Professional interests include: laparoscopic surgery, dialysis, breast surgery, and more.

49 Cleveland Street Suite 310
Crossville, TN 38555

(931) 459-7720

Dr. Rick Rickey Gibbs, MD is a general surgeon in Crossville, TN specializing in general surgery and general practice. He graduated from Mercer University School of Medicine in 1993 and has 31 years of experience. Dr. Rick Rickey Gibbs, MD is affiliated with Covenant Health, Cumberland Medical Center, Cumberland Specialty Group and COVENANT MEDICAL GROUP INC.

Office Locations

Address:

49 Cleveland Street Suite 310
Crossville, TN 38555

Some issues Dr. Rick Rickey Gibbs, MD can help you with:

Bronchoscopy

Bronchoscopy is a procedure in which a thin tube with a camera, called a bronchoscope, is inserted in the mouth or nose and slowly advanced to the lungs. This allows doctors to see the respiratory tract, which includes the throat, larynx (voice box), trachea (windpipe), bronchi (airways), and lungs. Doctors may recommend those who have or show signs of lung problems - for example, lung cancer or difficulty breathing - to undergo a bronchoscopy.

In performing a diagnostic bronchoscopy, doctors may only wish to visualize the respiratory tract, or doctors may also collect samples of tissue or fluid. The samples can help diagnose patients' conditions or, if patients have cancer, they can be used for staging purposes. One method for sample collection is bronchoalveolar lavage. In a bronchoalveolar lavage, doctors inject saline (salt water) through the bronchoscope and then suction it out of the airways. The washout collected is tested for lung disorders. Doctors can also insert a biopsy tool to collect tissue or mucus samples. The following are biopsies that can be performed by bronchoscopy:

Brush biopsy, which uses a brush to collect samples.
Endobronchial biopsy, which uses the bronchoscope to guide forceps to sample lung tissue.
Transbronchial biopsy, which uses forceps and image guidance - such as X-rays, CT scans, or fluoroscopy - to sample lung tissue.
Transbronchial fine needle aspiration (TBNA), which uses a small needle to take samples of the lymph nodes or lungs.

For visualization, bronchoscopy can be done alone, or it can be combined with ultrasound. Endobronchial ultrasound (EBUS) allows real-time imaging of the airway and is used for diagnosing and staging lung cancer, as well as for determining where the cancer has spread. EBUS can be performed with TBNA, a procedure known as endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA).

Doctors can also use bronchoscopy as a treatment for lung problems. For example, if a foreign body is trapped in the airway, doctors can insert forceps through the bronchoscope to remove it. If the airway has become narrowed - which may occur if patients have an infection, cancer, or some other inflammatory issue - bronchoscopy can be used to place a device called a stent in the area of constriction. The stent will keep the airway open, allowing the patient to breathe properly.

During a bronchoscopy, patients will be given medication (sedative) to help them relax. If it is only a diagnostic bronchoscopy, patients will be kept awake, but if the bronchoscopy is for therapeutic purposes, patients will be put to sleep by general anesthesia. After the procedure, patients will need to stay in the hospital for a few hours. They will not be able to eat or drink for about 2 hours. Some patients may experience discomfort, such as a sore throat or pain while swallowing. Throat lozenges and gargling may help alleviate these symptoms, which should go away after a few days. Patients will need to have someone drive them home once their doctor determines that they are ready.

Dialysis

Dialysis is a procedure that replicates renal (kidney) function by filtering patients' blood. When kidneys do not work properly, waste can accumulate in the blood and unbalanced chemicals can impair the body's critical functions. In order to stay healthy, a person without proper kidney function must receive dialysis. There are two forms of dialysis treatment: hemodialysis and peritoneal dialysis. Both forms of dialysis are recurring treatments that in many cases last throughout the lifetime of the affected patient. Patients who briefly lose renal function may slowly reduce the frequency of dialysis sessions until their kidneys recover. However, most patients who start on dialysis remain on dialysis for the rest of their lives or until they receive a kidney transplant.

A number of conditions can worsen renal function and lead to end-stage or acute kidney failure. When kidneys fail (i.e. nearly 90 percent of their function is lost), dialysis is typically prescribed. Conditions that cause chronic kidney failure (eventually requiring dialysis) include:

Type 1 and 2 Diabetes
Pyelonephritis, recurring kidney infection
Glomerulonephritis, inflammation of the kidney's filtering parts
Polycystic kidney disease
Interstitial nephritis, inflammation of the kidney's tubules
High blood pressure
Vesicoureteral reflux, improper bladder emptying

For hemodialysis (the more common form of dialysis), a patient will visit a hospital or clinic and be connected to a dialysis machine by a needle attached to a tube that draws blood from the arm. The drawn blood is transferred to the dialysis machine, where it is filtered and separated until clean. Waste products from the blood pass into a fluid called dialysate, which is pumped out of the machine into a waste receptacle. The machine also measures and helps ensure the blood has the appropriate level of fluid, electrolytes, and pH. A tube delivers the cleaned blood back into the patient's body. A dialysis session like this will typically last for three to four hours, with a patient undergoing dialysis around three times per week.

A second method of dialysis is known as peritoneal dialysis. Unlike hemodialysis, peritoneal dialysis can be performed at home by oneself after an initial surgery. To start, a physician (generally a surgeon) will make a small incision in the lower abdomen and insert and surgically attach a catheter (thin tube). At home, the patient connects a pump to the abdomen catheter, delivering dialysate (dialysis fluid) from a bag hanging on a wheeled stand. This fluid enters the peritoneal cavity (greater abdomen area containing the stomach, liver, and intestines) and collects waste through osmosis, where waste in the blood moves across a membrane and into the dialysate. This process continues for several hours until the fluid concentration is equal between the blood and dialysate, at which point the fluid can be drained. The fluid can then be passed through a machine called a cycler, which removes waste and allows for the dialysate to be reused. This process is repeated about four times per day. Dialysis patients must limit the amount of fluid they consume prior to receiving dialysis and should also avoid eating salty foods. The cycler cannot filter more than a certain amount of waste products from the blood.

Kidneys are important organs, and dialysis treatments are vital for those with renal dysfunction. For many, dialysis is not so much a medical procedure but a part of their normal life.

Laparoscopic Surgery

Laparoscopic surgery is a kind of minimally invasive surgery using a thin, narrow tube called a laparoscope. Usually performed on the abdomen or the pelvic region, the surgeon makes a few very small incisions instead of one large one.

During the procedure, the surgeon inserts the laparoscope, which contains a light and camera that allows the surgeon to see what is happening inside the body. Then tiny tools are placed through the small openings and used to perform the surgery.

The most common laparoscopic surgery is gallbladder removal, but laparoscopic surgery may also be used for the removal of a kidney or appendix, to treat certain cysts and tumors, for bariatric surgery, for some GERD treatments, or for hernia repairs, among others.

Because laparoscopic surgery only uses a few tiny incisions, the scars are minimal and recovery is easier than with open surgery.

abdominal surgery	22
aspiration	13
bronchoscopy	15
catheterization	47
device removal	11
doctor visit	316
gastrointestinal procedures	22
hospital care	208
inpatient care	208
open surgery	22
pleural drainage	13

**Gender**
Male	175
Female	212

**Age**
From 65 to 74	148
From 75 to 84	126
85 and over	36
Less than 65	77

Hypertension	75
High Cholesterol	66
Stroke	7
Ischemic Heart Disease	50
Depression	32
Chronic Kidney Disease	30
Asthma	6
Osteoperosis	12
Atrial Fibrilation	18
Heart Failure	36
Chronic Obstructive Pulmonary Disease	33
Diabetes	37
Dementia	11
Cancer	21

catheterization	15
doctor visit	129
hospital care	256
inpatient care	256

**Gender**
Male	153
Female	135

**Age**
From 65 to 74	121
From 75 to 84	94
85 and over	22
Less than 65	51

Hypertension	75
High Cholesterol	69
Stroke	7
Ischemic Heart Disease	52
Depression	32
Chronic Kidney Disease	36
Asthma	7
Osteoperosis	12
Atrial Fibrilation	18
Heart Failure	37
Chronic Obstructive Pulmonary Disease	32
Diabetes	41
Dementia	15
Cancer	22

catheterization	17
doctor visit	126
hospital care	204
inpatient care	204

**Gender**
Male	270
Female	238

**Age**
From 65 to 74	204
From 75 to 84	138
85 and over	60
Less than 65	106

Hypertension	75
High Cholesterol	62
Stroke	7
Ischemic Heart Disease	51
Depression	35
Chronic Kidney Disease	38
Asthma	22
Osteoperosis	5
Atrial Fibrilation	23
Heart Failure	43
Chronic Obstructive Pulmonary Disease	41
Diabetes	43
Dementia	14
Cancer	24

doctor visit	116
hospital care	226
inpatient care	226

**Gender**
Male	114
Female	101

**Age**
From 65 to 74	87
From 75 to 84	68
85 and over	24
Less than 65	36

Hypertension	75
High Cholesterol	63
Stroke	6
Ischemic Heart Disease	56
Depression	33
Chronic Kidney Disease	48
Asthma	42
Osteoperosis	9
Atrial Fibrilation	17
Heart Failure	43
Chronic Obstructive Pulmonary Disease	41
Diabetes	40
Dementia	21
Cancer	18

abdominal surgery	11
aspiration	18
catheterization	10
doctor visit	133
gastrointestinal procedures	11
hospital care	291
inpatient care	291
open surgery	11
pleural drainage	18

**Gender**
Male	115
Female	124

**Age**
From 65 to 74	89
From 75 to 84	76
85 and over	27
Less than 65	47

Hypertension	75
High Cholesterol	62
Stroke	8
Ischemic Heart Disease	56
Depression	39
Chronic Kidney Disease	48
Asthma	9
Osteoperosis	14
Atrial Fibrilation	18
Heart Failure	41
Chronic Obstructive Pulmonary Disease	43
Diabetes	42
Dementia	19
Cancer	21

cardiac procedures	12
catheterization	9
doctor visit	104
hospital care	249
implant surgery	12
inpatient care	249
minimally invasive procedures	12

**Gender**
Male	114
Female	117

**Age**
From 65 to 74	92
From 75 to 84	71
85 and over	32
Less than 65	36

Hypertension	75
High Cholesterol	68
Stroke	5
Ischemic Heart Disease	54
Depression	39
Chronic Kidney Disease	45
Asthma	9
Osteoperosis	16
Atrial Fibrilation	27
Heart Failure	48
Chronic Obstructive Pulmonary Disease	41
Diabetes	36
Dementia	21
Cancer	19

cardiac procedures	12
doctor visit	79
hospital care	237
implant surgery	12
inpatient care	237
minimally invasive procedures	12

**Gender**
Male	101
Female	84

**Age**
From 65 to 74	66
From 75 to 84	62
85 and over	29
Less than 65	28

Hypertension	75
High Cholesterol	64
Stroke	6
Ischemic Heart Disease	51
Depression	37
Chronic Kidney Disease	52
Asthma	13
Osteoperosis	12
Atrial Fibrilation	28
Heart Failure	53
Chronic Obstructive Pulmonary Disease	35
Diabetes	44
Dementia	20
Cancer	17

aspiration	15
cardiac procedures	18
doctor visit	48
hospital care	283
implant surgery	18
inpatient care	283
minimally invasive procedures	18
pleural drainage	15

**Gender**
Male	106
Female	90

**Age**
From 65 to 74	74
From 75 to 84	55
85 and over	37
Less than 65	30

Hypertension	75
High Cholesterol	68
Stroke	0
Ischemic Heart Disease	49
Depression	32
Chronic Kidney Disease	53
Asthma	8
Osteoperosis	7
Atrial Fibrilation	20
Heart Failure	49
Chronic Obstructive Pulmonary Disease	37
Diabetes	38
Dementia	20
Cancer	17

cardiac procedures	26
catheterization	25
doctor visit	139
hospital care	414
implant surgery	26
inpatient care	414
minimally invasive procedures	26

Average Medicare Procedure Volume From 2013 - 2021

Volume of procedures performed by Dr. Rick Rickey Gibbs, MD for Medicare patients.

The highest averages for the top procedures that Dr. Rick Rickey Gibbs, MD treated as a general surgeon in Crossville, TN were inpatient care, hospital care, catheterization and open surgery.

abdominal surgery	18
aspiration	15
bronchoscopy	15
cardiac procedures	17
catheterization	21
device removal	11
doctor visit	134
gastrointestinal procedures	18
hospital care	263
implant surgery	17
inpatient care	263
minimally invasive procedures	17
open surgery	18
pleural drainage	15

Average Medicare Patient Data From 2013 - 2021

Information about Medicare patients treated by Dr. Rick Rickey Gibbs, MD.

**Gender**
Female	110
Male	114

**Age**
85 and over	26
75 to 84	69
Less than 65	41
65 to 74	88

Average of Total of Conditions of Medicare patients treated by Dr. Rick Rickey Gibbs, MD From 2013 - 2021

The highest averages of the most common conditions of Medicare patients that Dr. Rick Rickey Gibbs, MD treated were hypertension, high cholesterol, ischemic heart disease and chronic kidney disease.

Hypertension	60
High Cholesterol	52
Stroke	4
Ischemic Heart Disease	41
Depression	27
Chronic Kidney Disease	35
Asthma	11
Osteoporosis	8
Heart Failure	35
Chronic Obstructive Pulmonary Disease	30
Diabetes	32
Atrial Fibrillation	16
Dementia	14
Cancer	15

Education & Training

Dr. Rick Rickey Gibbs, MD graduated from Mercer University School of Medicine in 1993. He completed residency at Carraway Methodist Medical Center. He is certified by the General Surgery and has a state license in Tennessee.

Medical School: Mercer University School of Medicine (1993)

Residency: Carraway Methodist Medical Center (1998)

Board Certification: General Surgery

Licensed In: Tennessee

Affiliations & Hospitals

Dr. Rick Rickey Gibbs, MD is associated with these hospitals and organizations:

Covenant Health

Cumberland Medical Center

Cumberland Specialty Group

COVENANT MEDICAL GROUP INC

Insurance Information

Please note: Insurance information may change at any time, and the provider may accept your insurance plan even if it is not listed below. Please contact the provider's office to confirm that your insurance is accepted.

Dr. Rick Rickey Gibbs, MD appears to accept the following insurance providers: Humana PPO, CIGNA PPO, Aetna Elect Choice, CIGNA POS, CIGNA HMO, Humana ChoiceCare Network, PHCS PPO, WellCare Medicare Advantage, Humana Medicare Advantage PPO, Private Healthcare Systems (PHCS), Aetna Choice POS II, Medicare Advantage, HealthSpring, Humana POS, Humana HMO, Aetna, Aetna QPOS, United Healthcare, Aetna Open Choice PPO, Medicaid, Humana, Cigna, Community Care Network (CCN), TRICARE, Aetna Select, Aetna Managed Choice POS, WellPoint, Aetna HMO, BlueAdvantage Ruby, BCBS Network S Bronze (B07), BCBS TennCare Select, NHC Advantage ISNP (Institutional Special Needs Plan), BCBS Network S Silver (S04A/B/C), BCBS Network S Silver (S01A/B/C), BlueEssential HMO, BlueCare TennCare, BlueCare Plus D-SNP, American Health Plan ISNP (Institutional Special Needs Plan), NovaNet Network Lease & WC, NX Health Network Monterey Mushroom Employees, BCBS Network S Silver (S01), BCBS Network S Silver (S04), BlueEssential SNP, BlueAdvantage Sapphire, BCBS Network S Gold (G06), BlueCross BlueShield of Tennessee Network P and Network S, BCBS TennCare Select CoverKids, BlueAdvantage PPO, Ambetter of Tennessee - All Plans, Traditional Medicare and BlueAdvantage Diamond.

Insurance Accepted by Provider includes:

According to our sources, Dr. Rick Rickey Gibbs, MD accepts the following insurance providers:

Humana PPO

CIGNA PPO

Aetna Elect Choice

CIGNA POS

CIGNA HMO

Humana ChoiceCare Network

PHCS PPO

WellCare Medicare Advantage

Humana Medicare Advantage PPO

Private Healthcare Systems (PHCS)

Aetna Choice POS II

Medicare Advantage

HealthSpring

Humana POS

Humana HMO

Aetna

Aetna QPOS

United Healthcare

Aetna Open Choice PPO

Medicaid

Humana

Cigna

Community Care Network (CCN)

TRICARE

Aetna Select

Aetna Managed Choice POS

WellPoint

Aetna HMO

BlueAdvantage Ruby

BCBS Network S Bronze (B07)

BCBS TennCare Select

NHC Advantage ISNP (Institutional Special Needs Plan)

BCBS Network S Silver (S04A/B/C)

BCBS Network S Silver (S01A/B/C)

BlueEssential HMO

BlueCare TennCare

BlueCare Plus D-SNP

American Health Plan ISNP (Institutional Special Needs Plan)

NovaNet Network Lease & WC

NX Health Network Monterey Mushroom Employees

BCBS Network S Silver (S01)

BCBS Network S Silver (S04)

BlueEssential SNP

BlueAdvantage Sapphire

BCBS Network S Gold (G06)

BlueCross BlueShield of Tennessee Network P and Network S

BCBS TennCare Select CoverKids

BlueAdvantage PPO

Ambetter of Tennessee - All Plans

Traditional Medicare

BlueAdvantage Diamond

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General Payments

These charts describe general payments received by Dr. Rick Rickey Gibbs, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Astellas Pharma US Inc	$14 Vesicare $14
AngioDynamics, Inc.	$11 $11
Janssen Pharmaceuticals, Inc	$11 XARELTO $11

**Types of Payments**
Food and Beverage	$35

Biography

Dr. Rick Gibbs is a physician who specializes in general practice and general surgery. He graduated from Mercer University School of Medicine. Dr. Gibbs is professionally affiliated with Covenant Health.