Luke Ryan Tibbitts, DDS

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

38316 Issued in TX

Practice address

901 W 38TH St Ste 410
Austin, TX 78705-1162

Phone

(512) 992-1378

NPI assigned

Mar 23, 2017

Last updated

Jul 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Oral SurgeryAlso: Dentist

Education

University of Kentucky College of Dentistry, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Seton Oral and Maxillofacial SurgeryGroup PAC ID 7113951377, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Dell Seton Med Center at the University of TX Hospital, Austin, TX, CCN 450124
• Ascension Seton Northwest Hospital, Austin, TX, CCN 450867

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ltibbitts22907@ukhcdirect.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Seton Oral & Maxillofacial Surgery

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Austin, TX
  • NPI 1124598917

  Oral and Maxillofacial Surgery

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ascension Seton

  dba Dell Seton Medical Center at the University of Texas

  • General Acute Care Hospital
  • Austin, TX
  • NPI 1093810327
  Care Compare affiliation
• Ascension Seton

  dba Ascension Seton Northwest

  • General Acute Care Hospital
  • Austin, TX
  • NPI 1124137054
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1013448885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 W 38TH ST STE 410",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W 38TH ST STE 410",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051162",
            "telephone_number": "512-992-1378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIBBITTS",
        "first_name": "LUKE",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-23",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "KY",
            "license": "9954",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "TX",
            "license": "38316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thyroid Cytopathology Partners PA
• Tia Conos Center
• Tiamat Enterprises, Inc. (Caring Senior Service of Austin)
• Ryan Michael Tibbetts, MD
• Abby McClellan Tibbitts, DMD
• Courtney Tibiletti
• Eric Stuart Tiblier, M.D.
• Kathleen Tice, RN
• Melissa Tico, M.A., BCBA
• Lauren Marie Tidmore, OTR

• Oral & Maxillofacial Surgery (D.M.D.) in Austin, TX
• Providers in Austin, TX by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.