Individual provider Active NPI

Ryan Michael Tibbetts, MD

  • Orthopaedic Surgery Physician
  • Austin, TX
National Provider Identifier
1013953900
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
N1474 Issued in TX
Practice address
4700 Seton Center Pkwy
Ste 200
Austin, TX 78759-4107
Phone
(512) 439-1000
Fax
(512) 439-1081
NPI assigned
Jun 21, 2006
Last updated
Mar 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X N1474 TX Primary

Addresses

Primary practice location

4700 Seton Center Pkwy
Ste 200
Austin, TX 78759-4107

Mailing address

4700 Seton Center Pkwy
Ste 200
Austin, TX 78759-4107
Phone (512) 439-1000

Other practice location 1

2224 Walsh Tarlton Ln Ste 200
Austin, TX 78746-7756
Phone (512) 439-1000

Other practice location 2

3755 S Capital Of Texas Hwy Ste 160
Austin, TX 78704-6645
Phone (512) 439-1000

Other practice location 3

4215 Benner Ste 300
Kyle, TX 78640-2224
Phone (512) 439-1000

Other identifiers 2

IdentifierTypeStateIssuer
203614704MedicaidTX
203614705MedicaidTX

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061011000065 TX Practitioner - Orthopedic Surgery 0042216293 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Texas Medical School at Houston, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ortholonestar PLLCGroup PAC ID 9931529062, 416 clinicians

Practice addresses (Care Compare)

4215 Benner
Suite 300
Kyle, TX 78640-2224
Phone (512) 439-1000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement28
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
N1474TXMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ortholonestar, PLLC Orthopaedic Surgery CurrentSince Oct 1, 2020 Accepting new patients
Seton Family of Doctors CurrentSince Feb 1, 2014 Accepting new patients
Seton Family of Doctors CurrentSince Feb 1, 2014 Accepting new patients
Ortholonestar, PLLC Orthopaedic Surgery CurrentSince Oct 1, 2020 Accepting new patients
East Coast Wound Care P C Specialist Past Accepting new patients
East Coast Wound Care, P.C. Specialist Past Accepting new patients
Tri-County Clinical Past Accepting new patients
Ortholonestar, PLLC Orthopaedic Surgery Past Accepting new patients
Tri-County Clinical Past Accepting new patients

Locations

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

3501 Mills Ave
Austin, TX 78731
Phone (512) 324-1017

3755 S Capital of Texas Hwy
Ste 130
Austin, TX 78704
Phone (512) 439-1005

3755 S Capital of Texas Hwy
Ste 160
Austin, TX 78704
Phone (512) 439-1005

4700 Seton Center Pkwy
Ste 200
Austin, TX 78759
Phone (512) 439-1011

4900 Mueller Blvd
Austin, TX 78723
Phone (512) 324-0165

911 W 38th St
Ste 300
Austin, TX 78705
Phone (512) 439-1002

3800 Gaylord Pkwy
Ste 710
Frisco, TX 75034

1180 Seton Pkwy
Ste 220
Kyle, TX 78640
Phone (512) 504-0076

4215 Benner
Ste 300
Kyle, TX 78640
Phone (512) 439-1007

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

3816 N University Dr
Nacogdoches, TX 75965
Phone (936) 305-5301

Networks

  • TX HMO

Interoperability endpoints

  • Direct secure messaging: ryan.tibbetts.1@15533.direct.athenahealth.com

Organizations & group practices 10

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1013953900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 SETON CENTER PKWY",
            "address_2": "STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594107",
            "telephone_number": "512-439-1000",
            "fax_number": "512-439-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 SETON CENTER PKWY",
            "address_2": "STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594107",
            "telephone_number": "512-439-1000",
            "fax_number": "512-439-1081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2224 Walsh Tarlton Ln Ste 200",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787467756",
            "country_code": "US",
            "telephone_number": "512-439-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3755 S Capital Of Texas Hwy Ste 160",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787046645",
            "country_code": "US",
            "telephone_number": "512-439-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4215 Benner Ste 300",
            "address_purpose": "LOCATION",
            "city": "Kyle",
            "state": "TX",
            "postal_code": "786402224",
            "country_code": "US",
            "telephone_number": "512-439-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIBBETTS",
        "first_name": "RYAN",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "N1474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203614704",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203614705",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.