Kibbe Orthopedics PLLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

KIBBE ORTHOPEDICS PLLC

Practice address

809 Morton Ave Ste 100
Bardstown, KY 40004-2565

Phone

(502) 834-5676

Fax

(833) 700-1693

NPI assigned

Jun 3, 2022

Last updated

Jan 20, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shane Kibbe, MDNPI 1265708168

Title

Owner

Phone

(502) 834-5676

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Kibbe Orthopedics PLLC

  dba Kentucky Orthopedics & Sports Medicine

  • Durable Medical Equipment & Medical Supplies
  • Mt Washington, KY
  • NPI 1063192847

  3375925670

  Same PAC ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shane Jacob Kibbe, MD

  • Orthopaedic Surgery Physician
  • Mt Washington, KY
  • NPI 1265708168
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768867200000",
    "number": "1073252375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33149",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049150609",
            "telephone_number": "888-488-8289",
            "fax_number": "502-919-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 MORTON AVE STE 100",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400042565",
            "telephone_number": "502-834-5676",
            "fax_number": "833-700-1693"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 High Point Ct Ste 100",
            "address_purpose": "LOCATION",
            "city": "Mount Washington",
            "state": "KY",
            "postal_code": "400475512",
            "country_code": "US",
            "telephone_number": "502-834-5676",
            "fax_number": "833-700-1693",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KIBBE ORTHOPEDICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-03",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A",
        "authorized_official_last_name": "KIBBE",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-834-5676",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100843930",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kentucky Family Vision, LLC
• Kentucky Orthopedic Rehabilitation LLC (Kort)
• Kentucky Orthopedic Rehabilitation LLC (KORT Physical Therapy)
• Kentucky Orthopedic Solutions, LLC
• Savannah Marie Keown
• Daizah Raye Kimberland, FNP-C
• Kiosk Medicine of Kentucky LLC
• Bartley J Klindt, DC
• Diana L Koch, D.M.D
• Kroger Limited Partnership I (Kroger Pharmacy)

• Orthopaedic Surgery Physician in Bardstown, KY
• Providers in Bardstown, KY by specialty
• Orthopaedic Surgery Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.