Active NPI
Hilarion Bibicoff, D.O.
- Family Medicine Physician
- Traverse City, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101020506
- Practice address
- 4290 Copper Ridge Dr Ste 200
Traverse City, MI 49684-7205 - Phone
- (231) 935-8930
- Fax
- (231) 935-8811
- NPI assigned
- Jun 27, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101020506 | MI | Primary |
Addresses
Primary practice location
4290 Copper Ridge Dr Ste 200
Traverse City, MI 49684-7205
Mailing address
4290 Copper Ridge Dr Ste 200
Traverse City, MI 49684-7205
Phone (231) 935-8930
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5101020506 | Other | MI | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Michigan State University College of Osteopathic Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4290 Copper Ridge Dr
Suite 200
Traverse City, MI 49684-7205
Phone (231) 935-8930
Hospital & facility affiliations
- Munson Medical Center
- Paul Oliver Memorial Hospital
- Kalkaska Memorial Health Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Munson Medical Center | Current | Accepting new patients | |
| Munson Medical Center | Current | Accepting new patients | |
| Munson Medical Center | Family Medicine | Current | Accepting new patients |
| West Front Primary Care, P.L.L.C. | Family Medicine | Current | Accepting new patients |
| West Front Primary Care, P.L.L.C. | Family Medicine | Past | Accepting new patients |
Locations
2513 Momentum Pl
Chicago, IL 60689
Phone (231) 935-8031
400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200
3537 W Front St
Ste E
Traverse City, MI 49684
Phone (231) 935-5880
1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000
4290 Copper Ridge Dr
Ste 200
Traverse City, MI 49684
Phone (231) 935-8930
1400 Medical Campus Dr
Traverse City, MI 49684
Phone (231) 935-8000
550 Munson Ave
Traverse City, MI 49686
Phone (231) 935-6600
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- lee.bibicoffdo.p1@direct.wfpc.nextgenshare.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Traverse City, MI
- NPI 1851490296
-
- Endocrinology, Diabetes & Metabolism Physician
- Traverse City, MI
- NPI 1083761860
-
- Family Medicine Physician
- Traverse City, MI
- NPI 1881623031
-
- Psychiatric Hospital Unit
- Traverse City, MI
- NPI 1891586103
-
- Family Medicine Physician
- Traverse City, MI
- NPI 1356260814
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Kalkaska, MI
- NPI 1497751309
-
- General Acute Care Hospital
- Traverse City, MI
- NPI 1952307852
-
- Critical Access Hospital
- Frankfort, MI
- NPI 1427054360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779321600000",
"number": "1114367703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4290 COPPER RIDGE DR STE 200",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496847205",
"telephone_number": "231-935-8930",
"fax_number": "231-935-8811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4290 COPPER RIDGE DR STE 200",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496847205",
"telephone_number": "231-935-8930",
"fax_number": "231-935-8811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIBICOFF",
"first_name": "HILARION",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-27",
"last_updated": "2026-05-21",
"certification_date": "2026-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101020506",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "5101020506",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Traverse City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; 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.