NPIMap

Individual provider Active NPI

Charles R. Tribbett, M.D.

  • Family Medicine Physician
  • Monticello, IN
National Provider Identifier
1164404893
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01036854A Issued in IN
Practice address
301 W Harrison Street
Monticello, IN 47960-0000
Phone
(574) 240-1111
Fax
(574) 240-1113
NPI assigned
Nov 17, 2005
Last updated
Apr 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01036854A IN Primary

Addresses

Primary practice location

301 W Harrison Street
Monticello, IN 47960-0000

Mailing address

301 W Harrison St
Monticello, IN 47960-2211
Phone (574) 208-5505

Other identifiers 2

IdentifierTypeStateIssuer
201351020AMedicaidIN
E39369OtherINMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100805000043 IN Practitioner - Family PracticePractitioner - Obstetrics/GynecologyPractitioner - Geriatric Medicine 2769391465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine, Obstetrics/Gynecology
Education
Indiana University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tribbett Family Medicine LLCGroup PAC ID 5395653687, 2 clinicians

Practice addresses (Care Compare)

301 W Harrison St
Monticello, IN 47960-2211
Phone (574) 240-1111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.3 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
74.32

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions22
Removal of nail tissue1-10
Skin biopsy12

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tribbett Family Medicine, LLC Family Medicine CurrentSince Apr 22, 1996 Accepting new patients
Monticello Medical Center, LLC Past Accepting new patients

Locations

12 Chase Park
Logansport, IN 46947
Phone (574) 583-3333

301 W Harrison St
Monticello, IN 47960
Phone (574) 240-1111

826 N 6th St
Monticello, IN 47960
Phone (574) 583-1924

Organizations & group practices 2

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 9

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": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1164404893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W HARRISON ST",
            "city": "MONTICELLO",
            "state": "IN",
            "postal_code": "479602211",
            "telephone_number": "574-208-5505",
            "fax_number": "574-208-5507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W HARRISON STREET",
            "city": "MONTICELLO",
            "state": "IN",
            "postal_code": "479600000",
            "telephone_number": "574-240-1111",
            "fax_number": "574-240-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIBBETT",
        "first_name": "CHARLES",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01036854A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201351020A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "E39369",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, IN

Sources for this page

Verify at the official NPI Registry.