Individual provider Active NPI

David Hibbets, DO

  • Family Medicine Physician
  • Monroe, LA
National Provider Identifier
1205256153
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
338974 Issued in LA
Practice address
1001 Desiard St Ste 2
Monroe, LA 71201-7613
Phone
(318) 460-5126
Fax
(318) 460-5271
NPI assigned
Apr 18, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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 338974 LA Primary

Addresses

Primary practice location

1001 Desiard St Ste 2
Monroe, LA 71201-7613

Mailing address

PO Box 792
Bastrop, LA 71221-0792
Phone (318) 283-8887

Other practice location 1

110 Millsaps Dr
Hattiesburg, MS 39402-1347
Phone (601) 261-5710

Other practice location 2

420 Wheelis St
West Monroe, LA 71292-3940
Phone (318) 283-8887

Other identifiers 2

IdentifierTypeStateIssuer
2673289MedicaidLA
08157370MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, LA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170524002096 MS Practitioner - Family Practice 4183933195 Reassigns benefits to 1 organization
I20240903003805 LA Practitioner - Osteopathic Manipulative Medicine 4183933195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
William Carey University College of Osteopathic Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

518 Durham St
Bastrop, LA 71220-5013
Phone (318) 283-8887

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
50.9 of 100Reported as group
Quality
0
Improvement activities
40
Cost
69.67

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
338974LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Morehouse Community Medical Centers, Inc CurrentSince Sep 1, 2024 Accepting new patients
Morehouse Community Medical Centers, Inc. CurrentSince Sep 1, 2024 Accepting new patients
The Family Practice/After Hours Clinic, PLLC Family Medicine CurrentSince May 1, 2017 Accepting new patients
Morehouse Community Medical Centers, Inc. Family Medicine Current Accepting new patients
Morehouse Community Medical Centers, Inc. Past Accepting new patients
St John Urgent Care Clinics Inc Past Accepting new patients

Locations

1001 W Madison Ave
Bastrop, LA 71220
Phone (318) 281-8422

501 Durham St
Bastrop, LA 71220
Phone (318) 281-2008

314 N Franklin St
Bastrop, LA 71220
Phone (318) 239-8045

518 Durham St
Bastrop, LA 71220
Phone (318) 556-3333

402 Highland Ave
Bastrop, LA 71220
Phone (318) 239-3883

4787 Highway 151
Downsville, LA 71234
Phone (985) 805-6068

1126 Marion Hwy
Farmerville, LA 71241
Phone (318) 327-3550

335 Main St
Marion, LA 71260
Phone (318) 292-2795

108 N 16th St
Mer Rouge, LA 71261
Phone (318) 239-8010

1825 N 18th St
Monroe, LA 71201
Phone (318) 322-7999

681 Highway 594
Monroe, LA 71203
Phone (318) 381-0140

201 Riggs St
West Monroe, LA 71291
Phone (318) 323-3771

420 Wheelis St
West Monroe, LA 71292
Phone (318) 235-3661

100 Price Dr
West Monroe, LA 71292
Phone (318) 325-0973

110 Millsaps Dr
Hattiesburg, MS 39402
Phone (601) 261-5710

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1397779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1205256153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 792",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712210792",
            "telephone_number": "318-283-8887",
            "fax_number": "318-281-2559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 DESIARD ST STE 2",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712017613",
            "telephone_number": "318-460-5126",
            "fax_number": "318-460-5271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Millsaps Dr",
            "address_purpose": "LOCATION",
            "city": "Hattiesburg",
            "state": "MS",
            "postal_code": "394021347",
            "country_code": "US",
            "telephone_number": "601-261-5710",
            "fax_number": "601-268-5058",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "420 Wheelis St",
            "address_purpose": "LOCATION",
            "city": "West Monroe",
            "state": "LA",
            "postal_code": "712923940",
            "country_code": "US",
            "telephone_number": "318-283-8887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIBBETS",
        "first_name": "DAVID",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-18",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "338974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2673289",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08157370",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.