NPIMap

Individual provider Active NPI

Shane Jacob Kibbe, MD

  • Orthopaedic Surgery Physician
  • Mt Washington, KY
National Provider Identifier
1265708168
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
50338 Issued in KY
Practice address
209 High Point CT
Mount Washington, KY 40047-5511
Phone
(502) 834-5676
Fax
(833) 700-1693
NPI assigned
Mar 26, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X R2958 KY
Orthopaedic Surgery Physician 207X00000X 50338 KY Primary
Addiction Medicine (Internal Medicine) Physician 207RA0401X R2958 KY

Addresses

Primary practice location

209 High Point CT
Mount Washington, KY 40047-5511

Mailing address

PO Box 33149
Belfast, ME 04915-0609
Phone (888) 488-8289

Other practice location 1

809 Morton Ave
Bardstown, KY 40004-2565
Phone (502) 834-5676

Other identifiers 1

IdentifierTypeStateIssuer
01080524AOtherINLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180619001848 IN Practitioner - Orthopedic Surgery 8527387059 Reassigns benefits to 1 organization
I20210415000508 KY Practitioner - Orthopedic Surgery 8527387059 Reassigns benefits to 2 organizations
Practice locations: Bardstown, KY

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Toledo College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

209 High Point CT
Suite 100
Mount Washington, KY 40047-5512
Phone (502) 834-5676

809 Morton Ave
Suite 100
Bardstown, KY 40004-2565
Phone (502) 834-5676

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R2958KYMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spring View Physician Practices LLC CurrentSince Aug 1, 2021 Accepting new patients
Kibbe Orthopedics PLLC Orthopaedic Surgery CurrentSince Jul 29, 2021 Accepting new patients
Spring View Physician Practices, LLC Orthopaedic Surgery CurrentSince Aug 1, 2021 Accepting new patients
Kibbe Orthopedics PLLC Orthopaedic Surgery CurrentSince Aug 1, 2022 Accepting new patients
Norton Clark Physician Practices, LLC Orthopaedic Surgery CurrentSince Jul 1, 2018 Accepting new patients

Locations

11500 Highway 62
Charlestown, IN 47111
Phone (812) 256-0700

1220 Spring St
Jeffersonvlle, IN 47130
Phone (812) 282-8494

1806 E 10th St
Jeffersonvlle, IN 47130
Phone (812) 285-5923

3707 Charlestown Rd
Ste C1
New Albany, IN 47150
Phone (812) 944-4720

935 Chambers Blvd
Bardstown, KY 40004
Phone (270) 506-3300

809 Morton Ave
Ste 100
Bardstown, KY 40004
Phone (502) 331-9503

420 N Loretto Rd
Ste 600
Lebanon, KY 40033
Phone (270) 692-5139

209 High Point Ct
Ste 100
Mt Washington, KY 40047
Phone (502) 834-5676

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26913/brand/1/csg/1/fhir/r4
  • Direct secure messaging: shane.kibbe.1@26913.direct.athenahealth.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.

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1332720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1265708168",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 HIGH POINT CT",
            "city": "MOUNT WASHINGTON",
            "state": "KY",
            "postal_code": "400475511",
            "telephone_number": "502-834-5676",
            "fax_number": "833-700-1693"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "809 Morton Ave",
            "address_purpose": "LOCATION",
            "city": "Bardstown",
            "state": "KY",
            "postal_code": "400042565",
            "country_code": "US",
            "telephone_number": "502-834-5676",
            "fax_number": "833-700-1693",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIBBE",
        "first_name": "SHANE",
        "middle_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-26",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KY",
            "license": "R2958",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KY",
            "license": "50338",
            "primary": true
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "KY",
            "license": "R2958",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "01080524A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Washington, KY

Sources for this page

Verify at the official NPI Registry.