Active NPI
Christopher Steven Tibbetts, PAC
- Physician Assistant
- Sioux Falls, SD
National Provider Identifier
1386677516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0327
- Practice address
- 810 East 23Rd Street
Orthopedic Institute
Sioux Falls, SD 57117-5116 - Phone
- (605) 331-5890
- Fax
- (605) 336-3974
- NPI assigned
- Jul 9, 2006
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0327 | SD | Primary |
Addresses
Primary practice location
810 East 23Rd Street
Orthopedic Institute
Sioux Falls, SD 57117-5116
Mailing address
PO Box 5116
810 East 23Rd Street
Sioux Falls, SD 57117-5116
Phone (605) 331-5890
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6821330 | Medicaid | SD | |
| 970003069 | Other | SD | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Baylor College of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1101 Broadway Ave
Yankton, SD 57078-2835
Phone (605) 331-5890
2120 Live Stronger St
Tea, SD 57064-8331
Phone (605) 331-5890
249 5TH St E
Tracy, MN 56175-1536
Phone (888) 331-5890
810 E 23Rd St
Sioux Falls, SD 57105-2135
Hospital & facility affiliations
- Sioux Falls Specialty Hospital
- Avera Marshall Regional Medical Ctr
- Avera McKennan Hospital & University Health Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.01 of 100
- Quality
- 78.63
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 64.73
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9367 | MN | MD | Physical Therapist |
| 002271 | IA | MD | Occupational Therapist |
| 0327 | SD | MD | Nurse Practitioner |
Interoperability endpoints
- christopher.tibbetts.1@21545.direct.athenahealth.com
Organizations & group practices 1
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 25
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sioux Falls, SD
- NPI 1154531630
-
- General Acute Care Hospital
- Sioux Falls, SD
- NPI 1184834764
-
- Endocrinology, Diabetes & Metabolism Physician
- Sioux Falls, SD
- NPI 1396711016
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492732800000",
"number": "1386677516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5116",
"address_2": "810 EAST 23RD STREET",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571175116",
"telephone_number": "605-331-5890",
"fax_number": "605-336-3974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 EAST 23RD STREET",
"address_2": "ORTHOPEDIC INSTITUTE",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571175116",
"telephone_number": "605-331-5890",
"fax_number": "605-336-3974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIBBETTS",
"first_name": "CHRISTOPHER",
"middle_name": "STEVEN",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-09",
"last_updated": "2017-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SD",
"license": "0327",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6821330",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "970003069",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; 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.