NPIMap

Individual provider Active NPI

Jerald W Bybee, MD

  • Family Medicine Physician
  • Maquoketa, IA
National Provider Identifier
1659360816
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
21580 Issued in IA
Practice address
206 North Arcade
Maquoketa, IA 52060-2022
Phone
(563) 652-6711
Fax
(563) 652-6715
NPI assigned
Oct 19, 2005
Last updated
Mar 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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 21580 IA Primary

Addresses

Primary practice location

206 North Arcade
Maquoketa, IA 52060-2022

Mailing address

206 North Arcade
Maquoketa, IA 52060-2022
Phone (563) 652-6711

Other identifiers 1

IdentifierTypeStateIssuer
0185462MedicaidIA

Electronic endpoints 3

TypeEndpointUseAffiliation
CONNECT URL jerald.bybee@direct.genesishealth.com Direct
CONNECT URL jerald.bybee@direct.genesishealth.com Direct
CONNECT URL jerald.bybee@direct.genesishealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20100921001062 IA Practitioner - Family Practice 4082708714 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Iowa, RJ & L Carver College of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maquoketa Family ClinicGroup PAC ID 1951291095, 4 clinicians

Practice addresses (Care Compare)

206 N Arcade St
Maquoketa, IA 52060-2022
Phone (563) 652-6711

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions79
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21580IAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson County Public Hospital CurrentSince Jul 26, 2014 Accepting new patients
Maquoketa Family Clinic Family Medicine CurrentSince Aug 1, 1981 Accepting new patients
Jackson County Public Hospital CurrentSince Jul 26, 2014 Accepting new patients
Jackson County Public Hospital Past Accepting new patients

Locations

206 N Arcade St
Maquoketa, IA 52060
Phone (319) 652-6711

601 Hospital Dr
Maquoketa, IA 52060
Phone (563) 652-2474

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Jackson Ridge Healthcare CenterMaquoketa, IA, CCN 165516 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2010
Jan 1, 2010

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Jackson Ia Opco LLC

    dba Jackson Ridge Healthcare Center

    • Skilled Nursing Facility
    • Maquoketa, IA
    • NPI 1326742610

    Adp of the SNF, Operational/Managerial Control

    CMS ownership

Organizations & group practices 4

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 8

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": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1659360816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 NORTH ARCADE",
            "city": "MAQUOKETA",
            "state": "IA",
            "postal_code": "520602022",
            "telephone_number": "563-652-6711",
            "fax_number": "563-652-6715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 NORTH ARCADE",
            "city": "MAQUOKETA",
            "state": "IA",
            "postal_code": "520602022",
            "telephone_number": "563-652-6711",
            "fax_number": "563-652-6715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYBEE",
        "first_name": "JERALD",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "21580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0185462",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jerald.bybee@direct.genesishealth.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "206 North Arcade",
            "city": "Maquoketa",
            "state": "IA",
            "country_code": "US",
            "postal_code": "520602022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jerald.bybee@direct.genesishealth.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "206 North Arcade",
            "city": "Maquoketa",
            "state": "IA",
            "country_code": "US",
            "postal_code": "520602022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jerald.bybee@direct.genesishealth.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "206 North Arcade",
            "city": "Maquoketa",
            "state": "IA",
            "country_code": "US",
            "postal_code": "520602022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Maquoketa, IA

Sources for this page

Verify at the official NPI Registry.