Individual provider Active NPI

Ben J Kirbo, MD

  • Plastic Surgery Physician
  • Tallahassee, FL
National Provider Identifier
1720096761
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
ME0069912 Issued in FL
Practice address
2030 Fleischmann Rd
Tallahassee, FL 32308
Phone
(850) 219-2000
Fax
(850) 877-2138
NPI assigned
Aug 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X ME0069912 FL Primary

Addresses

Primary practice location

2030 Fleischmann Rd
Tallahassee, FL 32308

Mailing address

2030 Fleischmann Rd
Tallahassee, FL 32308
Phone (850) 219-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20111115000070 FL Practitioner - Plastic and Reconstructive Surgery 3971572736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Miami, LM Miller School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Plastic Surgery PAGroup PAC ID 4688642085, 6 clinicians

Practice addresses (Care Compare)

2030 Fleischmann Rd
Tallahassee, FL 32308-4599
Phone (850) 219-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.27 of 100Reported as individual
Quality
94.54
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy15
Melanoma (skin cancer) excision102
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Plastic Surgery, P.a. CurrentSince Nov 1, 2001 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

2030 Fleischmann Rd
Tallahassee, FL 32308
Phone (850) 219-2000

2636 Mitcham Dr
Ste A
Tallahassee, FL 32308
Phone (850) 219-2000

Interoperability endpoints

  • Direct secure messaging: bkirbo@directaddress.net

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 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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720096761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 FLEISCHMANN RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32308",
            "telephone_number": "850-219-2000",
            "fax_number": "850-877-2138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 FLEISCHMANN RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32308",
            "telephone_number": "850-219-2000",
            "fax_number": "850-877-2138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRBO",
        "first_name": "BEN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME0069912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.