NPIMap

Individual provider Active NPI

Patrick M Tibbles, MD

  • Emergency Medicine Physician
  • Rapid City, SD
National Provider Identifier
1861582124
Registry record updated Jan 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
4331 Issued in SD
Practice address
353 Fairmont Blvd
Rapid City, SD 57701-7375
Phone
(605) 755-8222
Fax
(605) 719-4203
NPI assigned
Oct 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 4331 SD Primary

Addresses

Primary practice location

353 Fairmont Blvd
Rapid City, SD 57701-7375

Mailing address

PO Box 912882
Denver, CO 80291-2882
Phone (866) 765-0909

Other identifiers 3

IdentifierTypeStateIssuer
1459655MedicaidND
1861582124MedicaidCO
1861582124MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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
I20101122001364 SD Practitioner - Emergency MedicinePractitioner - AnesthesiologyPractitioner - Family Practice 6709072341 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rapid City Emergency Services PAGroup PAC ID 7315934171, 23 clinicians

Practice addresses (Care Compare)

353 Fairmont Blvd
Rapid City, SD 57701-7375
Phone (605) 755-8222

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.16 of 100Reported as group
Quality
99.03
Improvement activities
40
Cost
78.09

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Monument Health Rapid City Hospital Inc CurrentSince Jun 1, 2025 Accepting new patients
Monument Health Network, Inc. CurrentSince Nov 15, 2023 Accepting new patients
Monument Health Network, Inc. CurrentSince Nov 4, 2025 Accepting new patients
Monument Health Rapid City Hospital, Inc CurrentSince Jun 1, 2025 Accepting new patients
Monument Health Rapid City Hospital, Inc Current Accepting new patients
Rapid City Emergency Services PA Emergency Medicine CurrentSince May 1, 1998 Accepting new patients
Monument Health Network, Inc. Emergency Medicine CurrentSince Nov 15, 2023 Accepting new patients
Monument Health Network, Inc. Current Accepting new patients
Monument Health Network, Inc CurrentSince Dec 19, 2024 Accepting new patients
Fall River Health Services CurrentSince Sep 1, 2025 Accepting new patients
Fall River Health Services CurrentSince Sep 1, 2025 Accepting new patients

Locations

1220 Montgomery St
Custer, SD 57730
Phone (605) 673-4150

61 Charles St
Deadwood, SD 57732
Phone (605) 717-6000

1201 Highway 71 S
Hot Springs, SD 57747
Phone (605) 745-3159

211 Founders Park Dr
Ste C
Rapid City, SD 57701
Phone (605) 307-0342

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

1440 N Main St
Spearfish, SD 57783
Phone (605) 644-4000

Organizations & group practices 11

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 12

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": "1160784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547164800000",
    "number": "1861582124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 912882",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802912882",
            "telephone_number": "866-765-0909",
            "fax_number": "855-856-8520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 FAIRMONT BLVD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577017375",
            "telephone_number": "605-755-8222",
            "fax_number": "605-719-4203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIBBLES",
        "first_name": "PATRICK",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-14",
        "last_updated": "2019-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SD",
            "license": "4331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1459655",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861582124",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861582124",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.