JACK VIBBERT (DO) – Family Medicine Physician, NPI 1063924868
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,754 FAMILY PRACTICE in AL
Provider Addresses for JACK VIBBERT (DO)
7201 Happy Hollow Rd Ste 101
Trussville, AL 351732459
Phone: (205) 655-3721
Fax: (205) 655-3814
Type: Location
2152 Old Springville Rd
Center Point, AL 352154005
Phone: (205) 838-6000
Type: Location
Plaza Drive, Park Hill, Pell City, St. Clair County, Alabama, 35125, United States
PELL CITY, AL 351259314
Phone: (205) 814-9284
Fax: (205) 814-9626
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 392 Open Payments records for all available years, with a total value of $6,269.
Total Amount is formed as General ($6,269) + Research ($0) + Ownership ($0) = $6,269.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Novo Nordisk Inc ($1,024).
Total Amount
$6,269
General + Research + Ownership
Payments
392
Total payment records
General Amount
$6,269
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $1,024 |
| Lilly USA, LLC | $694 |
| PFIZER INC. | $627 |
| ABBVIE INC. | $616 |
| GlaxoSmithKline, LLC. | $498 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-07-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200707003414 | I | Family Practice | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 274 | 116 | $0 |
| 80048 | Blood test, basic group of blood chemicals (calcium, total) | 129 | 92 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 110 | 85 | $0 |
| 80076 | Liver function blood test panel | 107 | 80 | $0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 94 | 72 | $0 |
Insurance plans in this area (ZIP 35173)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | AL | |
| Nurse Practitioner | AL | |
| Family Practice | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| - | AL | |
| Nurse Practitioner | AL | |
| Family Practice | AL | |
| Nurse Practitioner | AL | |
| Family Practice, Sports Medicine | AL |
Reviews
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