DR. THOMAS EDWARD KIBELSTIS (M.D.) – Family Medicine Physician, NPI 1215062831

DR. THOMAS EDWARD KIBELSTIS (M.D.) is a healthcare provider. based in Davis monthan afb, Arizona. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. MD.13795R (LA). The NPI Number for DR. THOMAS EDWARD KIBELSTIS (M.D.) is 1215062831

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. THOMAS EDWARD KIBELSTIS (M.D.)
NPI
1215062831
Phone
Not provided
Address
4175 S ALAMO AVE
Enumeration Date
22 February 2007
Last Update Date
13 September 2021

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6103251390
Graduation Year
1999 (27 years ago)
PAC ID
4789872441
Group Practice PAC ID
1951215201
Professional Enrollment ID
I20221122001544
Address ID
PA190083512BR1991XRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

2,260 FAMILY PRACTICE in AZ

Provider Addresses for DR. THOMAS EDWARD KIBELSTIS (M.D.)

  • 4175 S ALAMO AVE

    355TH MEDICAL GROUP

    DAVIS MONTHAN AFB, AZ 857074402

    Phone:

    Type: Mailing

  • 9356 E Rita Rd Ste 180

    Tucson, AZ 857476318

    Phone: (520) 324-4499

    Fax: (520) 324-4492

    Type: Location

  • 70 N Harrison Rd

    Tucson, AZ 857483260

    Phone: (520) 324-4403

    Fax: (520) 324-1409

    Type: Location

  • PO BOX 31235

    TUCSON, AZ 857511235

    Phone: (520) 324-4100

    Type: Mailing

  • 10350 E DREXEL RD UNIT 110

    TUCSON, AZ 857479409

    Phone: (520) 324-1727

    Fax: (520) 324-1700

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $145.

Total Amount is formed as General ($145) + Research ($0) + Ownership ($0) = $145.

Last reported payment date: 2024-10-30 • Largest payer in this snapshot: ABBVIE INC. ($125).

Total Amount

$145

General + Research + Ownership

Payments

2

Total payment records

General Amount

$145

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-30

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$125
Abbott Laboratories$20
View all Open Payments →|Open Payments Risk Radar →

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: 2022-11-22

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221122001544IFamily PracticePATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes214154$0
99213Established patient office or other outpatient visit, 20-29 minutes9894$0
99215Established patient office or other outpatient visit, 40-54 minutes9290$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit5858$0
99204New patient office or other outpatient visit, 45-59 minutes4646$0
View full utilization report →

Insurance plans in this area (ZIP 85707)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1951215201View full group profile

Reviews

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Frequently asked questions

What is the registry number for DR. THOMAS EDWARD KIBELSTIS (M.D.)?
The registry entry for DR. THOMAS EDWARD KIBELSTIS (M.D.) shows NPI 1215062831.
Does the public listing show DR. THOMAS EDWARD KIBELSTIS (M.D.) as active?
DR. THOMAS EDWARD KIBELSTIS (M.D.)'s NPI record reflects an active status in NPPES.
Which specialty label fits DR. THOMAS EDWARD KIBELSTIS (M.D.)?
NPPES ties DR. THOMAS EDWARD KIBELSTIS (M.D.) to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. THOMAS EDWARD KIBELSTIS (M.D.)?
DR. THOMAS EDWARD KIBELSTIS (M.D.) shows a connection to Davis Monthan Afb, Arizona in registry-derived data.
Can I export DR. THOMAS EDWARD KIBELSTIS (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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