DR. JAMES EUGENE TIBONE (MD) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1831174523
Sports Medicine (Orthopaedic Surgery) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
700 SPORTS MEDICINE in CA
Provider Addresses for DR. JAMES EUGENE TIBONE (MD)
1520 San Pablo St
Los Angeles, CA 900335310
Phone: (323) 442-5860
Type: Location
1520, San Pablo Street, Boyle Heights, Los Angeles, Los Angeles County, California, 90033, United States
LOS ANGELES, CA 900335310
Phone: (323) 442-5860
Type: Location
6801, Park Terrace, Westchester, Los Angeles, Los Angeles County, California, 90045, United States
LOS ANGELES, CA 900451543
Phone: (310) 665-7200
Type: Mailing
6801 PARK TERRACE
100 & 400
LOS ANGELES, CA 90045
Phone: (310) 665-7200
Fax: (310) 665-7245
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 70 Open Payments records for all available years, with a total value of $19,571.
Total Amount is formed as General ($19,571) + Research ($0) + Ownership ($0) = $19,571.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Arthrex, Inc. ($17,636).
Total Amount
$19,571
General + Research + Ownership
Payments
70
Total payment records
General Amount
$19,571
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Arthrex, Inc. | $17,636 |
| Smith+Nephew, Inc. | $1,149 |
| Stryker Corporation | $431 |
| Linvatec Corporation | $171 |
| Pacira Pharmaceuticals Incorporated | $152 |
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: 2009-09-08
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 |
|---|---|---|---|---|
| I20090908000457 | I | Sports Medicine | CA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 160 | 101 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 140 | 22 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 86 | 62 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 64 | 64 | $0 |
| 99441 | Telephone medical discussion with physician, 5-10 minutes | 19 | 15 | $0 |
Insurance plans in this area (ZIP 90033)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| SPORTS MEDICINE | CA | 20610 | Aspiration and/or injection of large joint or joint capsule | 43 | 32 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Critical Care (Intensivists), General Surgery | CA | |
| - | WA | |
| Nurse Practitioner | CA | |
| Physician Assistant | CA | |
| Clinical Psychologist | CA | |
| Nurse Practitioner | CA | |
| N E U R O S U R G E R Y | OH | |
| Nurse Practitioner | CA | |
| General Surgery, Critical Care (Intensivists) | CA | |
| Internal Medicine | CA |
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