CHARLES KING BIBBY (M.D.) – Emergency Medicine Physician, NPI 1174571517

CHARLES KING BIBBY (M.D.) is a healthcare provider. based in Cimarron, Colorado. specializing in FAMILY PRACTICE, EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 35924 (CO). The NPI Number for CHARLES KING BIBBY (M.D.) is 1174571517

Main info

Male
Sole Proprietor
32 Years Of Experience
Accepts Medicare Assignment
Name
CHARLES KING BIBBY (M.D.)
NPI
1174571517
Phone
(970) 314-1303
Address
180 CREST DR
Enumeration Date
5 May 2006
Last Update Date
15 November 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5058637000
Graduation Year
1994 (32 years ago)
PAC ID
3476544545
Group Practice PAC ID
3375041270
Professional Enrollment ID
I20160513000818
Address ID
NM873015683GA1901XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,661 FAMILY PRACTICE in CO

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Provider Addresses for CHARLES KING BIBBY (M.D.)

  • Fairgrounds Drive, Country Club Crest, Chabot Terrace, Vallejo, Solano County, California, 94589, United States

    CIMARRON, CO 812209503

    Phone: (970) 314-1303

    Fax: (970) 314-1303

    Mailing address matches the actual address.

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 $39.

Total Amount is formed as General ($39) + Research ($0) + Ownership ($0) = $39.

Last reported payment date: 2024-04-16 • Largest payer in this snapshot: Mindray DS USA, Inc. ($39).

Total Amount

$39

General + Research + Ownership

Payments

2

Total payment records

General Amount

$39

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-16

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Mindray DS USA, Inc.$39
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: 2024-03-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 7 Medicare enrollment records; no due dates published yet.

Enrollment records

7

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
I20040519000608IEmergency MedicineARTBD
I20050302000623IFamily PracticeNVTBD
I20160513000818IEmergency MedicineNMTBD
I20190104002181IFamily PracticeCATBD
I20220427002085IFamily PracticeMNTBD
I20221208002971IEmergency MedicineOHTBD
I20240325000130IFamily PracticeKYTBD

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
99284Emergency department visit with moderate level of medical decision making148145$0
99285Emergency department visit with high level of medical decision making9191$0
99283Emergency department visit with low level of medical decision making4343$0
View full utilization report →

Insurance plans in this area (ZIP 81220)

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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: 3375041270View full group profile
NameSpecialtyState
Emergency MedicineTX
Nurse PractitionerNM
Emergency Medicine, Internal MedicineOR
Emergency MedicineMI
Family Practice, Internal Medicine, Emergency Medicine, Emergency MedicineLA
Family Practice, Geriatric MedicineNM
Emergency MedicineNM
Emergency MedicineWA

Reviews

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Frequently asked questions

Can I cross-check CHARLES KING BIBBY (M.D.) using NPI 1174571517?
NPI 1174571517 belongs to CHARLES KING BIBBY (M.D.); compare other details if you need extra assurance.
Is CHARLES KING BIBBY (M.D.) still an active registrant?
CHARLES KING BIBBY (M.D.) carries an active NPI according to the public dataset.
What expertise is attributed to CHARLES KING BIBBY (M.D.)?
CHARLES KING BIBBY (M.D.)'s specialty line reads Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with CHARLES KING BIBBY (M.D.)?
Directory geography for CHARLES KING BIBBY (M.D.) centers on Cimarron, Colorado.
Can I trust this NPI listing for CHARLES KING BIBBY (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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