RICHARD J MCKIBBEN (PT, DWC, ECS) – Physical Therapist, NPI 1407949134
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,870 PHYSICAL THERAPIST IN PRIVATE PRACTICE in GA
Provider Addresses for RICHARD J MCKIBBEN (PT, DWC, ECS)
100 A LINDSEY LANE
KINGSLAND, GA 315480000
Phone: (912) 729-1333
Fax: (912) 729-5259
Type: Location
949, Rome Road, Norridgewock, Kennebec County, Maine, 04957, United States
ROME, GA 301620949
Phone: (706) 236-2774
Fax: (706) 802-1408
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-08-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20041004000566 | I | Physical Therapist In Private Practice | GA | TBD |
| I20250804002157 | I | Physical Therapist In Private Practice | PA | 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 |
|---|---|---|---|---|
| 95886 | Needle measurement of electrical activity in arm or leg muscles, complete study | 54 | 50 | $0 |
| 95885 | Needle measurement of electrical activity in arm or leg muscles, limited study | 38 | 30 | $0 |
| 95911 | Nerve conduction, 9-10 studies | 16 | 15 | $0 |
| 95910 | Nerve conduction, 7-8 studies | 15 | 15 | $0 |
Insurance plans in this area (ZIP 31548)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | GA | |
| - | GA | |
| Nurse Practitioner | GA | |
| Physician Assistant | GA | |
| - | GA | |
| Orthopedic Surgery | GA | |
| Orthopedic Surgery, Sports Medicine | GA | |
| Nurse Practitioner | GA | |
| Orthopedic Surgery | GA | |
| - | GA |
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