DR. SHANE JACOB KIBBE (MD) – Orthopaedic Surgery Physician, NPI 1265708168
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
505 ORTHOPEDIC SURGERY in KY
Provider Addresses for DR. SHANE JACOB KIBBE (MD)
809 Morton Ave
Bardstown, KY 400042565
Phone: (502) 834-5676
Fax: (833) 700-1693
Type: Location
330 SEVEN SPRINGS WAY
BRENTWOOD, TN 370275098
Phone: (615) 920-7000
Fax: (615) 920-8775
Type: Mailing
1220 SPRING ST
JEFFERSONVILLE, IN 471303704
Phone: (812) 282-8494
Fax: (812) 288-4481
Type: Location
209 HIGH POINT CT
MOUNT WASHINGTON, KY 400475511
Phone: (502) 834-5676
Fax: (833) 700-1693
Type: Location
PO BOX 33149
BELFAST, ME 049150609
Phone: (888) 488-8289
Type: Mailing
935 CHAMBERS BLVD
BARDSTOWN, KY 40004
Phone: (502) 834-5676
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $99.
Total Amount is formed as General ($99) + Research ($0) + Ownership ($0) = $99.
Last reported payment date: 2024-09-23 • Largest payer in this snapshot: HERAEUS MEDICAL, LLC. ($25).
Total Amount
$99
General + Research + Ownership
Payments
5
Total payment records
General Amount
$99
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| HERAEUS MEDICAL, LLC. | $25 |
| Zimmer Biomet Holdings, Inc. | $21 |
| DePuy Synthes Sales Inc. | $20 |
| Bioventus LLC | $20 |
| BREG, INC | $14 |
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: 2021-04-15
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 |
|---|---|---|---|---|
| I20180619001848 | I | Orthopedic Surgery | IN | TBD |
| I20210415000508 | I | Orthopedic Surgery | KY | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 850 | 106 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 201 | 114 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 125 | 98 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 107 | 107 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 85 | 85 | $0 |
Insurance plans in this area (ZIP 40004)
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