MICHAEL KENT TIBBLES (M.D.) – Emergency Medicine Physician, NPI 1801878699

MICHAEL KENT TIBBLES (M.D.) is a healthcare provider. based in Beverly, Massachusetts. specializing in Emergency Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 219627 (MA). The NPI Number for MICHAEL KENT TIBBLES (M.D.) is 1801878699

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL KENT TIBBLES (M.D.)
NPI
1801878699
Phone
(978) 922-3000
Address
85 HERRICK ST
Enumeration Date
16 November 2005
Last Update Date
27 July 2015

Doctor Profile

Medical School Name
BOSTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7817448085
Graduation Year
2000 (26 years ago)
PAC ID
2668408527
Group Practice PAC ID
2264336528
Professional Enrollment ID
I20050712000661
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

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Provider Addresses for MICHAEL KENT TIBBLES (M.D.)

  • Beverly Hospital, 85, Herrick Street, Beverly, Essex County, Massachusetts, 01915, United States

    BEVERLY, MA 01915

    Phone: (978) 922-3000

    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)

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: 2005-07-12

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
I20050712000661IEmergency MedicineMATBD

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
99285Emergency department visit with high level of medical decision making262256$0
99284Emergency department visit with moderate level of medical decision making6767$0
99291Critical care, first 30-74 minutes2727$0
99283Emergency department visit with low level of medical decision making2121$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 01915)

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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: 2264336528View full group profile
NameSpecialtyState
Nurse PractitionerMA
-MA
G A S T R O E N T E R O L O G YNY
Physician AssistantMA
A N E S T H E S I O L O G YMA

Reviews

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Frequently asked questions

What identifier follows MICHAEL KENT TIBBLES (M.D.) across health systems?
The NPI 1801878699 uniquely identifies MICHAEL KENT TIBBLES (M.D.) in U.S. healthcare data.
Quick check: is MICHAEL KENT TIBBLES (M.D.) active?
Public NPPES data shows MICHAEL KENT TIBBLES (M.D.) with an active NPI status right now.
Which specialty label fits MICHAEL KENT TIBBLES (M.D.)?
NPPES ties MICHAEL KENT TIBBLES (M.D.) to Emergency Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is MICHAEL KENT TIBBLES (M.D.) tied to Beverly, Massachusetts?
If you are local to Beverly, Massachusetts, MICHAEL KENT TIBBLES (M.D.) may be relevant to your search.
Why is information missing for MICHAEL KENT TIBBLES (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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