DR. CASSANDRA TRIBBLE (M.D) – Pain Medicine (Anesthesiology) Physician, NPI 1811924657

DR. CASSANDRA TRIBBLE (M.D) is a healthcare provider. based in Jackson, Michigan. specializing in ANESTHESIOLOGY, PAIN MANAGEMENT. They hold the professional credentials M.D. They hold a License No. 035091 (CT). The NPI Number for DR. CASSANDRA TRIBBLE (M.D) is 1811924657

Main info

Female
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. CASSANDRA TRIBBLE (M.D)
NPI
1811924657
Phone
(517) 787-6440
Address
255 W MICHIGAN AVE
Enumeration Date
27 June 2006
Last Update Date
31 March 2008

Doctor Profile

Medical School Name
MID WEST MEDICAL COLLEGE
Secondary Phone
2032052840
Graduation Year
1990 (36 years ago)
PAC ID
5395638589
Group Practice PAC ID
1153602453
Professional Enrollment ID
I20040203000315
Address ID
CT068105119DA40XXXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

863 ANESTHESIOLOGY in CT

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Provider Addresses for DR. CASSANDRA TRIBBLE (M.D)

  • 255, West Michigan Avenue, Jackson, Jackson County, Michigan, 49201, United States

    JACKSON, MI 492012218

    Phone: (517) 787-6440

    Fax: (517) 787-4146

    Type: Mailing

  • Greenwich Hospital, 5, Perryridge Road, Greenwich, Fairfield County, Connecticut, 06830, United States

    GREENWICH, CT 068304608

    Phone: (203) 661-5330

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $24.

Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.

Last reported payment date: 2023-02-21 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($24).

Total Amount

$24

General + Research + Ownership

Payments

1

Total payment records

General Amount

$24

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-21

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$24
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: 2025-04-30

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040203000315IAnesthesiologyCTTBD
I20250430001404IAnesthesiologyNYTBD

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
00142Anesthesia for lens surgery6665$0
00811Anesthesia for other procedure on large bowel using an endoscope2626$0
00813Anesthesia for procedure on small and large bowel using an endoscope2121$0
01402Anesthesia for procedure for total knee joint replacement2121$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2020$0
View full utilization report →

Insurance plans in this area (ZIP 49201)

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Provider's Procedures

DR. CASSANDRA TRIBBLE (M.D) performs procedures in ANESTHESIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYCT00142Anesthesia for lens surgery3433
ANESTHESIOLOGYCT00790Anesthesia for procedure in upper abdomen including use of an endoscope1111
ANESTHESIOLOGYCT76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle1414

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: 1153602453View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YPA
Certified Registered Nurse Anesthetist (Crna)NY
-NY
A N E S T H E S I O L O G YNY
Anesthesiology, Addiction Medicine, Interventional Pain ManagementNY
Certified Registered Nurse Anesthetist (Crna)NY
A N E S T H E S I O L O G YNY
A N E S T H E S I O L O G YNY
-NY
Anesthesiology, Pediatric MedicineNY

Reviews

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Frequently asked questions

How do I look up DR. CASSANDRA TRIBBLE (M.D) by NPI?
Use NPI 1811924657 when you need to reference DR. CASSANDRA TRIBBLE (M.D) in forms, claims, or directories.
Is DR. CASSANDRA TRIBBLE (M.D) currently active in the NPI registry?
CMS-published data lists DR. CASSANDRA TRIBBLE (M.D) as an active registrant.
Does DR. CASSANDRA TRIBBLE (M.D) list a primary specialty?
If you are matching referrals, note Pain Medicine (Anesthesiology) Physician for DR. CASSANDRA TRIBBLE (M.D). Clinical services aligned with this taxonomy classification.
Does DR. CASSANDRA TRIBBLE (M.D) practice in Michigan?
You will see Jackson, Michigan on file for DR. CASSANDRA TRIBBLE (M.D) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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