TIBEBE HAILE (M.D.) – Internal Medicine Physician, NPI 1073826491

TIBEBE HAILE (M.D.) is a healthcare provider. based in Cape girardeau, Missouri. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 2010009146 (MO). The NPI Number for TIBEBE HAILE (M.D.) is 1073826491

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
TIBEBE HAILE (M.D.)
NPI
1073826491
Phone
(573) 331-6431
Address
1701 LACEY ST
Enumeration Date
15 July 2010
Last Update Date
3 September 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3017547000
Graduation Year
1996 (30 years ago)
PAC ID
8426296401
Group Practice PAC ID
4486900172
Professional Enrollment ID
I20170114000059
Address ID
MD209101460SI1500XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

4,190 INTERNAL MEDICINE in MO

Provider Addresses for TIBEBE HAILE (M.D.)

  • 1701 LACEY ST

    CAPE GIRARDEAU, MO 637015230

    Phone: (573) 331-6431

    Fax: (573) 986-5984

    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 15 Open Payments records for all available years, with a total value of $288.

Total Amount is formed as General ($288) + Research ($0) + Ownership ($0) = $288.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($80).

Total Amount

$288

General + Research + Ownership

Payments

15

Total payment records

General Amount

$288

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

Latest reported date

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: 2018-09-20

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
I20170114000059IInternal MedicineDCTBD
I20180920002326IInternal MedicineMDTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes517242$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes267144$0
99239Hospital discharge day management, more than 30 minutes126124$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes7171$0
View full utilization report →

Insurance plans in this area (ZIP 63701)

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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: 4486900172View full group profile
NameSpecialtyState
-MD
Internal MedicineMD
Internal MedicineMD
Physician AssistantMA
Physician AssistantMD
-MD
Internal MedicineMD
Internal MedicineIL
Physician AssistantMD
Physician AssistantNY

Reviews

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Frequently asked questions

Can I verify TIBEBE HAILE (M.D.) with an NPI only?
You can start verification with NPI 1073826491 for TIBEBE HAILE (M.D.), then check state licensing separately.
Is TIBEBE HAILE (M.D.) still practicing?
TIBEBE HAILE (M.D.) is currently listed as active in the public NPI registry.
What taxonomy line describes TIBEBE HAILE (M.D.)?
For research purposes, treat TIBEBE HAILE (M.D.) as Internal Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for TIBEBE HAILE (M.D.)?
TIBEBE HAILE (M.D.)'s geographic hint is Cape Girardeau, Missouri in our summary view.
Why does TIBEBE HAILE (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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