DR. STANLEY TITANG TIBONG (DNP) – Nurse Practitioner, NPI 1871825497
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
14,989 NURSE PRACTITIONER in OH
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Provider Addresses for DR. STANLEY TITANG TIBONG (DNP)
East Apple Street, South Park Historic District, Dayton, Montgomery County, Ohio, 45409, United States
DAYTON, OH 454092939
Phone: (937) 208-4200
Type: Location
6626, Woodland Trace Court, Dutchland Woods, Huntsville, Liberty Township, Butler County, Ohio, 45044, United States
LIBERTY TWP, OH 450449172
Phone: (513) 382-4927
Type: Mailing
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 $102.
Total Amount is formed as General ($102) + Research ($0) + Ownership ($0) = $102.
Last reported payment date: 2023-01-11 • Largest payer in this snapshot: IMPEL PHARMACEUTICALS INC. ($102).
Total Amount
$102
General + Research + Ownership
Payments
1
Total payment records
General Amount
$102
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-01-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| IMPEL PHARMACEUTICALS INC. | $102 |
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: 2013-12-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-12-31 (896 days ago).
Enrollment records
1
Earliest due date
2023-12-31
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 |
|---|---|---|---|---|
| I20131218000706 | I | Nurse Practitioner | OH | 2023-12-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 |
|---|---|---|---|---|
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 110 | 108 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 106 | 80 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 30 | 30 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 17 | 16 | $0 |
Insurance plans in this area (ZIP 45409)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Hand Surgery, Orthopedic Surgery | OH | |
| Interventional Cardiology, Cardiac Electrophysiology | OH | |
| - | OH | |
| Cardiovascular Disease (Cardiology) | OH | |
| - | OH | |
| Physician Assistant | OH | |
| Physician Assistant | OH | |
| Physician Assistant | OH | |
| Physician Assistant | OH | |
| - | OH |
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