MR. JOSEPH R TIBAY (RD) – Registered Dietitian, NPI 1326310335
Registered Dietitian
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
154 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in OR
Provider Addresses for MR. JOSEPH R TIBAY (RD)
3949 SOUTH 6TH STREET
KLAMATH FALLS, OR 97603
Phone: (541) 882-1487
Fax: (541) 880-5590
Type: Mailing
330 CHILOQUIN BLVD
CHILOQUIN, OR 976246747
Phone: (541) 882-1487
Fax: (541) 783-3237
Type: Location
P.O. DRAWER PH
CHINLE, AZ 86503
Phone: (928) 674-7166
Fax: (928) 674-7705
Type: Mailing
HIGHWAY 191 AND HOSPITAL ROAD
CHINLE, AZ 86503
Phone: (928) 674-7166
Fax: (928) 674-7705
Type: Location
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: 2025-09-17
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250917004184 | I | Registered Dietitian Or Nutrition Professional | OR | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97603)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| R H E U M A T O L O G Y | UT | |
| Nurse Practitioner | UT | |
| Rheumatology, Internal Medicine | OR | |
| Nurse Practitioner | OR | |
| - | NM | |
| Nurse Practitioner | MD |
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