DR. LUKE RYAN TIBBITTS (DDS) – Oral & Maxillofacial Surgery (D.M.D.), NPI 1013448885
Oral & Maxillofacial Surgery (D.M.D.)
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
145 ORAL SURGERY in TX
Provider Addresses for DR. LUKE RYAN TIBBITTS (DDS)
901 W 38TH ST STE 410
AUSTIN, TX 787051162
Phone: (512) 992-1378
Type: Location
800 ROSE ST RM D-508
LEXINGTON, KY 405367001
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $656.
Total Amount is formed as General ($656) + Research ($0) + Ownership ($0) = $656.
Last reported payment date: 2024-10-31 • Largest payer in this snapshot: KLS-Martin L.P. ($352).
Total Amount
$656
General + Research + Ownership
Payments
6
Total payment records
General Amount
$656
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| KLS-Martin L.P. | $352 |
| Kerecis Limited | $182 |
| Straumann USA LLC | $78 |
| ACUMED LLC | $44 |
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: 2023-11-15
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 |
|---|---|---|---|---|
| I20231115000289 | I | Oral Surgery | TX | 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 78705)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Maxillofacial Surgery | TX | |
| Oral Surgery | IL | |
| Oral Surgery, Dentist | TX | |
| Physician Assistant | TX |
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