CHARLES KELLEY TIBBELS (MD) – Family Medicine Physician, NPI 1871569632
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,705 FAMILY PRACTICE in TX
Provider Addresses for CHARLES KELLEY TIBBELS (MD)
2014 BEN MERRITT DR STE B
DECATUR, TX 76234
Phone: (940) 626-8810
Fax: (940) 626-8811
Type: Location
1821 S FM 51
DECATUR, TX 762343715
Phone: (940) 233-6929
Fax: (877) 892-4569
Type: Location
2078, Hairston Creek Parkway, Kings Ridge, Decatur, DeKalb County, Georgia, 30035, United States
DECATUR, TX 762346156
Phone: (940) 626-8810
Fax: (940) 626-8811
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $420.
Total Amount is formed as General ($420) + Research ($0) + Ownership ($0) = $420.
Last reported payment date: 2024-04-30 • Largest payer in this snapshot: ABBVIE INC. ($189).
Total Amount
$420
General + Research + Ownership
Payments
21
Total payment records
General Amount
$420
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $189 |
| Novo Nordisk Inc | $59 |
| Otsuka America Pharmaceutical, Inc. | $35 |
| Exact Sciences Corporation | $31 |
| Bioventus LLC | $28 |
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: 2005-04-11
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 |
|---|---|---|---|---|
| I20050411000514 | I | Family Practice | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 56 | 56 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 24 | 20 | $0 |
| G0008 | Administration of influenza virus vaccine | 24 | 24 | $0 |
| 90686 | Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage | 13 | 13 | $0 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 11 | 11 | $0 |
Insurance plans in this area (ZIP 76234)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| - | TX | |
| Family Practice | TX | |
| Family Practice, Emergency Medicine | TX | |
| Orthopedic Surgery | TX | |
| P O D I A T R Y | TX | |
| - | TX | |
| Family Practice | TX | |
| Internal Medicine | TX |
Reviews
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