JONATHAN R. HIBBS (MD) – Family Medicine Physician, NPI 1487735569

JONATHAN R. HIBBS (MD) is a healthcare provider. based in Yakima, Washington. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 5225486 (NY). The NPI Number for JONATHAN R. HIBBS (MD) is 1487735569

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
JONATHAN R. HIBBS (MD)
NPI
1487735569
Phone
(509) 452-4520
Address
1806 W Lincoln Ave
Enumeration Date
17 October 2006
Last Update Date
3 April 2024

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5094524520
Graduation Year
1984 (42 years ago)
PAC ID
5698720266
Group Practice PAC ID
4183536931
Professional Enrollment ID
I20140902002141
Address ID
WA989022473YA1806XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience81
Completeness75
Years active:19State licenses:2Digital endpointsOther names

4,056 INTERNAL MEDICINE in WA

Provider Addresses for JONATHAN R. HIBBS (MD)

  • 1806 W Lincoln Ave

    Yakima, WA 989022473

    Phone: (509) 452-4520

    Fax: (509) 452-5224

    Type: Location

  • 700 E MANITOBA AVE STE 101

    ELLENSBURG, WA 989263885

    Phone: (509) 925-6100

    Fax: (509) 925-7604

    Type: Location

  • 501, South 5th Avenue, Yakima, Yakima County, Washington, 98902, United States

    YAKIMA VA CLINIC

    YAKIMA, WA 989023550

    Phone:

    Type: Mailing

  • 717, Fruitvale Boulevard, Yakima, Yakima County, Washington, 98902, United States

    YAKIMA VA CLINIC

    YAKIMA, WA 98902

    Phone: (509) 966-0199

    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: 2014-09-02

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140902002141IInternal MedicineWATBD

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
94016Test to measure expiratory airflow and volume initiated by patient and evaluated by provider6161$0
View full utilization report →

Insurance plans in this area (ZIP 98902)

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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: 4183536931View full group profile
NameSpecialtyState
-WA
Family PracticeIL
-WA
Family PracticeWA
Clinical PsychologistWA
Family PracticeWA
Family PracticeWA
Family PracticeWA
Family PracticeWA
Family PracticeWA

Reviews

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Frequently asked questions

Where can patients find JONATHAN R. HIBBS (MD)'s NPI?
You can confirm JONATHAN R. HIBBS (MD) with NPI 1487735569; it appears in the national provider directory.
Is JONATHAN R. HIBBS (MD) currently active in the NPI registry?
CMS-published data lists JONATHAN R. HIBBS (MD) as an active registrant.
Does JONATHAN R. HIBBS (MD) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for JONATHAN R. HIBBS (MD). Clinical services aligned with this taxonomy classification.
Does JONATHAN R. HIBBS (MD) practice in Washington?
You will see Yakima, Washington on file for JONATHAN R. HIBBS (MD) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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