David Lyle Tibbits
KETTERING ANESTHESIA ASSOCIATES, INC

Address: 4000 Miamisburg Centerville Rd, Miamisburg, OH 45342-7615
Phone: 9372990099

David Lyle Tibbits (NPI# 1114907466, PAC ID# 5092796656) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.

Physician Overview

Nation Provider ID (NPI) 1114907466
PAC ID by PECOS 5092796656
Professional Enrollment ID I20040528000378
Full Name David Lyle Tibbits
Organization Legal Name KETTERING ANESTHESIA ASSOCIATES, INC
Address 4000 Miamisburg Centerville Rd
Miamisburg
OH 45342-7615
Phone Number 9372990099
Gender M
Credential MD
Medical School OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year 1996
Primary Specialty ANESTHESIOLOGY
Group Practice PAC ID 0648170365
Number of Group Practice Members 113
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
360079 KETTERING MEDICAL CENTER
360239 KETTERING MEDICAL CENTER - SYCAMORE
360133 GRANDVIEW AND SOUTHVIEW HOSPITALS
360086 SPRINGFIELD REGIONAL MEDICAL CENTER
360051 MIAMI VALLEY HOSPITAL

Other Locations

Address Phone Organization
3535 Pentagon Blvd, Beavercreek, OH 45431-1705 9377024000 KETTERING ANESTHESIA ASSOCIATES, INC
3535 Southern Blvd, Kettering, OH 45429-1221 9372984331 KETTERING ANESTHESIA ASSOCIATES, INC
4000 Miamisburg Centerville Rd, Miamisburg, OH 45342-7615 9372990099 KETTERING ANESTHESIA ASSOCIATES, INC
1141 N Monroe Dr, Xenia, OH 45385-1619 9373522000 KETTERING ANESTHESIA ASSOCIATES, INC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
PQRS_EP_193_1 Perioperative Temperature Management 98% Claims

Organization Information

Organization Legal Name KETTERING ANESTHESIA ASSOCIATES, INC
Physicians 121

Physicians with the same organization

Name Specialty Organization Address
Timberly De Ann Harvey CERTIFIED REGISTERED NURSE ANESTHETIST KETTERING ANESTHESIA ASSOCIATES, INC 3535 Southern Blvd, Kettering, OH 454291221
Alissa M Geise CERTIFIED REGISTERED NURSE ANESTHETIST KETTERING ANESTHESIA ASSOCIATES, INC 915 Michigan St, Sidney, OH 45365-2401
Bradley A. Wisler ANESTHESIOLOGY KETTERING ANESTHESIA ASSOCIATES, INC 3535 Southern Blvd, Kettering, OH 45429-1221
James P Deering Iii ANESTHESIOLOGY KETTERING ANESTHESIA ASSOCIATES, INC 4000 Miamisburg Centerville Rd, Miamisburg, OH 45342-7615
Scott H Adkisson ANESTHESIOLOGY KETTERING ANESTHESIA ASSOCIATES, INC 835 Sweitzer St, Greenville, OH 45331-1007
Christopher A Murray CERTIFIED REGISTERED NURSE ANESTHETIST KETTERING ANESTHESIA ASSOCIATES, INC 4000 Miamisburg Centerville Rd, Miamisburg, OH 45342-7615
Patrick S Bendel CERTIFIED REGISTERED NURSE ANESTHETIST KETTERING ANESTHESIA ASSOCIATES, INC 3535 Pentagon Blvd, Beavercreek, OH 45431-1705
Mark Crawford ANESTHESIOLOGY KETTERING ANESTHESIA ASSOCIATES, INC 835 Sweitzer St, Greenville, OH 45331-1007
Laureen Helen Sheypuk ANESTHESIOLOGY KETTERING ANESTHESIA ASSOCIATES, INC 3533 Southern Blvd, Kettering, OH 45429-1264
David M Brouhard ANESTHESIOLOGY KETTERING ANESTHESIA ASSOCIATES, INC 3535 Southern Blvd, Kettering, OH 45429-1221

Office Location

Street Address 4000 MIAMISBURG CENTERVILLE RD
City MIAMISBURG
State OH
Zip 45342-7615

Physicians at the same location

Name Specialty Organization Address
Jodi L Van Jura FAMILY PRACTICE ALLIANCE PHYSICIANS INC 4000 Miamisburg Centerville Rd, Suite 410, Miamisburg, OH 453423758
Hemant Mahendra Shah PULMONARY DISEASE PULMONARY MEDICINE OF DAYTON INC 4000 Miamisburg Centerville Rd, Suite 450, Miamisburg, OH 45342-3908
Rose Mary Shaw CLINICAL PSYCHOLOGIST 4000 Miamisburg Centerville Rd, Suite 10, Miamisburg, OH 45342-7615
James P Deering Iii ANESTHESIOLOGY KETTERING ANESTHESIA ASSOCIATES, INC 4000 Miamisburg Centerville Rd, Miamisburg, OH 45342-7615
Christopher A Murray CERTIFIED REGISTERED NURSE ANESTHETIST KETTERING ANESTHESIA ASSOCIATES, INC 4000 Miamisburg Centerville Rd, Miamisburg, OH 45342-7615
Arash Kardan NUCLEAR MEDICINE KETTERING NETWORK RADIOLOGISTS INC 4000 Miamisburg Centerville Rd, Miamisburg, OH 45342-7615
Ana L Keppke DIAGNOSTIC RADIOLOGY KETTERING NETWORK RADIOLOGISTS INC 4000 Miamisburg Centerville Rd, Miamisburg, OH 45342-7615
Salman Sarwar Razi PULMONARY DISEASE PULMONARY MEDICINE OF DAYTON INC 4000 Miamisburg Centerville Rd, Suite 450, Miamisburg, OH 45342-3908
Rosalind J Jackson OBSTETRICS/GYNECOLOGY 4000 Miamisburg Centerville Rd, Suite 104, Miamisburg, OH 45342-3674
Richard A Mckenzie DIAGNOSTIC RADIOLOGY KETTERING NETWORK RADIOLOGISTS INC 4000 Miamisburg Centerville Rd, Miamisburg, OH 45342-7615

Competitor

Search similar physicians

City MIAMISBURG
Zip Code 45342
Specialty ANESTHESIOLOGY
City + Specialty MIAMISBURG + ANESTHESIOLOGY

Improve Information

Please comment or provide details below to improve the information on David Lyle Tibbits.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.