ROBERT R MCKIBBEN
NPI 1184713182
Physician Assistant in Plymouth, WI

Active since October 11, 2006PECOS EnrolledAccepts Medicare Assignment
2600 KILEY WAY, PLYMOUTH, WI 53073(920) 449-7000 Get Directions Write a Review

NPPES record last updated: February 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 6, 2023, Jan 10, 2023 (2 updates tracked since 2023).

About Robert R Mckibben NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT R MCKIBBEN (NPI 1184713182) is an individual physician assistant in Plymouth, Wisconsin, licensed in Wisconsin (5662) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Rochester, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1184713182
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameROBERT R MCKIBBEN
Location Address2600 KILEY WAYPlymouth, WI 53073-5020
Mailing Address3301 W Forest Home AveMilwaukee, WI 53215-2843 · (920) 449-7000
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateOctober 11, 2006
Last NPPES UpdateFebruary 6, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2023
NPI 1184713182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in WI · 5662 Licensed in MN · 11276
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2600 KILEY WAY, Plymouth, WI 53073

Secondary Practice Location 1

Location 1200 1st St SW, Blanchfield Army Community HospitalRochester, MN 55905-0001 · Phone (507) 284-2511

Other Identifiers 1

Medicaid100197491WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Robert R Mckibben is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608021944
PECOS Enrollment IDI20220331001443
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
199 services180 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
49 services49 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
31 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53073 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
2600 KILEY WAY
PLYMOUTH, WI 53073
Durable Medical Equipment & Medical Supplies
2600 KILEY WAY
PLYMOUTH, WI 53073
Physical Therapist
2600 KILEY WAY
PLYMOUTH, WI 53073
Physical Therapist
2600 KILEY WAY
PLYMOUTH, WI 53073
Physical Therapist
2600 KILEY WAY
PLYMOUTH, WI 53073
Occupational Therapist
2600 KILEY WAY
PLYMOUTH, WI 53073
Physical Therapist
2600 KILEY WAY
PLYMOUTH, WI 53073
Eyewear Supplier
2600 KILEY WAY, SUITE 1300
PLYMOUTH, WI 53073

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Mckibben's NPI number?

The NPI number for Robert Mckibben is 1184713182. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Where is Robert Mckibben located?

Robert Mckibben practices at 2600 Kiley Way, Plymouth, WI 53073. The listed phone number is (920) 449-7000.

What is Robert Mckibben's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Robert Mckibben enrolled in Medicare?

Yes. Robert Mckibben is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Robert Mckibben accept?

Health plans from Aspirus Health Plan and CareSource (Common Ground Healthcare) list Robert Mckibben as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Robert Mckibben was last updated on February 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.