WILLIAM BLAKE MCKIBBIN M.D.
NPI 1295739878
Surgery in Fishersville, VA

Active since June 10, 2005PECOS EnrolledAccepts Medicare Assignment
16 IVY RIDGE LN STE 130, FISHERSVILLE, VA 22939(540) 332-5909(540) 332-5910 Get Directions Write a Review

NPPES record last updated: February 13, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 13, 2020, Nov 6, 2019, Sep 30, 2019 (3 updates tracked since 2019).

About William Blake Mckibbin M.d. NPPES

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

WILLIAM BLAKE MCKIBBIN M.D. (NPI 1295739878) is an individual surgery provider in Fishersville, Virginia, licensed in Virginia (0101240500) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Bolivar Medical Center, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1295739878
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameWILLIAM BLAKE MCKIBBINCredential: M.D.
Location Address16 IVY RIDGE LN STE 130Fishersville, VA 22939-2354
Mailing Address16 Ivy Ridge Ln Ste 130Fishersville, VA 22939-2354 · (540) 332-5909 · Fax (540) 332-5910
Fax(540) 332-5910
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJune 10, 2005
Last NPPES UpdateFebruary 13, 20203 updates tracked since enumeration
NPI 1295739878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses Licensed in VA · 0101240500 Licensed in GA · 052784
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

16 IVY RIDGE LN STE 130, Fishersville, VA 22939

Other Identifiers 1

Medicaid705155309AGA

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

William Blake Mckibbin M.d. 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 ID9032182969
PECOS Enrollment IDI20240820003652
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

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.

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.
17 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bolivar Medical Center

Acute Care Hospitals · Cleveland, MS
3/5 CMS rating
OwnershipProprietary
CMS Certification Number250093
Location901 E Sunflower RdCleveland, MS 38732 · Bolivar County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22939 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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

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

Surgery
16 IVY RIDGE LN STE 130
FISHERSVILLE, VA 22939

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 William Mckibbin's NPI number?

The NPI number for William Mckibbin is 1295739878. It was assigned to this individual provider in the NPPES registry on June 10, 2005.

Where is William Mckibbin located?

William Mckibbin practices at 16 Ivy Ridge Ln Ste 130, Fishersville, VA 22939. The listed phone number is (540) 332-5909.

What is William Mckibbin's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is William Mckibbin enrolled in Medicare?

Yes. William Mckibbin 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 William Mckibbin accept?

Health plans from Oscar Health Plan, Inc. and UnitedHealthcare list William Mckibbin 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.

Is William Mckibbin affiliated with any hospitals?

According to CMS data, William Mckibbin is affiliated with Bolivar Medical Center.

When was this NPI record last updated?

The NPPES record for William Mckibbin was last updated on February 13, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.