AMY L. TIBBITS PA-C
NPI 1295809564
Physician Assistant in Darlington, WI

Q: What is Amy Tibbits's NPI number?

The NPI number for Amy Tibbits is 1295809564. It was assigned to this individual provider in the NPPES registry on November 20, 2006. The provider is also known as Amy L Luther.

Q: What is Amy Tibbits's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Amy Tibbits was last updated on October 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 20, 2006PECOS EnrolledAccepts Medicare Assignment

97.71/100

CMS Quality Rating

731 CLAY ST, DARLINGTON, WI 53530(608) 776-4497(608) 776-2317 Get Directions Write a Review

NPPES record last updated: October 10, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 10, 2023, Jun 2, 2021, Nov 17, 2020 and 1 more (4 updates tracked since 2017).

On this page

About Amy L. Tibbits Pa-c NPPES

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

AMY L. TIBBITS PA-C (NPI 1295809564) is an individual physician assistant in Darlington, Wisconsin, licensed in Wisconsin (2064-023) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital Of Lafayette County, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1295809564

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameAMY L. TIBBITSCredential: PA-C

Location Address731 CLAY STDarlington, WI 53530-1225

Mailing Address800 Clay StDarlington, WI 53530-1228 · (608) 776-4497 · Fax (608) 776-2837

Phone(608) 776-4497

Fax(608) 776-2317

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateNovember 20, 2006

Last NPPES UpdateOctober 10, 20234 updates tracked since enumeration

NPPES CertifiedOctober 10, 2023

✔ NPI 1295809564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in WI · 2064-023

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.

731 CLAY ST, Darlington, WI 53530

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Other Names 1

Former Name (1)Amy L Luther

Other Identifiers 1

Other2064-023WI · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW, Quartz.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

Amy L. Tibbits Pa-c 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 ID8123027661

PECOS Enrollment IDI20061212000173

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.

Hospital Affiliations CMS Care Compare 2

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

Memorial Hospital Of Lafayette County

Critical Access Hospitals · Darlington, WI

OwnershipVoluntary non-profit - Other

CMS Certification Number521312

Location800 Clay StDarlington, WI 53530 · Lafayette County

Emergency services

Southwest Health Center

Critical Access Hospitals · Platteville, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521354

Location1400 East Side RdPlatteville, WI 53818 · Grant County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53530 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.71/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

95.84

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

3 suppliers18 claims48 services$6.06 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers22 claims22 services$113.77 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

5 suppliers20 claims22 services$197.22 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

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

MARTIN CLEARY MD

Family Medicine