LISA MARIE TIBOR M.D.
NPI 1497971865
Orthopaedic Surgery in Tacoma, WA

Q: What is Lisa Tibor's NPI number?

The NPI number for Lisa Tibor is 1497971865. It was assigned to this individual provider in the NPPES registry on April 17, 2007.

Q: What is Lisa Tibor's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Tibor was last updated on May 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 April 17, 2007PECOS EnrolledAccepts Medicare Assignment

209 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405(760) 924-4084 Get Directions Write a Review

NPPES record last updated: May 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 18, 2021, Jun 22, 2017 (2 updates tracked since 2017).

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About Lisa Marie Tibor M.d. NPPES

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

LISA MARIE TIBOR M.D. (NPI 1497971865) is an individual orthopaedic surgery provider in Tacoma, Washington, licensed in Washington (MD60721917) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Mammoth Lakes, and is a graduate of University Of California, San Francisco School Of Medicine (2004).

NPPES Registry Identity

NPI1497971865

Entity TypeIndividualFemale

Primary Taxonomy207X00000X

Provider Legal NameLISA MARIE TIBORCredential: M.D.

Location Address209 MARTIN LUTHER KING JR WAYTacoma, WA 98405-4265

Mailing Address209 Martin Luther King Jr WayTacoma, WA 98405-4265 · (760) 924-4084

Phone(760) 924-4084

Sole ProprietorNo

Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 2004

Enumeration DateApril 17, 2007

Last NPPES UpdateMay 18, 20212 updates tracked since enumeration

NPPES CertifiedMay 18, 2021

✔ NPI 1497971865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in WA · MD60721917

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

209 MARTIN LUTHER KING JR WAY, Tacoma, WA 98405

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Secondary Practice Location 1

Location 185 Sierra Park Road, Sierra Park OrthopedicsMammoth Lakes, CA 93546 · Phone (760) 924-4084

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

Lisa Marie Tibor 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 ID5496800609

PECOS Enrollment IDI20170720002303

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98405 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

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.

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