MAGDALENA TIBETT
NPI 1619386570
Physician Assistant in West Islip, NY

Active since August 05, 2014PECOS Enrolled
1111 MONTAUK HWY, SUITE 3-1, WEST ISLIP, NY 11795(631) 669-1171 Get Directions Write a Review

NPPES record last updated: December 30, 2014. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Magdalena Tibett NPPES

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

MAGDALENA TIBETT (NPI 1619386570) is an individual physician assistant in West Islip, New York, licensed in New York (017830) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619386570
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMAGDALENA TIBETT
Location Address1111 MONTAUK HWY, SUITE 3-1West Islip, NY 11795-4910
Mailing Address1111 Montauk Highway, Suite 3-1West Islip, NY 11795-4910 · (631) 669-1171
Sole ProprietorYes
Enumeration DateAugust 5, 2014
Last NPPES UpdateDecember 30, 2014
✔ NPI 1619386570 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 NY · 017830
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.
1111 MONTAUK HWY, West Islip, NY 11795

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Magdalena Tibett is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 11795 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

Podiatrist (Foot & Ankle Surgery)
1111 MONTAUK HWY
WEST ISLIP, NY 11795
Internal Medicine
1111 MONTAUK HWY, SUITE 2-2
WEST ISLIP, NY 11795
Specialist
1111 MONTAUK HWY, 3RD FLOOR
WEST ISLIP, NY 11795
Pediatrics
1111 MONTAUK HWY
WEST ISLIP, NY 11795
Podiatrist (Foot & Ankle Surgery)
1111 MONTAUK HWY
WEST ISLIP, NY 11795
Obstetrics & Gynecology
1111 MONTAUK HWY
WEST ISLIP, NY 11795
Nurse Practitioner (Pediatrics)
1111 MONTAUK HWY, SUITE 104
WEST ISLIP, NY 11795
Podiatrist (Foot & Ankle Surgery)
1111 MONTAUK HWY
WEST ISLIP, NY 11795

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 Magdalena Tibett's NPI number?

The NPI number for Magdalena Tibett is 1619386570. It was assigned to this individual provider in the NPPES registry on August 5, 2014.

Where is Magdalena Tibett located?

Magdalena Tibett practices at 1111 Montauk Hwy Suite 3-1, West Islip, NY 11795. The listed phone number is (631) 669-1171.

What is Magdalena Tibett's specialty?

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

Is Magdalena Tibett enrolled in Medicare?

Yes. Magdalena Tibett is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Magdalena Tibett was last updated on December 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.