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KRISTINE JENNY TIBAVISKY M.D.
NPI 1851719124
Obstetrics & Gynecology in Jacksonville, FL

Active since April 02, 2014PECOS EnrolledAccepts Medicare Assignment
653-1 W 8TH ST, JACKSONVILLE, FL 32209(904) 383-1037(904) 244-6656 Get Directions Write a Review

NPPES record last updated: April 9, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kristine Jenny Tibavisky M.d. NPPES

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

KRISTINE JENNY TIBAVISKY M.D. (NPI 1851719124) is an individual obstetrics & gynecology provider in Jacksonville, Florida, licensed in Florida (ME136019) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Boca Raton Regional Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1851719124
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameKRISTINE JENNY TIBAVISKYCredential: M.D.
Location Address653-1 W 8TH STJacksonville, FL 32209-6511
Mailing Address653-1 W 8th StJacksonville, FL 32209-6511 · (904) 383-1037 · Fax (904) 244-6656
Phone(904) 383-1037
Fax(904) 244-6656
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 2, 2014
Last NPPES UpdateApril 9, 2020
NPPES CertifiedApril 9, 2020
✔ NPI 1851719124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in FL · ME136019
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
653-1 W 8TH ST, Jacksonville, FL 32209
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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

Kristine Jenny Tibavisky 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 ID8820216005
PECOS Enrollment IDI20190219003180
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 9

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.
372 services321 patients
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous G0328
A fecal occult blood test is a screening tool for colorectal cancer. It checks for tiny amounts of blood in your stool that can't be seen with the naked eye. The immunoassay method can test 1-3 samples at once. This helps detect cancer early, when treatment is most effective.
211 services211 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
149 services149 patients
Complete ultrasound scan of pelvis 76856
A complete ultrasound scan of the pelvis is a safe, non-invasive imaging procedure. It uses sound waves to create pictures of your lower abdomen area, helping doctors to evaluate and diagnose any potential issues. It's painless and usually takes about 30 minutes.
62 services55 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
61 services61 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
40 services40 patients

Hospital Affiliations CMS Care Compare

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

Boca Raton Regional Hospital

Acute Care Hospitals · Boca Raton, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100168
Location800 Meadows RdBoca Raton, FL 33486 · Palm Beach County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32209 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

DR. MICHAEL CALVIN CANTRELL MD
Surgery
653-1 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (904) 383-1015
DR. ZOHAIB AHMED DMD
Student in an Organized Health Care Education/Training Program
653-1 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (904) 244-3689
DR. JONATHON CURTIS EDGY MD
Pediatrics
653-1 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (904) 244-3056
RAINA ANIL MODI
Student in an Organized Health Care Education/Training Program
653-1 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (904) 244-8846
JOSE RAMON RIVAS RIOS M.D.
Internal Medicine (Cardiovascular Disease)
653-1 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (904) 244-3140
ERIC XAVIER SANTIAGO VEGA
Student in an Organized Health Care Education/Training Program
653-1 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (727) 241-9974
ALEXANDER BLACK
Student in an Organized Health Care Education/Training Program
653-1 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (904) 244-0411
DR. RICHARD GAMMILL DO
Student in an Organized Health Care Education/Training Program
653-1 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (904) 244-8846

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 Kristine Tibavisky's NPI number?

The NPI number for Kristine Tibavisky is 1851719124. It was assigned to this individual provider in the NPPES registry on April 2, 2014.

Where is Kristine Tibavisky located?

Kristine Tibavisky practices at 653-1 W 8th St, Jacksonville, FL 32209. The listed phone number is (904) 383-1037.

What is Kristine Tibavisky's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Kristine Tibavisky enrolled in Medicare?

Yes. Kristine Tibavisky 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 Kristine Tibavisky accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Kristine Tibavisky 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 Kristine Tibavisky affiliated with any hospitals?

According to CMS data, Kristine Tibavisky is affiliated with Boca Raton Regional Hospital.

When was this NPI record last updated?

The NPPES record for Kristine Tibavisky was last updated on April 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.