Active NPI 1265708168 Individual Practitioner Male Practitioner

Dr. Shane Jacob Kibbe , MD

Orthopaedic Surgery • Mount Washington, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Shane Kibbe, MD is a certified Orthopaedic Surgery practicing in Mount Washington, KY. With approximately 14 years of clinical experience since graduating from University Of Toledo College Of Medicine in 2012, Dr. Kibbe delivers high-quality medical care to the local community at 209 HIGH POINT CT.

Dr. Kibbe accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, aspiration and/or injection of fluid from large joint, hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

209 High Point Ct

Mount Washington, KY 400475511

Telephone 5028345676

Fax 8337001693

Associated Practice Facility / Clinic

🏢 Kibbe Orthopedics Pllc Facility NPI 1073252375

Medicare Profile & Education

Medical School

University Of Toledo College Of Medicine

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Mount Washington, KY

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

14 Yrs Matches City Avg

City Avg: 14.0 Yrs

State Avg: 27.2 Yrs

Regional Practice Density

1 Specialists

Practicing in Mount Washington, KY (389 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kibbe (14 Years) 14 Yrs

Mount Washington Specialty Average (14.0 Years) 14.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,779	111	$6.24	$0.97
20610 Aspiration and/or injection of fluid from large joint	240	93	$275.16	$66.88
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	113	23	$446.76	$72.46
99213 Established patient office or other outpatient visit, typically 15 minutes	100	76	$211.25	$82.57
73562 X-ray of knee, 3 views	79	63	$104.23	$42.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	69	69	$286.99	$101.92
73502 X-ray of hip, 2-3 views	44	29	$107.25	$40.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	38	$305.26	$118.13
73030 X-ray of shoulder, minimum of 2 views	38	29	$89.32	$31.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$393.67	$151.16
73130 X-ray of hand, minimum of 3 views	20	18	$95.50	$39.35
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	20	13	$356.25	$83.00
73560 X-ray of knee, 1-2 views	18	12	$85.56	$31.91
20550 Injection into tendon or ligament	14	11	$199.14	$51.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	850	106	$9.94	$1.08
20610 Aspiration and/or injection of fluid from large joint	201	114	$132.94	$67.15
99213 Established patient office or other outpatient visit, typically 15 minutes	125	98	$179.25	$84.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	107	107	$327.69	$155.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	85	85	$216.59	$104.87
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg	75	48	$23.00	$5.61
J1885 Injection, ketorolac tromethamine, per 15 mg	66	43	$20.00	$0.52
73562 X-ray of knee, 3 views	60	47	$86.12	$42.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	39	$234.68	$116.87
73502 X-ray of hip, 2-3 views	48	33	$84.36	$40.45
73030 X-ray of shoulder, minimum of 2 views	26	22	$68.07	$31.43
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	25	16	$193.22	$94.56
73110 X-ray of wrist, minimum of 3 views	23	14	$80.72	$38.55
73560 X-ray of knee, 1-2 views	14	13	$67.71	$30.89
73565 X-ray of both knees while standing	11	11	$80.19	$36.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	84	64	$166.56	$83.63
20610 Aspiration and/or injection of fluid from large joint	73	48	$128.23	$60.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	68	68	$255.38	$153.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$229.59	$104.09
73562 X-ray of knee, 3 views	46	30	$83.80	$36.92
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg	38	32	$23.00	$5.62
73502 X-ray of hip, 2-3 views	38	22	$87.33	$42.18
73030 X-ray of shoulder, minimum of 2 views	26	14	$68.45	$29.91
J1040 Injection, methylprednisolone acetate, 80 mg	18	17	$38.24	$11.43
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	16	13	$16.75	$1.15
27130 Replacement of thigh bone and hip joint with prosthesis	14	14	$3088.12	$1215.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$238.63	$119.60
27447 Replacement of knee joint, both sides of knee	12	11	$3296.82	$1212.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$230.00	$102.80
20610 Aspiration and/or injection of fluid from large joint	16	14	$144.38	$66.25
99213 Established patient office or other outpatient visit, typically 15 minutes	14	11	$140.29	$86.62
J1040 Injection, methylprednisolone acetate, 80 mg	13	11	$38.24	$10.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,312	23	$18.44	$10.85
J1030 Injection, methylprednisolone acetate, 40 mg	311	86	$17.00	$6.04
99213 Established patient office or other outpatient visit, typically 15 minutes	219	137	$101.13	$69.62
20610 Aspiration and/or injection of fluid from large joint	190	104	$132.00	$64.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	77	77	$122.00	$100.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	67	61	$121.00	$100.05
73030 X-ray of shoulder, minimum of 2 views	48	31	$41.00	$29.28
99221 Initial hospital inpatient care per day, typically 30 minutes	45	44	$115.00	$95.36
73502 X-ray of hip, 2-3 views	41	26	$57.00	$35.01
73560 X-ray of knee, 1-2 views	30	22	$39.00	$27.76
73610 X-ray of ankle, minimum of 3 views	24	13	$42.00	$26.97
73562 X-ray of knee, 3 views	24	21	$47.00	$33.29
73110 X-ray of wrist, minimum of 3 views	19	14	$46.00	$32.54
J1020 Injection, methylprednisolone acetate, 20 mg	17	12	$9.21	$3.35
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	12	11	$87.00	$69.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	2,032	36	$18.44	$10.87
20610 Aspiration and/or injection of fluid from large joint	253	166	$141.23	$62.35
99213 Established patient office or other outpatient visit, typically 15 minutes	240	176	$80.53	$68.62
J1030 Injection, methylprednisolone acetate, 40 mg	172	130	$17.00	$6.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	141	141	$122.72	$99.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	69	64	$121.00	$101.29
73030 X-ray of shoulder, minimum of 2 views	52	33	$41.00	$25.25
73560 X-ray of knee, 1-2 views	41	27	$39.00	$26.75
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	37	17	$295.00	$141.71
99221 Initial hospital inpatient care per day, typically 30 minutes	29	29	$115.00	$95.18
73610 X-ray of ankle, minimum of 3 views	29	13	$42.00	$27.11
73562 X-ray of knee, 3 views	23	16	$47.00	$31.57
73502 X-ray of hip, 2-3 views	22	17	$57.00	$33.04
73110 X-ray of wrist, minimum of 3 views	20	12	$46.00	$30.58
29824 Partial removal of collar bone at shoulder using an endoscope	16	16	$2000.00	$205.96
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	16	16	$3658.00	$153.65
29827 Repair of shoulder rotator cuff using an endoscope	15	15	$4003.00	$927.24
73565 X-ray of both knees while standing	15	15	$134.00	$32.90
29828 Release of shoulder biceps tendon using an endoscope	11	11	$1311.00	$421.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	46	36	$119.57	$57.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$122.00	$97.65
J1030 Injection, methylprednisolone acetate, 40 mg	34	32	$17.00	$6.50
99213 Established patient office or other outpatient visit, typically 15 minutes	20	20	$82.10	$68.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$121.00	$101.35

Medical Specialties & State Licenses

CMS Verified: 2026-01-20

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License KY 50338

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.

Orthopaedic Surgery

NUCC Taxonomy Code: 207X00000X

State License KY R2958

Internal Medicine - Addiction Medicine

NUCC Taxonomy Code: 207RA0401X

State License KY R2958

An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID License

01080524A (IN)

Secondary Practice Locations

809 Morton Ave

Bardstown, KY 400042565

Phone: 5028345676

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Carolyn Southworth , DMD, MS

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1275565970

Doctor of Dental Medicine, Master of Science

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

19 Historical Events

📍

Updated Practice Location January 20, 2026

Registered at 209 HIGH POINT CT, MOUNT WASHINGTON, KY 400475511 (Tel: 5028345676)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 20, 2026

Orthopaedic Surgery (License #R2958 in KY)

📍

Updated Practice Location August 23, 2022

Registered at 935 CHAMBERS BLVD, BARDSTOWN, KY 40004 (Tel: 5028345676)

📍

Updated Business Mailing Address August 23, 2022

Registered at PO BOX 33149, BELFAST, ME 049150609 (Tel: 8884888289)

📍

Updated Practice Location April 12, 2021

Registered at 947 BARRET AVE, LOUISVILLE, KY 402042061 (Tel: 5702797034)

📍

Updated Business Mailing Address April 12, 2021

Registered at 947 BARRET AVE, LOUISVILLE, KY 402042061 (Tel: 5702797034)

📍

Updated Practice Location May 20, 2020

Registered at 1220 SPRING ST, JEFFERSONVILLE, IN 471303704 (Tel: 8122828494)

📍

Updated Business Mailing Address May 20, 2020

Registered at 330 SEVEN SPRINGS WAY, BRENTWOOD, TN 370275098 (Tel: 6159207000)

✅

NPI Profile Active April 04, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location April 04, 2017

Registered at 1357 BARDSTOWN RD, LOUISVILLE, KY 402041353 (Tel: 5058976443)

📍

Updated Business Mailing Address April 04, 2017

Registered at 947 BARRET AVE, LOUISVILLE, KY 402042061 (Tel: 5702797034)

👤

Provider Name / Credentials Updated April 04, 2017

Recorded as SHANE KIBBE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 04, 2017

Internal Medicine (License #R2958 in KY)

✅

NPI Profile Active February 08, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location February 08, 2014

Registered at 550 S JACKSON ST, 1ST FLOOR ACB, LOUISVILLE, KY 402021622 (Tel: 5028526902)

📍

Updated Business Mailing Address February 08, 2014

Registered at 550 S JACKSON ST, 1ST FLOOR ACB, LOUISVILLE, KY 402021622 (Tel: 5028526902)

👤

Provider Name / Credentials Updated February 08, 2014

Recorded as SHANE KIBBE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 08, 2014

Orthopaedic Surgery (License #R2958 in KY)

🟢

Initial NPI Registration & Enumeration March 26, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265708168

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 26, 2012

Last Update: January 20, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 33149

Belfast, ME 049150609

Phone: 8884888289

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.