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Active NPI 1649481409 Individual Practitioner Male Practitioner

David A Kibby , PA

Physician Assistant • Syracuse, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

David Kibby, PA is a certified Physician Assistant practicing in Syracuse, NY. With approximately 19 years of clinical experience since completing medical education in 2007, David Kibby delivers high-quality medical care to the local community at 5719 WIDEWATERS PKWY.

David Kibby maintains professional affiliations with Syracuse Orthopedic Specialists, Pllc, Upstate Community Medical, Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include follow-up hospital inpatient care per day, replacement of knee joint, both sides of knee, replacement of thigh bone and hip joint with prosthesis. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5719 Widewaters Pkwy

Syracuse, NY 132141985

Telephone 3152513100
Fax 3154499923
Associated Practice Facility / Clinic
🏢 Onondaga Orthopedics Llp Facility NPI 1962062364

Medicare Profile & Education

Medical School

Other

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Syracuse, NY

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
19 Yrs +8.7 yrs vs City Avg
City Avg: 10.3 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
333 Specialists

Practicing in Syracuse, NY (15701 Statewide)

Telehealth Adoption Rate
9.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
79.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kibby (19 Years) 19 Yrs
Syracuse Specialty Average (10.3 Years) 10.3 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
99231 Follow-up hospital inpatient care per day, typically 15 minutes
49 46 $95.76 $38.87
27447 Replacement of knee joint, both sides of knee
27 27 $854.23 $163.23
27130 Replacement of thigh bone and hip joint with prosthesis
17 17 $794.89 $155.49

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NY 011985

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
02925964 (NY)
Commercial Insurance / Payer ID Medicare Ptan#
J400002999 (NY)

Hospital & Practice Group Affiliations

Upstate Community Medical, Pc

4900 Broad Rd, Syracuse, NY 132152265

Syracuse Orthopedic Specialists, Pllc

5719 Widewaters Pkwy, Syracuse, NY 132141985

Phone: 3152513100

Syracuse Orthopedic Specialists, Pllc

301 Prospect Ave, Syracuse, NY 132031807

Phone: 3154485111

Syracuse Orthopedic Specialists, Pllc

415 E 37th St, New York, NY 100163243

Phone: 3135251310

Practice Associates & Co-Workers

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

40 Associated Practitioners
Matthew Hood , PA

Physician Assistant - Surgical

NPI 1023043817

Physician Assistant

Brendan O'donnell , ATC

Specialist/Technologist - Athletic Trainer

NPI 1033953153

Certified Athletic Trainer

R. Weinheimer , PA

Physician Assistant

NPI 1053378125

Physician Assistant

James Hill , RPAC

Physician Assistant

NPI 1063519577
Dr. David Distefano , MD

Orthopaedic Surgery - Sports Medicine

NPI 1083173082

Doctor of Medicine (M.D.)

NPI 1093062358

PHYSICIANASSISTANT

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 23, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location November 23, 2011

Registered at 5719 WIDEWATERS PKWY, SYRACUSE, NY 132141985 (Tel: 3152513100)

📍
Updated Business Mailing Address November 23, 2011

Registered at 5719 WIDEWATERS PKWY, SYRACUSE, NY 132141985 (Tel: 3152513100)

👤
Provider Name / Credentials Updated November 23, 2011

Recorded as DAVID KIBBY, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 23, 2011

Physician Assistant (License #011985 in NY)

🟢
Initial NPI Registration & Enumeration May 24, 2007

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: 1649481409
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 24, 2007
Last Update: November 23, 2011
Sole Proprietor: No

Mailing Address

5719 Widewaters Pkwy

Syracuse, NY 132141985

Phone: 3152513100

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.