Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1467456061 Individual Practitioner Male Practitioner

Dr. Robert Earl Tibolt , MD

Ophthalmology • Salem, OR

Professional Overview & Biography Verified Profile Summary

Dr. Robert Tibolt, MD is a registered healthcare professional specializing in Ophthalmology in Salem, OR. Practice services are available at 655 MEDICAL CENTER DR NE under active NPI credentials.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient outpatient office visit, exam of visual field with extended testing. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

655 Medical Center Dr Ne

Salem, OR 973012751

Telephone 5035815287
Fax 5035886843
Associated Practice Facility / Clinic
🏢 Medical Center Eye Clinic Llc Facility NPI 1255859799

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Salem, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.9 Yrs
State Avg: 22.4 Yrs
Regional Practice Density
24 Specialists

Practicing in Salem, OR (341 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
53.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
183 183 $190.60 $120.78
99213 Established patient office or other outpatient visit, typically 15 minutes
115 76 $155.39 $69.25
92083 Exam of visual field with extended testing
23 23 $156.17 $61.36
92133 Imaging of optic nerve
17 17 $115.00 $35.99

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License OR MD16218

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
043369 (OR)

Practice Associates & Co-Workers

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

8 Associated Practitioners
NPI 1043327521

Doctor of Medicine (M.D.)

NPI 1154567790

Doctor of Optometry

NPI 1205883865

Doctor of Medicine (M.D.)

Dr. John Dodd , DO

Ophthalmology

NPI 1215190400

Doctor of Osteopathic Medicine (D.O.)

NPI 1285213819

Doctor of Medicine (M.D.)

NPI 1518961119

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 01, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location November 01, 2007

Registered at 655 MEDICAL CENTER DR NE, SALEM, OR 973012751 (Tel: 5035815287)

📍
Updated Business Mailing Address November 01, 2007

Registered at 655 MEDICAL CENTER DR NE, SALEM, OR 973012751 (Tel: 5035815287)

👤
Provider Name / Credentials Updated November 01, 2007

Recorded as ROBERT TIBOLT, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 01, 2007

Ophthalmology (License #MD16218 in OR)

🟢
Initial NPI Registration & Enumeration June 10, 2005

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: 1467456061
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 10, 2005
Last Update: November 01, 2007
Sole Proprietor: Yes

Mailing Address

655 Medical Center Dr Ne

Salem, OR 973012751

Phone: 5035815287

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.