Active NPI 1295739878 Individual Practitioner Male Practitioner

Dr. William Blake Mckibbin , MD

Surgery • Fishersville, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. William Mckibbin, MD is a certified Surgery practicing in Fishersville, VA. With approximately 27 years of clinical experience since completing medical education in 1999, Dr. Mckibbin delivers high-quality medical care to the local community at 16 IVY RIDGE LN STE 130.

Dr. Mckibbin is affiliated with Bolivar Physician Practices Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

16 Ivy Ridge Ln Ste 130

Fishersville, VA 229392354

Telephone 5403325909

Fax 5403325910

Associated Practice Facility / Clinic

🏢 Augusta Surgery Inc Facility NPI 1720190119

Medicare Profile & Education

Medical School

Other

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Fishersville, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs -1.1 yrs vs City Avg

City Avg: 28.1 Yrs

State Avg: 24.6 Yrs

Regional Practice Density

13 Specialists

Practicing in Fishersville, VA (909 Statewide)

Telehealth Adoption Rate

23.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

54.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mckibbin (27 Years) 27 Yrs

Fishersville Specialty Average (28.1 Years) 28.1 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
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$238.53	$108.03

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	24	24	$210.00	$109.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$320.00	$162.31
99213 Established patient office or other outpatient visit, typically 15 minutes	18	14	$142.00	$88.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	15	$210.00	$124.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	212	176	$218.00	$91.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	107	107	$491.00	$166.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	79	73	$320.00	$129.42
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	76	76	$1540.00	$152.06
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	65	65	$1472.00	$253.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	58	58	$322.00	$113.33
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	30	30	$432.00	$182.76
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	22	22	$1190.00	$107.85
45380 Biopsy of large bowel using an endoscope	22	22	$1404.00	$108.15
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	21	21	$1135.00	$186.45
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	21	$606.00	$193.98
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	16	16	$1136.00	$185.86
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	14	12	$216.00	$64.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	216	179	$218.00	$92.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	105	105	$491.00	$168.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	85	77	$320.00	$131.45
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	67	67	$1540.00	$138.80
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	58	58	$1472.00	$251.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$322.00	$113.97
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	36	36	$432.00	$183.77
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	28	28	$1135.00	$184.31
45380 Biopsy of large bowel using an endoscope	25	25	$1404.00	$113.85
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	24	24	$616.00	$217.00
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	20	$606.00	$200.94
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	14	12	$216.00	$72.15
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	12	12	$1136.00	$189.35
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$1190.00	$93.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	248	201	$218.00	$76.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	102	102	$491.00	$165.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	98	80	$320.00	$110.07
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	44	44	$1540.00	$163.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$322.00	$109.12
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	37	36	$606.00	$201.87
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	32	32	$1472.00	$246.89
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	26	24	$432.00	$148.57
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	21	15	$311.00	$105.71
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	17	17	$210.00	$19.13
45380 Biopsy of large bowel using an endoscope	17	17	$1404.00	$140.74
38900 Lymph node imaging during surgery	17	17	$418.00	$153.35
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	17	17	$1319.00	$275.65
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	15	$216.00	$70.24
76937 Ultrasonic guidance for blood vessel access	16	16	$95.00	$14.82
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	16	16	$3534.00	$339.23
19301 Partial removal of breast	16	15	$1964.00	$684.92
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$1190.00	$99.53
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	13	13	$1136.00	$193.44
45378 Diagnostic exam of large bowel using a flexible endoscope	12	12	$1136.00	$193.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	243	203	$218.00	$74.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	123	123	$491.00	$162.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	104	88	$320.00	$108.75
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	56	56	$1540.00	$161.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$322.00	$108.46
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	44	44	$1472.00	$229.67
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	41	39	$432.00	$145.96
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	40	39	$606.00	$198.62
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	31	23	$311.00	$101.45
45380 Biopsy of large bowel using an endoscope	24	24	$1404.00	$136.51
45378 Diagnostic exam of large bowel using a flexible endoscope	20	20	$1136.00	$192.08
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	16	16	$1190.00	$113.43
19301 Partial removal of breast	13	12	$1964.00	$666.81
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	13	13	$1136.00	$181.60
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	12	11	$216.00	$67.63
38900 Lymph node imaging during surgery	11	11	$418.00	$147.77
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	11	11	$1319.00	$243.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	228	194	$218.00	$70.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	104	104	$491.00	$159.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	96	81	$320.00	$103.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	70	70	$322.00	$104.24
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	50	50	$1540.00	$169.31
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	38	38	$1472.00	$249.89
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	37	36	$606.00	$196.44
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	32	32	$432.00	$137.14
45378 Diagnostic exam of large bowel using a flexible endoscope	32	32	$1136.00	$185.16
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	22	16	$311.00	$100.75
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	21	21	$1135.00	$183.59
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	16	$216.00	$70.35
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	18	18	$1190.00	$96.51
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	14	14	$3534.00	$332.64
36590 Removal of peripheral venous catheter for infusion	13	13	$884.00	$215.21
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	13	13	$210.00	$18.10
76937 Ultrasonic guidance for blood vessel access	13	13	$95.00	$14.02
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	13	13	$2162.00	$673.25
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	12	12	$1319.00	$249.39
74300 Review by radiologist of bile and/or pancreatic duct image during surgery	12	12	$56.00	$17.74
38900 Lymph node imaging during surgery	11	11	$418.00	$147.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	266	215	$218.00	$70.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	123	103	$320.00	$103.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	93	93	$491.00	$158.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$322.00	$104.23
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	42	42	$1472.00	$237.39
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	39	39	$1540.00	$171.52
45378 Diagnostic exam of large bowel using a flexible endoscope	32	32	$1136.00	$185.54
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	30	28	$606.00	$196.34
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	29	20	$311.00	$101.02
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	26	26	$432.00	$139.58
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	25	25	$1135.00	$183.85
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	20	19	$1190.00	$100.81
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	14	$216.00	$69.89
76937 Ultrasonic guidance for blood vessel access	12	12	$95.00	$14.05
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	12	12	$210.00	$18.49
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$3534.00	$334.71
45380 Biopsy of large bowel using an endoscope	12	12	$1404.00	$108.39

Medical Specialties & State Licenses

CMS Verified: 2020-02-13

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License VA 0101240500

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License GA 052784

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

705155309A (GA)

Hospital & Practice Group Affiliations

Bolivar Physician Practices Llc

810 E Sunflower Rd, Cleveland, MS 387322828

Phone: 6628433606

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Business Mailing Address November 06, 2019

Registered at 16 IVY RIDGE LN STE 130, FISHERSVILLE, VA 229392354 (Tel: 5403325909)

📍

Updated Practice Location September 30, 2019

Registered at 16 IVY RIDGE LN STE 130, FISHERSVILLE, VA 229392354 (Tel: 5403325909)

✅

NPI Profile Active July 18, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location July 18, 2013

Registered at 70 MEDICAL CENTER CIR, SUITE308, FISHERSVILLE, VA 229392273 (Tel: 5409325909)

📍

Updated Business Mailing Address July 18, 2013

Registered at 70 MEDICAL CENTER CIR, SUITE308, FISHERSVILLE, VA 229392273 (Tel: 5409325909)

👤

Provider Name / Credentials Updated July 18, 2013

Recorded as WILLIAM MCKIBBIN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2013

Surgery (License #0101240500 in VA)

🟢

Initial NPI Registration & Enumeration June 10, 2005

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1295739878

Entity Type:

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

Enumeration Date: June 10, 2005

Last Update: February 13, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

16 Ivy Ridge Ln Ste 130

Fishersville, VA 229392354

Phone: 5403325909

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.