Active NPI 1316024052 Individual Practitioner Male Practitioner

Dr. James G Hibbert , MD

Specialist • Kirkland, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Hibbert, MD is a certified Specialist practicing in Kirkland, WA. With approximately 39 years of clinical experience since graduating from University Of Washington School Of Medicine in 1987, Dr. Hibbert delivers high-quality medical care to the local community at 12303 NE 130TH LN.

Dr. Hibbert is affiliated with King County Public Hospital District No 2 and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of polyp or growth of large bowel using a flexible endoscope, removal of polyps or growths of large bowel using an endoscope with mechanical snare, 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

12303 Ne 130th Ln
Suite 530

Kirkland, WA 980343099

Telephone 4258994600

Associated Practice Facility / Clinic

🏢 Cascade Cancer Centers Of Washington Facility NPI 1477508208

Medicare Profile & Education

Medical School

University Of Washington School Of Medicine

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Kirkland, WA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

39 Yrs +5.0 yrs vs City Avg

City Avg: 34.0 Yrs

State Avg: 35.4 Yrs

Regional Practice Density

59 Specialists

Practicing in Kirkland, WA (2751 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

71.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hibbert (39 Years) 39 Yrs

Kirkland Specialty Average (34.0 Years) 34.0 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
45388 Destruction of polyp or growth of large bowel using a flexible endoscope	64	62	$706.00	$270.45
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	35	34	$663.00	$137.38
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	20	19	$595.00	$44.21
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	12	12	$482.00	$188.14
46600 Diagnostic examination of the anus using an endoscope	11	11	$265.00	$137.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45388 Destruction of polyp or growth of large bowel using a flexible endoscope	64	64	$666.75	$282.19
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	29	29	$552.34	$57.68
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	26	25	$618.87	$122.73
46600 Diagnostic examination of the anus using an endoscope	22	22	$252.00	$135.01
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	19	19	$446.92	$180.08
45300 Diagnostic examination of rectum and large bowel using an endoscope	15	15	$302.00	$150.79
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	15	15	$460.00	$192.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$263.00	$130.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$260.00	$123.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$398.00	$182.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45388 Destruction of polyp or growth of large bowel using a flexible endoscope	64	64	$669.38	$278.91
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	25	25	$561.33	$50.38
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	22	22	$631.00	$101.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$398.00	$183.71
45300 Diagnostic examination of rectum and large bowel using an endoscope	19	19	$302.00	$153.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$263.00	$142.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45388 Destruction of polyp or growth of large bowel using a flexible endoscope	62	60	$672.39	$278.35
45300 Diagnostic examination of rectum and large bowel using an endoscope	36	36	$302.00	$157.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$398.00	$180.84
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	33	33	$567.67	$54.65
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	24	24	$631.00	$122.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	21	$263.00	$144.61
46260 Removal of multiple hemorrhoid groups	17	17	$1191.00	$270.51
45505 Repair of rectal prolapse	17	17	$1480.00	$377.24
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	15	15	$459.00	$185.68
45560 Repair of herniated rectum	13	13	$1719.00	$381.48
46750 Repair of anal muscle for incontinence or prolapse, adult	13	13	$1868.00	$833.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45388 Destruction of polyp or growth of large bowel using a flexible endoscope	41	40	$696.00	$282.17
45300 Diagnostic examination of rectum and large bowel using an endoscope	33	33	$301.00	$144.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	16	$259.00	$110.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$398.00	$182.68
99213 Established patient office or other outpatient visit, typically 15 minutes	17	16	$176.00	$83.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$261.00	$120.03
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	12	12	$14.00	$5.76
45505 Repair of rectal prolapse	12	12	$1471.00	$451.11
46260 Removal of multiple hemorrhoid groups	11	11	$1178.00	$271.47
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	11	11	$587.00	$84.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45388 Destruction of polyp or growth of large bowel using a flexible endoscope	39	39	$696.00	$295.32
45300 Diagnostic examination of rectum and large bowel using an endoscope	38	38	$301.00	$138.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	25	$259.00	$119.02
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	28	28	$478.00	$194.94
99213 Established patient office or other outpatient visit, typically 15 minutes	23	17	$176.00	$81.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$398.00	$178.97
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	20	20	$479.00	$203.19
46260 Removal of multiple hemorrhoid groups	18	18	$1178.00	$255.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$261.00	$115.19
46750 Repair of anal muscle for incontinence or prolapse, adult	17	17	$1867.00	$825.55
45505 Repair of rectal prolapse	17	17	$1471.00	$343.08
45560 Repair of herniated rectum	16	16	$1701.00	$377.46
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	13	13	$14.00	$5.85
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	11	11	$656.00	$206.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45388 Destruction of polyp or growth of large bowel using a flexible endoscope	58	56	$696.00	$271.71
45300 Diagnostic examination of rectum and large bowel using an endoscope	50	50	$301.00	$136.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	33	$259.00	$112.98
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	26	26	$478.00	$191.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$398.00	$171.66
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	23	21	$589.00	$50.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$261.00	$110.93
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	21	20	$473.29	$189.77
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$176.00	$76.65
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	11	11	$656.00	$66.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45300 Diagnostic examination of rectum and large bowel using an endoscope	45	45	$301.00	$133.05
45388 Destruction of polyp or growth of large bowel using a flexible endoscope	44	43	$696.00	$280.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	26	$259.00	$105.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$398.00	$168.93
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	22	22	$479.00	$190.12
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	20	20	$478.00	$190.50
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	17	16	$640.24	$55.19
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	16	16	$656.00	$179.54
99213 Established patient office or other outpatient visit, typically 15 minutes	15	13	$176.00	$76.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$261.00	$112.19

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License WA MD00030958

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

8150377 (WA)

Commercial Insurance / Payer ID Regence

HI0835 (WA)

Hospital & Practice Group Affiliations

King County Public Hospital District No 2

1909 214th St Se, Bothell, WA 980214412

Phone: 4254884988

King County Public Hospital District No 2

12040 Ne 128th St Ms, Kirkland, WA 980343013

King County Public Hospital District No 2

12040 Ne 128th St, Kirkland, WA 980343013

King County Public Hospital District No 2

12333 Ne 130th Ln, Kirkland, WA 980347467

King County Public Hospital District No 2

12033 Ne 130th Ln, Kirkland, WA 980343052

Phone: 4258992160

King County Public Hospital District No 2

12040 Ne 128th St, Kirkland, WA 980343013

King County Public Hospital District No 2

12303 Ne 130th Ln, Kirkland, WA 980343042

Phone: 4258996400

Practice Associates & Co-Workers

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

40 Associated Practitioners

Xuemei Su , ARNP

Nurse Practitioner - Family

NPI 1003290073

Advanced Registered Nurse Practitioner

Amy Bartnikowski , CNM

Advanced Practice Midwife

NPI 1043695190

Certified Nurse Midwife

Rolin Pruyn , PA-C

Physician Assistant - Medical

NPI 1073940219

Physician Assistant (Certified)

Dr. Wayne Hill , MD

Specialist

NPI 1093892614

Doctor of Medicine (M.D.)

Dr. John Isbell , MD

Obstetrics & Gynecology

NPI 1104906023

Doctor of Medicine (M.D.)

Carol Verga , CNM, ARNP

Nurse Practitioner - Obstetrics & Gynecology

NPI 1114905114

Certified Nurse Midwife, Advanced Registered Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 12303 NE 130TH LN, SUITE 530, KIRKLAND, WA 980343099 (Tel: 4258994600)

📍

Updated Business Mailing Address July 08, 2007

Registered at 12303 NE 130TH LN, SUITE 530, KIRKLAND, WA 980343099 (Tel: 4258994600)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as JAMES HIBBERT, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #MD00030958 in WA)

🟢

Initial NPI Registration & Enumeration November 01, 2006

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: 1316024052

Entity Type:

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

Enumeration Date: November 01, 2006

Last Update: July 08, 2007

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

12303 Ne 130th Ln, Suite 530

Kirkland, WA 980343099

Phone: 4258994600

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.