EVERETT C MCKIBBEN MD NPI 1093873713

NPI Information

  • NPI: 1093873713
  • Provider Name: EVERETT C MCKIBBEN, MD
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: THE LAIRD CLINIC
    103 DOCTORS PARK
    STARKVILLE, MS
    ZIP 39759
  • Phone: (662) 323-2515

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NPI Details

Everett C Mckibben, MD is a general practice in Starkville, MS with 36 years of experience. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Everett C Mckibben, MD NPI is 1093873713. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduation Year:1989

The provider's business location address is:

THE LAIRD CLINIC
103 DOCTORS PARK
STARKVILLE, MS
ZIP 39759
Phone: (662) 323-2515
Fax: (662) 323-2557

The NPI 1093873713 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Manual urinalysis test with examination using microscope, non-automated (HCPCS:81000)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg (HCPCS:J3420)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Testing for presence of drug, read by direct observation (HCPCS:80305)
  • Influenza vaccine, quadrivalent derived from recombinant dna (HCPCS:90682)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Red blood cell sedimentation rate, to detect inflammation, non-automated (HCPCS:85651)
  • Destruction of precancer skin growth, 1 growth (HCPCS:17000)
  • Hemoglobin a1c level (HCPCS:83036)
  • Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS:87426)
  • Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and (HCPCS:G0180)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a (HCPCS:G0179)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Pneumococcal vaccine, 23-valent (HCPCS:90732)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • Injection, ceftriaxone sodium, per 250 mg (HCPCS:J0696)
  • Injection, methylprednisolone acetate, 80 mg (HCPCS:J1040)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • Stool analysis for blood to screen for colon tumors (HCPCS:82270)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
  • X-ray of chest, 1 view (HCPCS:71045)

The enumeration date for this NPI number is 12/5/2006 and was last updated on 6/22/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral Practice12519MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100110394MEDICAIDMISSISSIPPI
2E47003MEDICARE UPIN
3080001431MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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