Tyler Mckibben, MD
NPI 1083425243 · Family Medicine Physician · Carbondale, IL
Enrolled with Medicare as Order and Referring Only - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tyler Mckibben, MD is a Family Medicine Physician provider in Carbondale, IL (NPI 1083425243).
Provider details
- NPI number
- 1083425243
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 611 W Main StFredericktown, MO 63645-1146Phone: (573) 783-3341
Registry dates
- Enumerated
- 2025-01-16
- Last updated
- 2025-07-08
- Certified
- 2025-07-08
Frequently asked questions
- What is Tyler Mckibben's NPI number?
- Tyler Mckibben's National Provider Identifier (NPI) is 1083425243, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tyler Mckibben's specialty?
- Tyler Mckibben is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Tyler Mckibben located?
- Tyler Mckibben's practice location on file with NPPES is 300 W Oak St Ste 200, Carbondale, IL 62901-1400.
- What is Tyler Mckibben's phone number?
- The practice phone number listed in the NPPES registry for Tyler Mckibben is (618) 536-6621.
- Does Tyler Mckibben accept Medicare?
- Tyler Mckibben is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tyler Mckibben's NPI active?
- Yes — Tyler Mckibben's NPI (1083425243) is active in the NPPES registry as of the last update on 2025-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.