James Hibbert, MD
NPI 1316024052 · Specialist · Kirkland, WA
Enrolled with Medicare as Practitioner - Colorectal Surgery (proctology) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
James Hibbert, MD is a Specialist provider in Kirkland, WA (NPI 1316024052).
Provider details
- NPI number
- 1316024052
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD00030958 (WA)
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
142 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Destruction of Polyp Or Growth of Large Bowel Using a Flexible Endoscope45388 | 64 | $270 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 35 | $137 |
| Removal of Polyps Or Growths of Large Bowel Using a Flexible Endoscope With Electrical Cautery45384 | 20 | $44 |
| Colorectal Cancer Screening; Colonoscopy on Individual at High RiskG0105 | 12 | $188 |
| Diagnostic Exam of Anus Using an Endoscope46600 | 11 | $137 |
Typical Medicare-allowed amounts for these services range $44–$270 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 3 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 19 | 13 |
| Ondansetronbrand: Ondansetron Odt | 13 | 13 |
| Cyclobenzaprine Hcl | 12 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-11-01
- Last updated
- 2007-07-08
Frequently asked questions
- What is James Hibbert's NPI number?
- James Hibbert's National Provider Identifier (NPI) is 1316024052, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is James Hibbert's specialty?
- James Hibbert is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is James Hibbert located?
- James Hibbert's practice location on file with NPPES is 12303 Ne 130th Ln, Kirkland, WA 98034-3099.
- What is James Hibbert's phone number?
- The practice phone number listed in the NPPES registry for James Hibbert is (425) 899-4600.
- Does James Hibbert accept Medicare?
- James Hibbert is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is James Hibbert's NPI active?
- Yes — James Hibbert's NPI (1316024052) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.