James Tibone, MD
NPI 1831174523 · Sports Medicine (Orthopaedic Surgery) Physician · Los Angeles, CA
Enrolled with Medicare as Practitioner - Sports Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
James Tibone, MD is a Sports Medicine (Orthopaedic Surgery) Physician provider in Los Angeles, CA (NPI 1831174523).
Provider details
- NPI number
- 1831174523
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- G27027 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
255 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 103 | $84 |
| Aspiration And/Or Injection of Fluid From Large Joint20610 | 75 | $63 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 29 | $107 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 20 | $109 |
| Telephone Medical Discussion With Physician, 5-10 Minutes99441 | 15 | $47 |
| X-Ray of Shoulder, Minimum of 2 Views73030 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$16,661 across 44 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 1520 San Pablo StLos Angeles, CA 90033-5310Phone: (323) 442-5860
Registry dates
- Enumerated
- 2005-12-14
- Last updated
- 2021-02-17
- Certified
- 2021-02-17
Frequently asked questions
- What is James Tibone's NPI number?
- James Tibone's National Provider Identifier (NPI) is 1831174523, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is James Tibone's specialty?
- James Tibone is listed in the NPPES registry with a primary specialty of Sports Medicine (Orthopaedic Surgery) Physician (Allopathic & Osteopathic Physicians).
- Where is James Tibone located?
- James Tibone's practice location on file with NPPES is 6801 Park Terrace, Los Angeles, CA 90045.
- What is James Tibone's phone number?
- The practice phone number listed in the NPPES registry for James Tibone is (310) 665-7200.
- Does James Tibone accept Medicare?
- James Tibone is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is James Tibone's NPI active?
- Yes — James Tibone's NPI (1831174523) is active in the NPPES registry as of the last update on 2021-02-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.