William Blake McKibbin, M.D.
NPI 1295739878ActiveIndividual· Surgery· Fishersville, VA
Surgery (M.D.) with Bolivar Physician Practices LLC, practicing in Fishersville, Virginia. Mostly services rather than prescriptions: Medicare paid $10,650 for 65 patients in 2024, with only 15 Part D claims. Lists Bolivar Medical Center as a hospital affiliation.
Overview
| NPI | 1295739878 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jun 10, 2005 |
| Last updated in NPPES | Feb 13, 2020 |
| Certified by provider | Feb 13, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | 0101240500 | VA |
| Surgery | 208600000X | 052784 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - General Surgery (MS); Practitioner - General Surgery (VA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 65 |
|---|---|
| Services billed | 89 across 35 procedure codes |
| Paid by Medicare | $10,650 |
Part D prescriptions in 2024
| Prescriptions (claims) | 15 · 17 30-day fills |
|---|---|
| Patients | 14 |
| Total drug cost | $317.48 |
| Generic share | 73% of claims |
Education and affiliations
| Graduation year | 1999 |
|---|---|
| Medicare specialty | General Surgery |
Medical group
- Bolivar Physician Practices LLCCleveland, MS · 17 clinicians
Hospital affiliation
- Bolivar Medical CenterCleveland, MS
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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