Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Tyler Patrick McKibben, MD

Individual provider Physician Assistant · NPI 1083425243

Tyler Patrick McKibben, MD is a Physician Assistant in Carbondale, Illinois. Works from 2 locations. Licensed in Illinois and Missouri.

Licensed in
IL, MO
In the registry since
2025
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

300 W Oak St Ste 200
Carbondale, IL 62901-1400
Phone: (618) 536-6621
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 611 W Main St, Fredericktown, MO 63645-1146 — (573) 783-3341

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 125086259 (IL)
Physician Assistant Taxonomy 363A00000X (MO)
Physician Assistant Taxonomy 363A00000X · Licence 2025005124 (MO)

Record details

NPI number1083425243
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 16, 2025
Last updated in NPPESJuly 8, 2025
Certification dateJuly 8, 2025

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $99 1 payment · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

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