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

William Blake McKibbin, MD

Individual provider Surgery Physician · NPI 1295739878

William Blake McKibbin, MD practises General Surgery in Fishersville, Virginia. Qualified in 1999, 27 years ago. Practices with Bolivar Physician Practices LLC, an 18-clinician group and accepts Medicare assignment. Licensed in Georgia and Virginia.

Years since qualifying
27
Licensed in
GA, VA
In the registry since
2005
Specialties on file
2
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

16 Ivy Ridge Ln Ste 130
Fishersville, VA 22939-2354
Phone: (540) 332-5909
Fax: (540) 332-5910
Show map & directions

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 0101240500 (VA)
Surgery Physician Taxonomy 208600000X · Licence 052784 (GA)

Record details

NPI number1295739878
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 10, 2005
Last updated in NPPESFebruary 13, 2020
Certification dateFebruary 13, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Bolivar Physician Practices Llc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Procedures

From CMS Care Compare, which counts the procedures a clinician billed to Original Medicare and Medicare Advantage over a recent 12-month period. CMS reports a fixed list of common procedures, so this is not everything the clinician does. Counts of 10 or fewer are given as a range, because CMS withholds small numbers.

Colonoscopy 20 times · 48th percentile
Hernia repair - groin (open) 1–10 times
Removal of tissue 1–10 times
Upper gastrointestinal (GI) endoscopy for acid reflux 1–10 times

The percentile compares how often this clinician performed the procedure with other clinicians who performed it, as CMS calculates it. It measures volume, not outcomes or skill.

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients65
Services billed 89 a service is one billed item, such as a visit, a test or a procedure
Average patient age72

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

Colleagues at Bolivar Physician Practices LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 18 clinicians in the practice; 12 are shown here.

Other providers in Fishersville