Individual provider Active NPI

Peter Eugene Libre, MD

  • Ophthalmology Physician
  • Norwalk, CT
National Provider Identifier
1013013671
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
033824 Issued in CT
Practice address
111 East Ave
Suite 335
Norwalk, CT 06851-5014
Phone
(203) 853-2020
Fax
(203) 852-9553
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 033824 CT Primary

Addresses

Primary practice location

111 East Ave
Suite 335
Norwalk, CT 06851-5014

Mailing address

111 East Ave
Suite 335
Norwalk, CT 06851-5014
Phone (203) 853-2020

Other identifiers 2

IdentifierTypeStateIssuer
001338244MedicaidCT
01554461MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081113000067 CT Practitioner - Ophthalmology 2769541242 Receives reassigned benefits from 3 practitioners
Practice locations: Norwalk, CT

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Maryland School of Medicine, 1989
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

111 E Ave
Suite 335
Norwalk, CT 06851-5014
Phone (203) 853-2020

Merit-based Incentive Payment System (MIPS)

Final score
78.16 of 100Reported as individual
Quality
63.36
Improvement activities
40
Cost
72.82

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery247

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Peter Eugene Libre Ophthalmology CurrentSince Oct 1, 1997 Accepting new patients

Locations

111 East Ave
Ste 335
Norwalk, CT 06851
Phone (203) 853-2020

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: plibre@ctglaucoma.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1013013671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 EAST AVE",
            "address_2": "SUITE 335",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068515014",
            "telephone_number": "203-853-2020",
            "fax_number": "203-852-9553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 EAST AVE",
            "address_2": "SUITE 335",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068515014",
            "telephone_number": "203-853-2020",
            "fax_number": "203-852-9553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBRE",
        "first_name": "PETER",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "033824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001338244",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01554461",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

Verify at the official NPI Registry.