Active NPI
Maurizio Cibischino, MD
- Orthopaedic Surgery Physician
- E Stroudsburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MD059546L
- Practice address
- 600 Plaza CT
E Stroudsburg, PA 18301-8263 - Phone
- (570) 421-7020
- Fax
- (570) 421-7091
- NPI assigned
- Jul 22, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MD059546L | PA | Primary |
Addresses
Primary practice location
600 Plaza CT
E Stroudsburg, PA 18301-8263
Mailing address
600 Plaza CT
E Stroudsburg, PA 18301-8263
Phone (570) 421-7020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 868749KCA | Other | PA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Sports Medicine
- Education
- Rutgers New Jersey Medical School, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Community Dr
Suite 210
Tobyhanna, PA 18466-8987
Phone (570) 421-7020
105 Ballenisle Circle
Palm Beach Gardens, FL 33418
120 Burrus Blvd
Suite 120
Brodheadsville, PA 18322-7812
Phone (570) 421-7020
32 Canal St
Port Jervis, NY 12771-1638
Phone (845) 856-3323
600 Plaza CT
Suite C
East Stroudsburg, PA 18301-8263
Phone (570) 421-7020
Hospital & facility affiliations
- Lehigh Valley Hospital - Pocono
- Bon Secours Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.03 of 100
- Quality
- 61.88
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 13 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD059546L | PA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain Valley Orthopedics, P.C. | Orthopaedic Surgery | Current | Accepting new patients |
| Mountain Valley Orthopedics PC | Past | Accepting new patients |
Locations
120 Burrus Blvd
Ste 120
Brodheadsville, PA 18322
Phone (570) 421-7020
120 Burrus Blvd
Brodheadsville, PA 18322
Phone (570) 402-6101
600 Plaza Ct
East Stroudsburg, PA 18301
Phone (570) 421-7020
600 Plaza Ct
Ste C
East Stroudsburg, PA 18301
Phone (570) 421-7020
100 Wheatfield Dr
Ste 2
Milford, PA 18337
Phone (570) 421-7020
100 Wheatfield Dr
Milford, PA 18337
Phone (570) 296-5911
100 Community Dr
Ste 210
Tobyhanna, PA 18466
Phone (570) 421-7020
Interoperability endpoints
- https://api.platform.athenahealth.com/9299/brand/1/csg/1/fhir/r4
- maurizio.cibischino.1@9299.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Orthopaedic Surgery Physician
- East Stroudsburg, PA
- NPI 1538226519
-
- Internal Medicine Physician
- Warwick, NY
- NPI 1487694345
-
- Physical Therapy Clinic/Center
- Palm Beach Gardens, FL
- NPI 1841045259
-
- Pharmacy
- Tobyhanna, PA
- NPI 1376959569
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- East Stroudsburg, PA
- NPI 1568459436
-
- General Acute Care Hospital
- Port Jervis, NY
- NPI 1659360709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124028832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 PLAZA CT",
"city": "E STROUDSBURG",
"state": "PA",
"postal_code": "183018263",
"telephone_number": "570-421-7020",
"fax_number": "570-421-7091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 PLAZA CT",
"city": "E STROUDSBURG",
"state": "PA",
"postal_code": "183018263",
"telephone_number": "570-421-7020",
"fax_number": "570-421-7091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIBISCHINO",
"first_name": "MAURIZIO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "PA",
"license": "MD059546L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "868749KCA",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in E Stroudsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.