Individual provider Active NPI

Maurizio Cibischino, MD

  • Orthopaedic Surgery Physician
  • E Stroudsburg, PA
National Provider Identifier
1124028832
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD059546L Issued in PA
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
868749KCAOtherPABLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20091019000005 PA Practitioner - Sports MedicinePractitioner - Orthopedic Surgery 4082751441 Reassigns benefits to 1 organization
I20260410000379 NY Practitioner - Orthopedic Surgery 4082751441 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Orthopedic Surgery
Education
Rutgers New Jersey Medical School, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain Valley Orthopedics PCGroup PAC ID 6901899111, 20 clinicians
Bit Physical TherapyGroup PAC ID 4183160328, 138 clinicians
Bon Secours Charity Health System Medical Group, P.C.Group PAC ID 1658262084, 157 clinicians

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 Hospital, East Stroudsburg, PA, CCN 390201
  • Bon Secours Community Hospital Hospital, Port Jervis, NY, CCN 330135

Merit-based Incentive Payment System (MIPS)

Final score
79.03 of 100Reported as individual
Quality
61.88
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber 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

LicenseStateTypeSpecialty
MD059546LPAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Valley Orthopedics, P.C. Orthopaedic Surgery CurrentSince Jul 15, 1996 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

  • FHIR API: https://api.platform.athenahealth.com/9299/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.