Derek R Libby, DO

Primary specialty

Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X

License

DO1967 Issued in ME

Practice address

97A Exchange St
Suite 201
Portland, ME 04101-5016

Phone

(207) 773-3335

Fax

(207) 774-4788

NPI assigned

Aug 8, 2007

Last updated

Sep 23, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

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

Specialty

Osteopathic Manipulative Medicine

Education

University of New England, College of Osteo Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Recover Together IncGroup PAC ID 7810247533, 141 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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

• Recover Together, LLC

  dba Groups Recover Together

  • Adult Mental Health Clinic/Center
  • Lawrenceburg, IN
  • NPI 1891102497

  ME

  Medicare reassignment Care Compare group NPD
• Derek Libby DO

  • Medical Specialty Clinic/Center
  • Portland, ME
  • NPI 1619234317
  NPD (past) Authorized official
• Recover Together, Inc.

  dba Groups Recover Together

  • Adult Mental Health Clinic/Center
  • London, KY
  • NPI 1346736758
  NPD
• Hospital Osteopathic Manipulative Medicine PC

  • Neuromusculoskeletal Medicine & OMM Physician
  • Portland, ME
  • NPI 1144706615
  NPD (past)
• Portland Osteopathic, PA

  • Neuromusculoskeletal Medicine & OMM Physician
  • Portland, ME
  • NPI 1538113063
  NPD (past)

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1184815730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97A EXCHANGE ST",
            "address_2": "SUITE 201",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041015016",
            "telephone_number": "207-773-3335",
            "fax_number": "207-774-4788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97A EXCHANGE ST",
            "address_2": "SUITE 201",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041015016",
            "telephone_number": "207-773-3335",
            "fax_number": "207-774-4788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBBY",
        "first_name": "DEREK",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-08",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "ME",
            "license": "1967",
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "ME",
            "license": "DO1967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William V. Lewis, M.D.
• Danielle Molla Leyonmark, RN
• Catherine Leyton
• Allison Libby
• Curtis Mackay Libby, MD
• Jennifer Ann Libby, LAC.
• Tracy Lynn Libby, LCSW
• Victoria Georgette Libby, PSY.D.
• Maria Nicole Libertin, MD
• Liberty Bay Recovery Center, LLC

• Addiction Medicine (Preventive Medicine) Physician in Portland, ME
• Providers in Portland, ME by specialty
• Addiction Medicine (Preventive Medicine) Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.

Verify at the official NPI Registry.