NPIMap

Individual provider Active NPI

Walter John Laibinis Jr., D.O.

  • Internal Medicine Physician
  • Wellsboro, PA
National Provider Identifier
1457556862
Registry record updated Sep 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS014048 Issued in PA
Practice address
103 West Ave
Wellsboro, PA 16901-1358
Phone
(570) 724-3744
Fax
(570) 724-2459
NPI assigned
Jun 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS014048 PA Primary

Addresses

Primary practice location

103 West Ave
Wellsboro, PA 16901-1358

Mailing address

32-36 Central Ave
Medical Staff Office
Wellsboro, PA 16901-1840
Phone (570) 723-0104

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070918000272 PA Practitioner - Internal Medicine 1850485178 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upmc WellsboroGroup PAC ID 5294710414, shared by 4 NPIs, 22 clinicians

Practice addresses (Care Compare)

32 -36 Central Ave
Wellsboro, PA 16901-1840

32 -36 Central Ave
Wellsboro, PA 16901-1899

9 Water St
Office of Orthopedics
Wellsboro, PA 16901-1117
Phone (570) 724-2325

Hospital & facility affiliations

  • Upmc Wellsboro Hospital, Wellsboro, PA, CCN 391316
  • Upmc Williamsport Hospital, Williamsport, PA, CCN 390045
  • Upmc Cole Hospital, Coudersport, PA, CCN 391313
  • Upmc Wellsboro Nursing home, CCN 39Z316

Merit-based Incentive Payment System (MIPS)

Final score
79.37 of 100Reported as group
Quality
86.43
Promoting interoperability
100
Improvement activities
40
Cost
44.81

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Wellsboro CurrentSince Jun 9, 2019 Accepting new patients
Upmc Wellsboro Internal Medicine CurrentSince Jun 9, 2019 Accepting new patients
Upmc Wellsboro Past Accepting new patients
Ucmg LLC PastSince Mar 11, 2025 Accepting new patients

Locations

103 West Ave
Wellsboro, PA 16901
Phone (570) 724-1010

32-36 Central Ave
Ofc
Wellsboro, PA 16901

15 Meade St
Ste U4
Wellsboro, PA 16901
Phone (570) 723-6380

9 Water St
Ofc Of
Wellsboro, PA 16901
Phone (570) 724-2325

15 Meade St
Ste L1
Wellsboro, PA 16901
Phone (570) 723-0637

32-36 Central Ave
Wellsboro, PA 16901
Phone (570) 723-0100

Interoperability endpoints

  • Direct secure messaging: walter.laibinis@upmcdirect.com
  • Direct secure messaging: wlaibinis146618@upmc.direct-ci.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 11

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": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442275200000",
    "number": "1457556862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32-36 CENTRAL AVE",
            "address_2": "MEDICAL STAFF OFFICE",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169011840",
            "telephone_number": "570-723-0104",
            "fax_number": "570-723-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 WEST AVE",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169011358",
            "telephone_number": "570-724-3744",
            "fax_number": "570-724-2459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAIBINIS",
        "first_name": "WALTER",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-15",
        "last_updated": "2015-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS014048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellsboro, PA

Sources for this page

Verify at the official NPI Registry.