Individual provider Active NPI

Robert Edward Lieberson, MD

  • Neurological Surgery Physician
  • Stanford, CA
National Provider Identifier
1598863326
Registry record updated Aug 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
MD205928 Issued in OR
Practice address
300 Pasteur Dr
Room R281
Stanford, CA 94305-2200
Phone
(650) 723-5573
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X G52334 CA
Neurological Surgery Physician 207T00000X MD205928 OR Primary

Addresses

Primary practice location

300 Pasteur Dr
Room R281
Stanford, CA 94305-2200

Mailing address

3778 Pinot CT
Pleasanton, CA 94566-7247
Phone (925) 484-1083

Other practice location 1

3615 NW Samaritan Dr Ste 210
Corvallis, OR 97330-3771
Phone (541) 768-4501

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL rlieberson214593@samhealth.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, SD, OR, PA, MD, WA6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20080318000794 CA Practitioner - Neurosurgery 6002992963 Reassigns benefits to 3 organizations
I20161214000711 SD Practitioner - NeurosurgeryPractitioner - Neurology 6002992963 Reassigns benefits to 1 organization
I20210818002183 OR Practitioner - Neurosurgery 6002992963 Reassigns benefits to 2 organizations
I20221102001875 PA Practitioner - Neurosurgery 6002992963 Reassigns benefits to 4 organizations
I20250108000191 MD Practitioner - Neurosurgery 6002992963 Reassigns benefits to 2 organizations
I20250214001703 WA Practitioner - Neurosurgery 6002992963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guthrie Medical Group PCGroup PAC ID 6002728656, 795 clinicians
Medical Practices of Antietam, LLCGroup PAC ID 2567353865, 229 clinicians

Practice addresses (Care Compare)

1 Guthrie SQ
Sayre, PA 18840-1625
Phone (570) 888-5858

11110 Medical Campus Rd
Suite 147
Hagerstown, MD 21742-6755
Phone (301) 791-5555

Hospital & facility affiliations

  • Meritus Medical Center Hospital, Hagerstown, MD, CCN 210001
  • Robert Packer Hospital Hospital, Sayre, PA, CCN 390079
  • Corning Hospital Hospital, Corning, NY, CCN 330277

Merit-based Incentive Payment System (MIPS)

Final score
81.06 of 100Reported as group
Quality
62.07
Promoting interoperability
100
Improvement activities
40
Cost
74.81

Merit-based Incentive Payment System (MIPS)

Final score
87.01 of 100Reported as group
Quality
86.78
Improvement activities
40
Cost
70.46

Merit-based Incentive Payment System (MIPS)

Final score
79.88 of 100Reported as group
Quality
62.63
Promoting interoperability
100
Improvement activities
40
Cost
70.3

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G52334CAMDNeurological Surgery Physician
MD205928ORMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Altoona Regional Health Services, Inc CurrentSince Sep 1, 2022 Accepting new patients
UCSF Medical Group Business Services Neurological Surgery CurrentSince Oct 20, 2022 Accepting new patients
University of California San Francisco CurrentSince Oct 20, 2022 Accepting new patients
Monument Health Rapid City Hospital, Inc Current Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Jan 27, 2025 Accepting new patients
Upmc Western Maryland Health Services, LLC CurrentSince Jan 1, 2025 Accepting new patients
Acute Care Surgery Medical Group, Inc. CurrentSince Oct 1, 2017 Accepting new patients
Medical Practices of Antietam LLC CurrentSince Dec 17, 2025 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Jan 27, 2025 Accepting new patients
Monument Health Rapid City Hospital, Inc. CurrentSince Nov 9, 2016 Accepting new patients
University of California San Francisco CurrentSince Oct 20, 2022 Accepting new patients
University of California San Francisco Current Accepting new patients
Upmc Western Maryland Health Services, LLC CurrentSince Jan 1, 2025 Accepting new patients
Upmc Western Maryland Health Services, LLC Current Accepting new patients
Legacy Clinics LLC Neurological Surgery CurrentSince Jul 25, 2022 Accepting new patients
Regional Health Services Inc CurrentSince Nov 1, 2023 Accepting new patients
Susquehanna Physician Services CurrentSince Nov 1, 2022 Accepting new patients
Upmc Altoona Regional Health Services, Inc Current Accepting new patients
Susquehanna Physician Services CurrentSince Nov 1, 2022 Accepting new patients
Monument Health Rapid City Hospital Inc CurrentSince Nov 9, 2016 Accepting new patients
UCSF Medical Group Business Services CurrentSince Oct 20, 2022 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Jan 27, 2025 Accepting new patients
Legacy Clinics LLC CurrentSince Jul 25, 2022 Accepting new patients
Guthrie Medical Group PC Past Accepting new patients
Stanford Health Care Neurological Surgery Past Accepting new patients

Locations (25 of 27)

3100 San Pablo Ave
Berkeley, CA 94702
Phone (510) 985-5020

4001 J St
Sacramento, CA 95819
Phone (916) 453-4037

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

2001 The Embarcadero
Ste 1500
San Francisco, CA 94143
Phone (415) 353-1606

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

300 Pasteur Dr
Rm R281
Stanford, CA 94305
Phone (650) 723-5573

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

12501 Willowbrook Rd
Fl 3
Cumberland, MD 21502
Phone (240) 964-8515

11110 Medical Campus Rd
Ste 147
Hagerstown, MD 21742
Phone (240) 313-9600

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

500 NE Multnomah St
Ste 100
Portland, OR 97232
Phone (503) 499-5200

2800 N Vancouver Ave
Portland, OR 97227
Phone (503) 413-4340

2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400

1414 9th Ave
Altoona, PA 16602
Phone (814) 949-7621

501 Howard Ave
Ste E3
Altoona, PA 16601
Phone (814) 889-3930

3406 Peach St
Erie, PA 16508
Phone (814) 877-5381

2 Hot Metal St
Bldg 3RD
Pittsburgh, PA 15203

740 High St
Ste 3002
Williamsport, PA 17701
Phone (570) 321-2820

1201 Grampian Blvd
Williamsport, PA 17701
Phone (570) 326-8723

700 High St
Williamsport, PA 17701
Phone (570) 321-1000

700 High St
#P
Williamsport, PA 17701
Phone (570) 321-2619

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801

Interoperability endpoints

  • Direct secure messaging: rlieberson229050@direct-guthrie.org

Organizations & group practices 26

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.

View all 26

Hospital & facility affiliations 4

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1598863326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3778 PINOT CT",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945667247",
            "telephone_number": "925-484-1083",
            "fax_number": "925-484-1084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR",
            "address_2": "ROOM R281",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943052200",
            "telephone_number": "650-723-5573"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3615 NW Samaritan Dr Ste 210",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973303771",
            "country_code": "US",
            "telephone_number": "541-768-4501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIEBERSON",
        "first_name": "ROBERT",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "G52334",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "OR",
            "license": "MD205928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "rlieberson214593@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "3615 NW Samaritan Dr Ste 210",
            "city": "Corvallis",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973303771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stanford, CA

Sources for this page

Verify at the official NPI Registry.