Individual provider Active NPI

Paul Conrad Liebrecht, MD

  • Specialist
  • Galax, VA
National Provider Identifier
1821083908
Registry record updated Jul 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101039317 Issued in VA
Practice address
333 Hospital Dr
Galax, VA 24333-2246
Phone
(276) 236-8155
Fax
(276) 236-8899
NPI assigned
Sep 15, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0101039317 VA Primary

Addresses

Primary practice location

333 Hospital Dr
Galax, VA 24333-2246

Mailing address

333 Hospital Dr
Galax, VA 24333-2246
Phone (276) 236-8155

Other identifiers 1

IdentifierTypeStateIssuer
006496628MedicaidVI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20100308000730 VA Practitioner - Orthopedic Surgery 1658416185 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Rutgers New Jersey Medical School, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

333 Hospital Dr
Galax, VA 24333-2246
Phone (540) 236-8155

Hospital & facility affiliations

  • Blue Ridge Home Health Care Home health agency, Galax, VA, CCN 497643
  • Twin County Regional Home Health Home health agency, Galax, VA, CCN 497040
  • Twin County Regional Hospital Hospital, Galax, VA, CCN 490115

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement16
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101039317VAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Paul C. Liebrecht, M.D., P.C. Specialist CurrentSince Jun 27, 1999 Accepting new patients

Locations

333 Hospital Dr
Galax, VA 24333
Phone (276) 236-8155

Organizations & group practices 1

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 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": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343347200000",
    "number": "1821083908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 HOSPITAL DR",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243332246",
            "telephone_number": "276-236-8155",
            "fax_number": "276-236-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 HOSPITAL DR",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243332246",
            "telephone_number": "276-236-8155",
            "fax_number": "276-236-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBRECHT",
        "first_name": "PAUL",
        "middle_name": "CONRAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2012-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101039317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006496628",
            "state": "VI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Galax, VA

Sources for this page

Verify at the official NPI Registry.