Individual provider Active NPI

Marc E Lieberman, M.D. F.A.C.S

  • Otolaryngology/Facial Plastic Surgery Physician
  • Vero Beach, FL
National Provider Identifier
1891720488
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
ME50857 Issued in FL
Practice address
1600 36TH St Ste a
Vero Beach, FL 32960-4875
Phone
(772) 569-7801
Fax
(772) 569-9252
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
Yes

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
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X ME50857 FL Primary

Addresses

Primary practice location

1600 36TH St Ste a
Vero Beach, FL 32960-4875

Mailing address

1600 36TH St Ste a
Vero Beach, FL 32960-4875
Phone (772) 569-7801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20070523000737 FL Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 1658478789 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Plastic and Reconstructive Surgery
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1600 36TH St
Suite a
Vero Beach, FL 32960-4875
Phone (772) 569-7800

Hospital & facility affiliations

  • Trilogy Home Healthcare Home health agency, Port Saint Lucie, FL, CCN 109270
  • Pinnacle Home Care Home health agency, Port Saint Lucie, FL, CCN 109610
  • Cleveland Clinic Indian River Hospital Hospital, Vero Beach, FL, CCN 100105

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision110
Removal of skin lesions42
Skin biopsy104

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Marc E Lieberman MD LLC Otolaryngology/Facial Plastic Surgery CurrentSince Aug 1, 2020 Accepting new patients

Locations

1600 36th St
Ste A
Vero Beach, FL 32960
Phone (772) 564-1799

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AIJFBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/AIJFBA/Endpoint/AIJFBA

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 3

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891720488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 36TH ST STE A",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604875",
            "telephone_number": "772-569-7801",
            "fax_number": "772-569-9252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 36TH ST STE A",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604875",
            "telephone_number": "772-569-7801",
            "fax_number": "772-569-9252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBERMAN",
        "first_name": "MARC",
        "middle_name": "E",
        "credential": "M.D. F.A.C.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "FL",
            "license": "ME50857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.