Christina Marie Liepke, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35082094 Issued in NY

Practice address

33 E Schuyler St
Oswego, NY 13126-1161

Phone

(315) 343-6974

NPI assigned

Oct 26, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Family Practice

Education

State University of Ny Upstate Medical University, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Port City Family Medicine PC IncGroup PAC ID 2567350606, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Oswego Health Home Care, LLC Home health agency, Fulton, NY, CCN 337284
• Centerwell Home Health Home health agency, Liverpool, NY, CCN 337255
• Hospice of Central New York Hospice, Liverpool, NY, CCN 331511
• Oswego Hospital Hospital, Oswego, NY, CCN 330218

Merit-based Incentive Payment System (MIPS)

Final score

60.15 of 100Reported as group

Quality

75.12

Promoting interoperability

0

Improvement activities

40

Cost

75.37

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Port City Family Medicine P.C. Inc

  • Family Medicine Physician
  • Oswego, NY
  • NPI 1215028055
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Oswego Health Home Care LLC..

  • Home Health Agency
  • Fulton, NY
  • NPI 1285639625
  Care Compare affiliation
• Oswego Hospital

  • General Acute Care Hospital
  • Oswego, NY
  • NPI 1871678458
  Care Compare affiliation
• QC-Medi New York, Inc.

  • Home Health Agency
  • Syracuse, NY
  • NPI 1912939489
  Care Compare affiliation
• The Caring Coalition of Central New York

  • Community Based Hospice Care Agency
  • Liverpool, NY
  • NPI 1912098666
  Care Compare affiliation

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302825600000",
    "number": "1942290358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 E SCHUYLER ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131261161",
            "telephone_number": "315-343-6974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 E SCHUYLER ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131261161",
            "telephone_number": "315-343-6974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEPKE",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-26",
        "last_updated": "2011-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "35082094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02635349",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Liberati, OTR/L
• Ashley Licata, LMSW
• Anthony Victor Licatese, D.C.
• Michelle G Licciardello, PT, CERT MDT
• Curtis Charles Lieber, P.A.
• Matthew John Liepke, M.D.
• Light House Family Chiropractic, P.C.
• Lighthouse Medical Transport LLC
• Jacqueline Diane Lilly, PHD APRN BC
• Lincare Inc.

• Family Medicine Physician in Oswego, NY
• Providers in Oswego, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2011; 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.