DR. WAYNE D LIEBHARD M.D.
NPI 1023093341
Family Medicine in St Louis Park, MN

Q: What is Wayne Liebhard's NPI number?

The NPI number for Wayne Liebhard is 1023093341. It was assigned to this individual provider in the NPPES registry on December 9, 2005.

Q: What is Wayne Liebhard's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Wayne Liebhard was last updated on October 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 09, 2005PECOS Enrolled

3850 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416(952) 993-3025 Get Directions Write a Review

NPPES record last updated: October 24, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Wayne D Liebhard M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. WAYNE D LIEBHARD M.D. (NPI 1023093341) is an individual family medicine provider in St Louis Park, Minnesota, licensed in Minnesota (28542) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023093341

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. WAYNE D LIEBHARDCredential: M.D.

Location Address3850 PARK NICOLLET BLVDSt Louis Park, MN 55416-2527

Mailing Address6465 Wayzata Blvd, Ste 315St Louis Park, MN 55426-1728

Phone(952) 993-3025

Sole ProprietorNo

Enumeration DateDecember 9, 2005

Last NPPES UpdateOctober 24, 2011

✔ NPI 1023093341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MN · 28542

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3850 PARK NICOLLET BLVD, St Louis Park, MN 55416

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Other Identifiers 1

Medicare UPIND75507

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Wayne D Liebhard M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55416 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELISABETH JEAN MCCLEAN MD

Family Medicine