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RICHARD A TIBERIO SR. MD
NPI 1073570933
Internal Medicine in Connellsville, PA

Active since April 26, 2006PECOS EnrolledAccepts Medicare Assignment
1064 MORRELL AVE, CONNELLSVILLE, PA 15425(724) 603-3496(724) 603-3498 Get Directions Write a Review

NPPES record last updated: February 24, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Richard A Tiberio Sr. Md NPPES

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

RICHARD A TIBERIO SR. MD (NPI 1073570933) is an individual internal medicine provider in Connellsville, Pennsylvania, licensed in Pennsylvania (MD025861E) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Uniontown Hospital, and is a graduate of University Of Pittsburgh School Of Medicine (1980).

NPPES Registry Identity

NPI1073570933
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRICHARD A TIBERIO SR.Credential: MD
Location Address1064 MORRELL AVEConnellsville, PA 15425-3959
Mailing Address1064 Morrell AveConnellsville, PA 15425-3959 · (724) 603-3496 · Fax (724) 603-3498
Phone(724) 603-3496
Fax(724) 603-3498
Sole ProprietorYes
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 1980
Enumeration DateApril 26, 2006
Last NPPES UpdateFebruary 24, 2009
✔ NPI 1073570933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD025861E
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1064 MORRELL AVE, Connellsville, PA 15425
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Other Identifiers 3

Medicare UPINB41640
Medicare ID-Type Unspecified428118
Medicaid0009124210002PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Richard A Tiberio Sr. Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254420656
PECOS Enrollment IDI20071208000086
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Richard Tiberio reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Highlands Hospital And Health Center
1.3 mi
Internal Medicine
600 N PENN ST
Connellsville, PA 15425
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 155 clinicians in this Medicare group
NPI 1518680164 (724) 628-3010
Regional Gastroenterology Associates Of Lancaster, Ltd.
172 mi
Gastroenterology
2112 HARRISBURG PIKE STE 202
Lancaster, PA 17601
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 343 clinicians in this Medicare group
NPI 1154422806 (717) 869-4600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
247 services180 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018
An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.
31 services31 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Uniontown Hospital

Acute Care Hospitals · Uniontown, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390041
Location500 West Berkeley StreetUniontown, PA 15401 · Fayette County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15425 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers14 claims28 services$5.20 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers16 claims17 services$13.24 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers23 claims24 services$63.36 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers14 claims14 services$13.96 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Richard Tiberio's NPI number?

The NPI number for Richard Tiberio is 1073570933. It was assigned to this individual provider in the NPPES registry on April 26, 2006.

Where is Richard Tiberio located?

Richard Tiberio practices at 1064 Morrell Ave, Connellsville, PA 15425. The listed phone number is (724) 603-3496.

What is Richard Tiberio's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Richard Tiberio enrolled in Medicare?

Yes. Richard Tiberio is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Richard Tiberio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Tiberio reassigns Medicare benefits to 2 organizations: Highlands Hospital And Health Center (Connellsville, PA) and Regional Gastroenterology Associates Of Lancaster, Ltd. (Lancaster, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Richard Tiberio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Richard Tiberio accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Richard Tiberio as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Richard Tiberio affiliated with any hospitals?

According to CMS data, Richard Tiberio is affiliated with Uniontown Hospital.

When was this NPI record last updated?

The NPPES record for Richard Tiberio was last updated on February 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.