BROCK DONALD LIBBY MD
NPI 1205192432
Pediatrics in South Portland, ME

Active since April 02, 2012PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
75 JOHN ROBERTS RD BLDG B, SOUTH PORTLAND, ME 04106(207) 775-4151 Get Directions Write a Review

NPPES record last updated: July 25, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Brock Donald Libby Md NPPES

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

BROCK DONALD LIBBY MD (NPI 1205192432) is an individual pediatrics provider in South Portland, Maine, licensed in Maine (MD22819) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS and is a graduate of University Of Vermont College Of Medicine (2012).

NPPES Registry Identity

NPI1205192432
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameBROCK DONALD LIBBYCredential: MD
Location Address75 JOHN ROBERTS RD BLDG BSouth Portland, ME 04106-6967
Mailing Address3401 Civic Center Blvd, Division Of Adolescent MedicinePhiladelphia, PA 19104-4319
Sole ProprietorNo
Medical School CMSUniversity Of Vermont College Of MedicineGraduated 2012
Enumeration DateApril 2, 2012
Last NPPES UpdateJuly 25, 2019
NPI 1205192432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in ME · MD22819
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
75 JOHN ROBERTS RD BLDG B, South Portland, ME 04106

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Brock Donald Libby 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 ID3274761085
PECOS Enrollment IDI20190606002227
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 04106 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
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 9

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

Pediatrics (Adolescent Medicine)
75 JOHN ROBERTS RD BLDG B
SOUTH PORTLAND, ME 04106
Social Worker (Clinical)
75 JOHN ROBERTS RD BLDG B
SOUTH PORTLAND, ME 04106
Pediatrics
75 JOHN ROBERTS RD BLDG B
SOUTH PORTLAND, ME 04106
Pediatrics
75 JOHN ROBERTS RD BLDG B
SOUTH PORTLAND, ME 04106
Pediatrics
75 JOHN ROBERTS RD BLDG B
SOUTH PORTLAND, ME 04106
Counselor (Mental Health)
75 JOHN ROBERTS RD BLDG B
SOUTH PORTLAND, ME 04106
Pediatrics
75 JOHN ROBERTS RD BLDG B
SOUTH PORTLAND, ME 04106
Pediatrics
75 JOHN ROBERTS RD BLDG B
SOUTH PORTLAND, ME 04106

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 Brock Libby's NPI number?

The NPI number for Brock Libby is 1205192432. It was assigned to this individual provider in the NPPES registry on April 2, 2012.

Where is Brock Libby located?

Brock Libby practices at 75 John Roberts Rd Bldg B, South Portland, ME 04106. The listed phone number is (207) 775-4151.

What is Brock Libby's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Brock Libby enrolled in Medicare?

Yes. Brock Libby 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.

What insurance does Brock Libby accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Brock Libby 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.

When was this NPI record last updated?

The NPPES record for Brock Libby was last updated on July 25, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.