DR. GREGORY R LIEBSCH DDS
NPI 1255442091
Dentist - General Practice in Blaine, MN

Active since August 31, 2006PECOS Enrolled
10961 CLUB PARKWAY NE, SUITE 240, BLAINE, MN 55449(763) 780-1292(952) 967-5311 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Gregory R Liebsch Dds NPPES

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

DR. GREGORY R LIEBSCH DDS (NPI 1255442091) is an individual general practice provider in Blaine, Minnesota, licensed in Minnesota (10305) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255442091
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. GREGORY R LIEBSCHCredential: DDS
Location Address10961 CLUB PARKWAY NE, SUITE 240Blaine, MN 55449
Mailing AddressPo Box 1309, Mail Code 21113aMinneapolis, MN 55440-1309 · (952) 883-5151 · Fax (952) 883-5160
Fax(952) 967-5311
Sole ProprietorNo
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1255442091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MN · 10305
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

10961 CLUB PARKWAY NE, Blaine, MN 55449

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. Gregory R Liebsch Dds 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 55449 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
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
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 2

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

Dentist (General Practice)
10961 CLUB PARKWAY NE, SUITE 240
BLAINE, MN 55449
Dentist (General Practice)
10961 CLUB PARKWAY NE, SUITE 240
BLAINE, MN 55449

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255442091, enumerated as an "individual" on August 31, 2006.

The provider is located at 10961 CLUB PARKWAY NE SUITE 240 BLAINE, MN 55449 and the phone number is (763) 780-1292.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.