IAN M LIEBOLD CRNP
NPI 1265198030
Nurse Practitioner - Family in Stroudsburg, PA

Active since November 16, 2021PECOS EnrolledAccepts Medicare Assignment
79.45/100
CMS Quality Rating
600 COMMERCE BLVD, STROUDSBURG, PA 18360(570) 424-7390(570) 424-7395 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 6, 2025, Nov 16, 2021 (2 updates tracked since 2021).

About Ian M Liebold Crnp NPPES

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

IAN M LIEBOLD CRNP (NPI 1265198030) is an individual family provider in Stroudsburg, Pennsylvania, licensed in Pennsylvania (SP024724) and active in the NPI registry since November 2021. He is enrolled in Medicare PECOS, is affiliated with Lehigh Valley Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1265198030
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameIAN M LIEBOLDCredential: CRNP
Location Address600 COMMERCE BLVDStroudsburg, PA 18360-6214
Mailing Address2100 Mack Blvd Fl 4Allentown, PA 18103-5622 · (484) 629-2282
Fax(570) 424-7395
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 16, 2021
Last NPPES UpdateJanuary 6, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2025
NPI 1265198030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in PA · SP024724
600 COMMERCE BLVD, Stroudsburg, PA 18360

Other Identifiers 1

OtherSP024724PA · State License

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

Ian M Liebold Crnp 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 ID8022403492
PECOS Enrollment IDI20220322000480
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
130 services98 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
121 services102 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
50 services50 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
17 services14 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390133
Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County
Emergency services Birthing friendly

Lehigh Valley Hospital - Pocono

Acute Care Hospitals · East Stroudsburg, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390201
Location206 East Brown StreetEast Stroudsburg, PA 18301 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18360 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
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.

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.

79.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.12
Promoting Interoperability86
Improvement Activities40
Cost60.65

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.

Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
600 COMMERCE BLVD
STROUDSBURG, PA 18360
Dietitian, Registered
600 COMMERCE BLVD
STROUDSBURG, PA 18360
Family Medicine
600 COMMERCE BLVD
STROUDSBURG, PA 18360
Surgery (Vascular Surgery)
600 COMMERCE BLVD
STROUDSBURG, PA 18360
Internal Medicine
600 COMMERCE BLVD
STROUDSBURG, PA 18360
Physician Assistant
600 COMMERCE BLVD
STROUDSBURG, PA 18360
Dietitian, Registered
600 COMMERCE BLVD
STROUDSBURG, PA 18360
Obstetrics & Gynecology
600 COMMERCE BLVD, SUITE 200
STROUDSBURG, PA 18360

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265198030, enumerated as an "individual" on November 16, 2021.

The provider is located at 600 COMMERCE BLVD STROUDSBURG, PA 18360 and the phone number is (570) 424-7390.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

Ian Liebold is affiliated with: LEHIGH VALLEY HOSPITAL and LEHIGH VALLEY HOSPITAL - POCONO.