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DAVID KLIBANOFF
NPI 1275501421
Optometrist in Pawtucket, RI

Active since March 12, 2006PECOS Enrolled
121 BROAD ST, PAWTUCKET, RI 02860(401) 723-3400(401) 727-2326 Get Directions Write a Review

NPPES record last updated: May 20, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About David Klibanoff NPPES

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

DAVID KLIBANOFF (NPI 1275501421) is an individual optometrist in Pawtucket, Rhode Island, licensed in Rhode Island (ODTG476) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275501421
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDAVID KLIBANOFF
Location Address121 BROAD STPawtucket, RI 02860-2053
Mailing Address121 Broad StPawtucket, RI 02860-2053 · (401) 723-3400
Phone(401) 723-3400
Fax(401) 727-2326
Sole ProprietorNo
Enumeration DateMarch 12, 2006
Last NPPES UpdateMay 20, 2008
✔ NPI 1275501421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in RI · ODTG476
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
121 BROAD ST, Pawtucket, RI 02860
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Other Identifiers 1

Medicare PIN007002355RI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David Klibanoff 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.

Medicare Billing Reassignment

Medicare enrollment records show David Klibanoff reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Klibanoff Eye Associates, Ltd
Same address
Corneal and Contact Management
121 BROAD ST
Pawtucket, RI 02860
  • Reassigned Medicare billing, Rhode Island enrollment
  • 3 clinicians in this Medicare group
NPI 1467508556 (401) 723-3400

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02860 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
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
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.

KLIBANOFF EYE ASSOCIATES, LTD
Optometrist (Corneal and Contact Management)
121 BROAD ST
PAWTUCKET, RI 02860
Providence County (401) 723-3400
KLIBANOFF EYE ASSOCIATES LTD
Optometrist
121 BROAD ST
PAWTUCKET, RI 02860
Providence County (401) 723-3400

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 David Klibanoff's NPI number?

The NPI number for David Klibanoff is 1275501421. It was assigned to this individual provider in the NPPES registry on March 12, 2006.

Where is David Klibanoff located?

David Klibanoff practices at 121 Broad St, Pawtucket, RI 02860. The listed phone number is (401) 723-3400.

What is David Klibanoff's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is David Klibanoff enrolled in Medicare?

Yes. David Klibanoff is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for David Klibanoff's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Klibanoff reassigns Medicare benefits to Klibanoff Eye Associates, Ltd (Pawtucket, RI). The 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 David Klibanoff's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Klibanoff accept?

Health plans from Blue Cross Blue Shield of Wyoming and Providence Health Plan list David Klibanoff 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 David Klibanoff was last updated on May 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.