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LIBBY KEEN BRUBAKER DO
NPI 1316441553
Family Medicine in New York, NY

Active since March 21, 2018PECOS EnrolledAccepts Medicare Assignment
81 W 115TH ST, NEW YORK, NY 10026(212) 426-0088(212) 426-8367 Get Directions Write a Review

NPPES record last updated: November 22, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 22, 2023, Jan 21, 2022, Mar 21, 2018 (3 updates tracked since 2018).

About Libby Keen Brubaker Do NPPES

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

LIBBY KEEN BRUBAKER DO (NPI 1316441553) is an individual family medicine provider in New York, New York, licensed in New York (302950) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, maintains 13 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1316441553
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameLIBBY KEEN BRUBAKERCredential: DO
Location Address81 W 115TH STNew York, NY 10026-3138
Mailing Address1824 Madison Ave Fl 5New York, NY 10035-3832 · (212) 423-4500 · Fax (646) 770-8409
Phone(212) 426-0088
Fax(212) 426-8367
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 21, 2018
Last NPPES UpdateNovember 22, 20233 updates tracked since enumeration
NPPES CertifiedNovember 17, 2023
✔ NPI 1316441553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 302950
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
81 W 115TH ST, New York, NY 10026
Open in Google Maps ↗

Secondary Practice Locations 13

Location 11167 Nostrand AveBrooklyn, NY 11225-5417 · Phone (718) 778-0198 · Fax (718) 221-8169
Location 22581 Atlantic AveBrooklyn, NY 11207-2412 · Phone (718) 495-6700 · Fax (646) 988-2840
Location 3999 Blake AveBrooklyn, NY 11208-3535 · Phone (718) 277-8303 · Fax (718) 277-4795
Location 4504 W 158th St Fl 5New York, NY 10032-7202 · Phone (917) 521-3130 ext. 3130
Location 54215 3rd Ave Fl 2Bronx, NY 10457-4501 · Phone (718) 294-5891 · Fax (718) 294-2468
Location 61824 Madison Ave Fl 5New York, NY 10035-3832 · Phone (212) 423-4500 ext. 4715 · Fax (646) 770-8409
Location 7255 E Houston StNew York, NY 10002-1013 · Phone (212) 477-1120 · Fax (212) 477-8957
Location 8511 W 157TH STNew York, NY 10032-5058 · Phone (212) 781-7979 · Fax (212) 781-7963
Location 9350 Grand St Rm 240New York, NY 10002-4629 · Phone (212) 634-7550 ext. 7556
Location 1089-44 164th StJamaica, NY 11432-6103 · Phone (718) 523-2123 · Fax (718) 523-5833
Location 1136-11 21st StLong Island City, NY 11106-4505 · Phone (718) 482-7772 · Fax (718) 482-9648
Location 12975 Westchester AveBronx, NY 10459-3204 · Phone (718) 320-4466 · Fax (718) 991-3829
Location 1394-98 Manhattan AvenueBrooklyn, NY 11206-2505 · Phone (718) 388-0390 · Fax (718) 486-5741

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

Libby Keen Brubaker Do 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 ID9739410978
PECOS Enrollment IDI20210823001712
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 Libby Brubaker reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Healthcare Network Inc
Same address
Federally Qualified Health Center (FQHC)
81 W 115TH ST
New York, NY 10026
  • Reassigned Medicare billing, New York enrollment
  • 112 clinicians in this Medicare group
NPI 1154498053 (212) 426-0088
Planned Parenthood Hudson Peconic Inc.
40 mi
Ambulatory Family Planning Facility
70 MAPLE AVE
Smithtown, NY 11787
  • Reassigned Medicare billing, New York enrollment
  • 65 clinicians in this Medicare group
NPI 1285701672 (631) 361-7526

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 10026 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

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.

GERALDINE HERISSE MS, RD, CDN
Dietitian, Registered
81 W 115TH ST
NEW YORK, NY 10026
New York County (212) 426-0088
DR. AMILCAR ARNALDO TIRADO MD
Psychiatry & Neurology (Forensic Psychiatry)
81 W 115TH ST
NEW YORK, NY 10026
New York County (212) 426-0088
CAROLINE OLIVIA SOLOWAY LMSW
Social Worker
81 W 115TH ST
NEW YORK, NY 10026
New York County (505) 690-2296
DR. PETER JON TESLER MD
Pediatrics
81 W 115TH ST
NEW YORK, NY 10026
New York County (212) 426-0088
COMMUNITY HEALTHCARE NETWORK INC
Clinic/Center (Federally Qualified Health Center (FQHC))
81 W 115TH ST
NEW YORK, NY 10026
New York County (212) 426-0088
ALEKSANDRA JOANNA WASILEWSKA LMSW
Social Worker
81 W 115TH ST
NEW YORK, NY 10026
New York County (212) 426-0088
JAMES MCKNIGHT M.D.
Psychiatry & Neurology (Addiction Medicine)
81 W 115TH ST
NEW YORK, NY 10026
New York County (212) 426-0088
JENNY GREEN WALKER MD
Family Medicine
81 W 115TH ST
NEW YORK, NY 10026
New York County (212) 426-0088

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 Libby Brubaker's NPI number?

The NPI number for Libby Brubaker is 1316441553. It was assigned to this individual provider in the NPPES registry on March 21, 2018.

Where is Libby Brubaker located?

Libby Brubaker practices at 81 W 115th St, New York, NY 10026. The listed phone number is (212) 426-0088.

What is Libby Brubaker's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Libby Brubaker enrolled in Medicare?

Yes. Libby Brubaker 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 Libby Brubaker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Libby Brubaker reassigns Medicare benefits to 2 organizations: Community Healthcare Network Inc (New York, NY) and Planned Parenthood Hudson Peconic Inc. (Smithtown, NY). 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 Libby Brubaker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Libby Brubaker was last updated on November 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.