DR. MARC ANDREW LIEBERMAN M.D.
NPI 1366657348
Pediatrics - Pediatric Emergency Medicine in Worcester, MA

Q: What is Marc Lieberman's NPI number?

The NPI number for Marc Lieberman is 1366657348. It was assigned to this individual provider in the NPPES registry on May 11, 2007.

Q: What is Marc Lieberman's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Q: When was this NPI record last updated?

The NPPES record for Marc Lieberman was last updated on November 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since May 11, 2007PECOS Enrolled

97.02/100

CMS Quality Rating

55 LAKE AVE N, WORCESTER, MA 01655(774) 442-2599(774) 442-2510 Get Directions Write a Review

NPPES record last updated: November 10, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 10, 2020, Apr 18, 2017 (2 updates tracked since 2017).

On this page

About Dr. Marc Andrew Lieberman M.d. NPPES

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

DR. MARC ANDREW LIEBERMAN M.D. (NPI 1366657348) is an individual pediatric emergency medicine provider in Worcester, Massachusetts, licensed in Massachusetts (235614) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366657348

Entity TypeIndividualMale

Primary Taxonomy2080P0204X

Provider Legal NameDR. MARC ANDREW LIEBERMANCredential: M.D.

Location Address55 LAKE AVE NWorcester, MA 01655-0002

Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885 · Fax (508) 334-1977

Phone(774) 442-2599

Fax(774) 442-2510

Sole ProprietorNo

Enumeration DateMay 11, 2007

Last NPPES UpdateNovember 10, 20202 updates tracked since enumeration

NPPES CertifiedNovember 10, 2020

✔ NPI 1366657348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0204X

License✔ Licensed in MA · 235614

Definition

A pediatrician who has special qualifications to manage emergencies in infants and children.

Also ListedPediatricsTaxonomy 208000000X · License MD12930 (RI), 235614 (MA)

55 LAKE AVE N, Worcester, MA 01655

Open in Google Maps ↗

Other Identifiers 7

Other000776402RI · Ri Medicare

Other03/08/2011RI · Bcbsri

Other939025129RI · Group Ri Medicare

Medicaid110080468AMA

Other03/10/2011RI · Nhpri

Other939025129RI · Ri Medicare Group

MedicaidML83659RI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Taro Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Marc Andrew Lieberman M.d. 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 Marc Lieberman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Umass Memorial Medical Group Inc

Same address

Internal Medicine

55 LAKE AVE N
Worcester, MA 01655

Reassigned Medicare billing, Massachusetts enrollment
2,902 clinicians in this Medicare group

NPI 1760445373 (508) 334-1000

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

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.

97.02/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

78.09

Promoting Interoperability

100

Improvement Activities

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.

HILLARY R. IRONS MD

Emergency Medicine

55 LAKE AVE N
WORCESTER, MA 01655

Worcester County (508) 421-1400

MS. EILEEN A. DUHAMEL NP

Nurse Practitioner

55 LAKE AVE N, DEPARTMENT OF RADIOLOGY
WORCESTER, MA 01655

Worcester County (508) 334-2710

EWA HRYNISZYN CRNA

Nurse Anesthetist, Certified Registered

55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA 01655

Worcester County (508) 334-3271

HELEN COPSEY PA-C

Physician Assistant

55 LAKE AVE N
WORCESTER, MA 01655

Worcester County (508) 334-8585

DR. ADEPEJU GBADEBO CHAMPION M.D.

Internal Medicine

55 LAKE AVE N
WORCESTER, MA 01655

Worcester County (508) 334-2731

SOWMYA KORAPATI

Internal Medicine (Hematology & Oncology)

55 LAKE AVE N
WORCESTER, MA 01655

Worcester County (508) 334-3550

LAYLA FAKHRZADEH M.D.

Anesthesiology

55 LAKE AVE N, ANESTHESIOLOGY
WORCESTER, MA 01655

Worcester County (508) 334-3271

YOONYIE CHO M.D.

Anesthesiology

55 LAKE AVE N
WORCESTER, MA 01655

Worcester County (508) 334-1000

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 Marc Lieberman's NPI number?

The NPI number for Marc Lieberman is 1366657348. It was assigned to this individual provider in the NPPES registry on May 11, 2007.

Where is Marc Lieberman located?

Marc Lieberman practices at 55 Lake Ave N, Worcester, MA 01655. The listed phone number is (774) 442-2599.

What is Marc Lieberman's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Marc Lieberman enrolled in Medicare?

Yes. Marc Lieberman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Marc Lieberman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marc Lieberman reassigns Medicare benefits to Umass Memorial Medical Group Inc (Worcester, MA). 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 Marc Lieberman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marc Lieberman accept?

Health plans from Taro Health list Marc Lieberman 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 Marc Lieberman was last updated on November 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.