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RAPHAEL M BIBIU PMHNP-BC
NPI 1376004333
Nurse Practitioner - Psychiatric/Mental Health in Worcester, MA

Active since March 30, 2019PECOS EnrolledAccepts Medicare Assignment
90 MADISON ST STE 600, WORCESTER, MA 01608(508) 847-6864(508) 792-3803 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Raphael M Bibiu Pmhnp-bc NPPES

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

RAPHAEL M BIBIU PMHNP-BC (NPI 1376004333) is an individual psychiatric/mental health provider in Worcester, Massachusetts, licensed in Massachusetts (RN2263139) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1376004333
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameRAPHAEL M BIBIUCredential: PMHNP-BC
Location Address90 MADISON ST STE 600Worcester, MA 01608-2030
Mailing Address90 Madison St Ste 600Worcester, MA 01608-2030 · (508) 847-6864 · Fax (508) 792-3803
Phone(508) 847-6864
Fax(508) 792-3803
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 30, 2019
Last NPPES UpdateApril 5, 2022
NPPES CertifiedApril 5, 2022
✔ NPI 1376004333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MA · RN2263139
Also ListedRegistered NurseTaxonomy 163W00000X · License RN2263139 (MA)
90 MADISON ST STE 600, Worcester, MA 01608
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, Providence Health Plan.Insurance ›

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

Raphael M Bibiu Pmhnp-bc 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 ID840395646
PECOS Enrollment IDI20220219000017
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 2

Services this provider delivered to Medicare fee-for-service patients, from the 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.
208 services40 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01608 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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 2

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

ACE MEDICAL SERVICES INC
Home Health
90 MADISON ST STE 600
WORCESTER, MA 01608
Worcester County (508) 792-3800
MS. ANN LOUISE KEEGAN RN
Registered Nurse (Home Health)
90 MADISON ST STE 600
WORCESTER, MA 01608
Worcester County (508) 792-3800

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 Raphael Bibiu's NPI number?

The NPI number for Raphael Bibiu is 1376004333. It was assigned to this individual provider in the NPPES registry on March 30, 2019.

Where is Raphael Bibiu located?

Raphael Bibiu practices at 90 Madison St Ste 600, Worcester, MA 01608. The listed phone number is (508) 847-6864.

What is Raphael Bibiu's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Raphael Bibiu enrolled in Medicare?

Yes. Raphael Bibiu 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.

What insurance does Raphael Bibiu accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Providence Health Plan list Raphael Bibiu 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 Raphael Bibiu was last updated on April 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.