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DR. PETER J LIBERTO O.D.
NPI 1396730453
Optometrist in Pawtucket, RI

Active since September 15, 2005PECOS EnrolledAccepts Medicare Assignment
145 NEWPORT AVE, PAWTUCKET, RI 02861(401) 729-0200(401) 729-0222 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Peter J Liberto O.d. NPPES

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

DR. PETER J LIBERTO O.D. (NPI 1396730453) is an individual optometrist in Pawtucket, Rhode Island, licensed in Rhode Island (434T) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (1990).

NPPES Registry Identity

NPI1396730453
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. PETER J LIBERTOCredential: O.D.
Location Address145 NEWPORT AVEPawtucket, RI 02861-4107
Mailing Address145 Newport AvePawtucket, RI 02861-4107 · (401) 729-0200 · Fax (401) 729-0222
Phone(401) 729-0200
Fax(401) 729-0222
Sole ProprietorNo
Medical School CMSNew England College Of OptometryGraduated 1990
Enumeration DateSeptember 15, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1396730453 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 · 434T
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.
145 NEWPORT AVE, Pawtucket, RI 02861
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Other Identifiers 5

Other22-00053RI · Unitedhealthcare
Other2804RI · Neighborhood Health
Other7848-3RI · Blue Cross
Medicaid9007948RI
Other004369RI · Blue Chip

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana and more.Insurance ›

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

Dr. Peter J Liberto O.d. 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 ID7517971484
PECOS Enrollment IDI20080529000270
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 Peter Liberto reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Blackstone Valley Community Health Care, Inc.
1.9 mi
Federally Qualified Health Center (FQHC)
39 EAST AVE
Pawtucket, RI 02860
  • Reassigned Medicare billing, Rhode Island enrollment
  • 75 clinicians in this Medicare group
NPI 1063574135 (401) 312-9892

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 02861 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.

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 Peter Liberto's NPI number?

The NPI number for Peter Liberto is 1396730453. It was assigned to this individual provider in the NPPES registry on September 15, 2005.

Where is Peter Liberto located?

Peter Liberto practices at 145 Newport Ave, Pawtucket, RI 02861. The listed phone number is (401) 729-0200.

What is Peter Liberto's specialty?

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

Is Peter Liberto enrolled in Medicare?

Yes. Peter Liberto 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 organization bills Medicare for Peter Liberto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Liberto reassigns Medicare benefits to Blackstone Valley Community Health Care, Inc. (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 Peter Liberto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Peter Liberto accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Peter Liberto 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 Peter Liberto was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.