JEFFREY LEIBMAN
NPI 1457079592
Physician Assistant in Twin Falls, ID

Q: What is Jeffrey Leibman's NPI number?

The NPI number for Jeffrey Leibman is 1457079592. It was assigned to this individual provider in the NPPES registry on August 15, 2022.

Q: What is Jeffrey Leibman's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Leibman was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since August 15, 2022PECOS EnrolledAccepts Medicare Assignment

625 POLE LINE RD W STE 2A, TWIN FALLS, ID 83301(208) 814-8600(208) 814-8942 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 5, 2024, Aug 15, 2022 (2 updates tracked since 2022).

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About Jeffrey Leibman NPPES

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

JEFFREY LEIBMAN (NPI 1457079592) is an individual physician assistant in Twin Falls, Idaho, licensed in Idaho (1961270) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS, is affiliated with St Lukes Magic Valley Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1457079592

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameJEFFREY LEIBMAN

Location Address625 POLE LINE RD W STE 2ATwin Falls, ID 83301-4270

Mailing Address190 E Bannock StBoise, ID 83712-6241

Phone(208) 814-8600

Fax(208) 814-8942

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateAugust 15, 2022

Last NPPES UpdateDecember 5, 20242 updates tracked since enumeration

NPPES CertifiedDecember 5, 2024

✔ NPI 1457079592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in ID · 1961270

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

625 POLE LINE RD W STE 2A, Twin Falls, ID 83301

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., 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

Jeffrey Leibman 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 ID8628505948

PECOS Enrollment IDI20241227002828

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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Lukes Magic Valley Medical Center

Acute Care Hospitals · Twin Falls, ID

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number130002

Location801 Pole Line Road WestTwin Falls, ID 83301 · Twin Falls County

Emergency services Birthing friendly

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number130006

Location190 East Bannock StreetBoise, ID 83712 · Ada County

Emergency services Birthing friendly

St Luke's Jerome

Critical Access Hospitals · Jerome, ID

OwnershipVoluntary non-profit - Private

CMS Certification Number131310

Location709 North Lincoln AvenueJerome, ID 83338 · Jerome County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83301 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

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$65.77 typical visit price

range $16.68 – $130.93

Typical copayment $16.44 (range $4.17 – $32.73)

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 9

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

MRS. KAITLIN RENETTE MUNNS APRN-CNP

Nurse Practitioner (Family)