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DR. DOUGLASS BIBULD M.D.
NPI 1568590487
Internal Medicine in Brockton, MA

Active since March 01, 2007PECOS Enrolled
63 MAIN ST, BROCKTON, MA 02301(508) 559-6699(508) 559-5073 Get Directions Write a Review

NPPES record last updated: May 25, 2016. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Douglass Bibuld M.d. NPPES

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

DR. DOUGLASS BIBULD M.D. (NPI 1568590487) is an individual internal medicine provider in Brockton, Massachusetts, licensed in Massachusetts (151680) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568590487
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. DOUGLASS BIBULDCredential: M.D.
Location Address63 MAIN STBrockton, MA 02301-4042
Mailing Address63 Main StBrockton, MA 02301-4042 · (508) 559-6699 · Fax (508) 559-5073
Phone(508) 559-6699
Fax(508) 559-5073
Sole ProprietorNo
Enumeration DateMarch 1, 2007
Last NPPES UpdateMay 25, 2016
✔ NPI 1568590487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MA · 151680
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
63 MAIN ST, Brockton, MA 02301
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Other Identifiers 3

Medicare UPINB16860
Medicare ID-Type UnspecifiedA21597MA
Medicaid3158110MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include WellSense Health Plan.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. Douglass Bibuld 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 Douglass Bibuld reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Brockton Neighborhood Health Center
Same address
Federally Qualified Health Center (FQHC)
63 MAIN ST
Brockton, MA 02301
  • Reassigned Medicare billing, Massachusetts enrollment
  • 128 clinicians in this Medicare group
NPI 1225085319 (508) 559-6699

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

Areas of Expertise CMS Part B claims 5

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.

Blood glucose (sugar) level 82947
A blood glucose level test measures the amount of sugar in your blood. It's often used to monitor and manage conditions like diabetes. High or low levels can indicate a health issue. The test is usually done by pricking your finger for a small blood sample.
91 services41 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
50 services36 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
19 services11 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
14 services13 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02301 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
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 20

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

GLORIA IBARRA M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
63 MAIN ST
BROCKTON, MA 02301
Plymouth County (508) 559-6699
SAIRA GHANY
Dental Hygienist
63 MAIN ST
BROCKTON, MA 02301
Plymouth County (508) 559-6699
JANINA MARIE COLAVITA NP
Nurse Practitioner (Adult Health)
63 MAIN ST
BROCKTON, MA 02301
Plymouth County (508) 894-3473
ELSIE VARUGHESE M.D.
Internal Medicine
63 MAIN ST
BROCKTON, MA 02301
Plymouth County (508) 559-6699
DR. TRANG THANH NGUYEN DMD
Dentist (General Practice)
63 MAIN ST
BROCKTON, MA 02301
Plymouth County (508) 559-6699
SHEINA JEAN-MARIE DMD
Dentist (General Practice)
63 MAIN ST
BROCKTON, MA 02301
Plymouth County (508) 559-6699
GRIGOR MARTIROSYAN OD
Optometrist
63 MAIN ST
BROCKTON, MA 02301
Plymouth County (508) 894-3444
JACQUELINE SPENCER
Registered Nurse
63 MAIN ST
BROCKTON, MA 02301
Plymouth County (508) 559-6699

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 Douglass Bibuld's NPI number?

The NPI number for Douglass Bibuld is 1568590487. It was assigned to this individual provider in the NPPES registry on March 1, 2007.

Where is Douglass Bibuld located?

Douglass Bibuld practices at 63 Main St, Brockton, MA 02301. The listed phone number is (508) 559-6699.

What is Douglass Bibuld's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Douglass Bibuld enrolled in Medicare?

Yes. Douglass Bibuld is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Douglass Bibuld's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglass Bibuld reassigns Medicare benefits to Brockton Neighborhood Health Center (Brockton, 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 Douglass Bibuld's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Douglass Bibuld accept?

Health plans from WellSense Health Plan list Douglass Bibuld 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 Douglass Bibuld was last updated on May 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.