DR. JEFFERY JOSEPH LIBRA M.D.
NPI 1619009826
Family Medicine in Grand Rapids, MI

Q: What is Jeffery Libra's NPI number?

The NPI number for Jeffery Libra is 1619009826. It was assigned to this individual provider in the NPPES registry on March 12, 2007.

Q: What is Jeffery Libra's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jeffery Libra was last updated on June 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 March 12, 2007PECOS Enrolled

3355 EAGLE PARK DR NE STE 103, GRAND RAPIDS, MI 49525(616) 942-7400(616) 942-7405 Get Directions Write a Review

NPPES record last updated: June 18, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Jeffery Joseph Libra M.d. NPPES

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

DR. JEFFERY JOSEPH LIBRA M.D. (NPI 1619009826) is an individual family medicine provider in Grand Rapids, Michigan, licensed in Michigan (4301048963) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Paw Paw.

NPPES Registry Identity

NPI1619009826

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JEFFERY JOSEPH LIBRACredential: M.D.

Location Address3355 EAGLE PARK DR NE STE 103Grand Rapids, MI 49525

Mailing Address3355 Eagle Park Dr Ne Ste 103Grand Rapids, MI 49525-7004 · (616) 942-7400 · Fax (616) 942-7405

Phone(616) 942-7400

Fax(616) 942-7405

Sole ProprietorNo

Enumeration DateMarch 12, 2007

Last NPPES UpdateJune 18, 2019

✔ NPI 1619009826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MI · 4301048963

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3355 EAGLE PARK DR NE STE 103, Grand Rapids, MI 49525

Open in Google Maps ↗

Secondary Practice Location 1

Location 1451 Health Pkwy, Suite APaw Paw, MI 49079-8242 · Phone (269) 657-2550 · Fax (269) 657-2285

Other Identifiers 3

Other1235131137MI · Bcbsm - Bronson Lakeview

Medicaid2843350MI

Medicaid1619009826MI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jeffery Joseph Libra 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49525 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

3 suppliers12 claims12 services$65.47 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier11 claims11 services$17.64 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier11 claims11 services$91.17 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier20 claims20 services$13.79 avg. paid by Medicare

Lightweight wheelchair K0003

DME-Wheelchairs · category DD000N

2 suppliers13 claims13 services$35.67 avg. paid by Medicare

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195

DME-Wheelchairs · category DD021N

3 suppliers33 claims33 services$7.17 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

MICHELLE LYNN GINGRICH NP-C

Nurse Practitioner (Family)