LAWRENCE MARTIN LIEBLICH MD
NPI 1619985462
Dermatology in Smithtown, NY

Active since August 04, 2006PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
9 BROOKSITE DR, SMITHTOWN, NY 11787(631) 390-7800(631) 390-7821 Get Directions Write a Review

NPPES record last updated: December 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 8, 2023, Dec 28, 2017 (2 updates tracked since 2017).

About Lawrence Martin Lieblich Md NPPES

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

LAWRENCE MARTIN LIEBLICH MD (NPI 1619985462) is an individual dermatology provider in Smithtown, New York, licensed in New York (135570) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Stanford University School Of Medicine (1977).

NPPES Registry Identity

NPI1619985462
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameLAWRENCE MARTIN LIEBLICHCredential: MD
Location Address9 BROOKSITE DRSmithtown, NY 11787-3400
Mailing Address39 Old Coach RdEast Setauket, NY 11733-3818 · (631) 821-4789 · Fax (631) 689-6821
Fax(631) 390-7821
Sole ProprietorNo
Medical School CMSStanford University School Of MedicineGraduated 1977
Enumeration DateAugust 4, 2006
Last NPPES UpdateDecember 8, 20232 updates tracked since enumeration
NPPES CertifiedDecember 8, 2023
NPI 1619985462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in NY · 135570
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
9 BROOKSITE DR, Smithtown, NY 11787

Other Identifiers 6

Other68A30NY · Empire Bcbs
Medicaid00770021NY
Other11-2644403NY · Empire Plan
Other218790PNY · Hip
OtherAJ48951NY · Mdny
Other218791PNY · Hip

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

Lawrence Martin Lieblich Md 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 ID7113053422
PECOS Enrollment IDI20100325000852
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 14

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
373 services244 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
239 services198 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
131 services44 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
128 services104 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
106 services99 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
88 services88 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11787 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Other Providers at the Same Location NPPES 15

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

Internal Medicine (Cardiovascular Disease)
9 BROOKSITE DR
SMITHTOWN, NY 11787
Legal Medicine
9 BROOKSITE DR, SUITE 1
SMITHTOWN, NY 11787
Family Medicine
9 BROOKSITE DR
SMITHTOWN, NY 11787
Family Medicine
9 BROOKSITE DR
SMITHTOWN, NY 11787
Family Medicine
9 BROOKSITE DR
SMITHTOWN, NY 11787
Family Medicine
9 BROOKSITE DR
SMITHTOWN, NY 11787
Family Medicine
9 BROOKSITE DR
SMITHTOWN, NY 11787
Social Worker (Clinical)
9 BROOKSITE DR
SMITHTOWN, NY 11787

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 Lawrence Lieblich's NPI number?

The NPI number for Lawrence Lieblich is 1619985462. It was assigned to this individual provider in the NPPES registry on August 4, 2006.

Where is Lawrence Lieblich located?

Lawrence Lieblich practices at 9 Brooksite Dr, Smithtown, NY 11787. The listed phone number is (631) 390-7800.

What is Lawrence Lieblich's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Lawrence Lieblich enrolled in Medicare?

Yes. Lawrence Lieblich 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.

When was this NPI record last updated?

The NPPES record for Lawrence Lieblich was last updated on December 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.