DR. JAMES JOSEPH GILIBERTO JR. D.O.
NPI 1629057054
Surgery in Clinton Twp, MI

Q: What is James Giliberto's NPI number?

The NPI number for James Giliberto is 1629057054. It was assigned to this individual provider in the NPPES registry on January 13, 2006.

Q: What is James Giliberto's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for James Giliberto was last updated on August 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 January 13, 2006PECOS EnrolledAccepts Medicare Assignment

37400 GARFIELD RD, SUITE 120, CLINTON TWP, MI 48036(586) 228-3800(586) 228-9800 Get Directions Write a Review

NPPES record last updated: August 8, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. James Joseph Giliberto Jr. D.o. NPPES

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

DR. JAMES JOSEPH GILIBERTO JR. D.O. (NPI 1629057054) is an individual surgery provider in Clinton Twp, Michigan, licensed in Michigan (5101008771) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Henry Ford Macomb Hospital, and is a graduate of Philadelphia College Of Osteopathic Medicine (1983).

NPPES Registry Identity

NPI1629057054

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. JAMES JOSEPH GILIBERTO JR.Credential: D.O.

Location Address37400 GARFIELD RD, SUITE 120Clinton Twp, MI 48036-3648

Mailing Address37400 Garfield Rd, Suite 120Clinton Twp, MI 48036-3648 · (586) 228-3800 · Fax (586) 228-9800

Phone(586) 228-3800

Fax(586) 228-9800

Sole ProprietorNo

Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1983

Enumeration DateJanuary 13, 2006

Last NPPES UpdateAugust 8, 2011

✔ NPI 1629057054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in MI · 5101008771

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

37400 GARFIELD RD, Clinton Twp, MI 48036

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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. James Joseph Giliberto Jr. D.o. 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 ID6608821335

PECOS Enrollment IDI20060314000413

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 Reassignments

Medicare enrollment records show James Giliberto reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Macomb Surgical Associates,p.C.

2.8 mi

Surgery

21510 HARRINGTON ST STE 102
Clinton Twp, MI 48036

Reassigned Medicare billing, Michigan enrollment
5 clinicians in this Medicare group

NPI 1295816932 (586) 228-3800

Mclaren Macomb

3.0 mi

Internal Medicine

1000 HARRINGTON BLVD.
Mount Clemens, MI 48043

Reassigned Medicare billing, Michigan enrollment
188 clinicians in this Medicare group

NPI 1396014601 (586) 493-8000

Regional Trauma Care PC

3.0 mi

Surgery

1000 HARRINGTON ST, TRAUMA SERVICES
Mount Clemens, MI 48043

Reassigned Medicare billing, Michigan enrollment
10 clinicians in this Medicare group

NPI 1851554497 (586) 493-3814

Henry Ford Health Rochester Hospital

12 mi

Family Medicine

1101 W UNIVERSITY DR
Rochester, MI 48307

Reassigned Medicare billing, Michigan enrollment
59 clinicians in this Medicare group

NPI 1184747263 (248) 652-5000

Mclaren Port Huron

39 mi

Psychiatry

1209 RICHARDSON ST
Port Huron, MI 48060

Reassigned Medicare billing, Michigan enrollment
87 clinicians in this Medicare group

NPI 1386888170 (810) 984-5156

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 19

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.

Ultrasound study of arm or leg veins with compression and maneuvers 93970

An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.

207 services196 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

173 services105 patients

Ultrasound study of one arm or leg veins with compression and maneuvers 93971

This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.

143 services137 patients

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.

124 services87 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

94 services94 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

92 services89 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.

65 services41 patients

Complete ultrasound study of arm and leg arteries 93923

This procedure involves using sound waves to produce images of your arm and leg arteries. It helps identify blockages or abnormalities that could lead to conditions like stroke or peripheral artery disease. It's non-invasive and painless.

27 services26 patients

Ultrasonic guidance for blood vessel access 76937

Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.

26 services24 patients

Ultrasound of both sides of head and neck blood flow 93880

26 services23 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

25 services25 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

23 services23 patients

Complete ultrasound study of arm and leg arteries 93923

22 services21 patients

Ultrasound study of arm and leg arteries 93922

An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.

17 services15 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

17 services14 patients

Ultrasound study of one arm or leg veins with compression and maneuvers 93971

16 services11 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

12 services11 patients

Insertion of tunneled central venous tube for infusion (5 years or older) 36558

The insertion of a tunneled central venous tube is a procedure where a thin, flexible tube is placed into a large vein, usually in the neck or chest. This tube allows healthcare providers to give medications, fluids, or nutrients directly into your bloodstream over a longer period.

11 services11 patients

Complete ultrasound of abdomen and pelvis artery and vein blood flow 93975

This procedure uses sound waves to create images of your abdomen and pelvis, specifically focusing on the arteries and veins. It helps in assessing the blood flow and detecting any abnormalities, ensuring your overall well-being.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Henry Ford Macomb Hospital

Acute Care Hospitals · Clinton Township, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230047

Location15855 Nineteen Mile RdClinton Township, MI 48038 · Macomb County

Emergency services Birthing friendly

Mclaren Oakland

Acute Care Hospitals · Pontiac, MI

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230207

Location50 N Perry StPontiac, MI 48342 · Oakland County

Emergency services

Mclaren Port Huron

Acute Care Hospitals · Port Huron, MI

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230216

Location1221 Pine Grove AvePort Huron, MI 48060 · St. Clair County

Emergency services Birthing friendly

Mclaren Macomb

Acute Care Hospitals · Mount Clemens, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230227

Location1000 Harrington StMount Clemens, MI 48043 · Macomb County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48036 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

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 4

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

MR. JAMES EDWARD JOHNSON D.O.

Surgery

37400 GARFIELD RD, SUITE 120
CLINTON TWP, MI 48036

Macomb County (586) 228-3800

DR. LOIS MICHELLE BUTLER-JACKSON MD, CWS

Internal Medicine

37400 GARFIELD RD, SUITE 110
CLINTON TWP, MI 48036

Macomb County (586) 286-6389

KAREN JEANNE ZUCCARO P.T.

Physical Therapist

37400 GARFIELD RD
CLINTON TWP, MI 48036

Macomb County (586) 263-5220

MISS SHIRLANN VICTORIA KRAHULEC

Social Worker (Clinical)

37400 GARFIELD RD
CLINTON TWP, MI 48036

Macomb County (586) 738-6518

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 James Giliberto's NPI number?

The NPI number for James Giliberto is 1629057054. It was assigned to this individual provider in the NPPES registry on January 13, 2006.

Where is James Giliberto located?

James Giliberto practices at 37400 Garfield Rd Suite 120, Clinton Twp, MI 48036. The listed phone number is (586) 228-3800.

What is James Giliberto's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is James Giliberto enrolled in Medicare?

Yes. James Giliberto 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 organizations bill Medicare for James Giliberto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Giliberto reassigns Medicare benefits to 5 organizations: Macomb Surgical Associates,p.C. (Clinton Twp, MI), Mclaren Macomb (Mount Clemens, MI), Regional Trauma Care PC (Mount Clemens, MI), Henry Ford Health Rochester Hospital (Rochester, MI) and Mclaren Port Huron (Port Huron, MI). Each 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 James Giliberto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Giliberto accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list James Giliberto 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.

Is James Giliberto affiliated with any hospitals?

According to CMS data, James Giliberto is affiliated with Henry Ford Macomb Hospital, Mclaren Oakland, Mclaren Port Huron and Mclaren Macomb.

When was this NPI record last updated?

The NPPES record for James Giliberto was last updated on August 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.