KATHRYN HESS LIBBY
NPI 1689109423
Internal Medicine - Pulmonary Disease in South Portland, ME

Active since May 01, 2017PECOS EnrolledAccepts Medicare Assignment
100 FODEN RD STE 103, SOUTH PORTLAND, ME 04106(207) 828-1122 Get Directions Write a Review

NPPES record last updated: June 27, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 27, 2024, Jun 19, 2024, Jun 28, 2020 (3 updates tracked since 2020).

About Kathryn Hess Libby NPPES

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

KATHRYN HESS LIBBY (NPI 1689109423) is an individual pulmonary disease provider in South Portland, Maine, licensed in Maine (MD27841) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, is affiliated with Northern Light Health, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1689109423
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameKATHRYN HESS LIBBY
Location Address100 FODEN RD STE 103South Portland, ME 04106-2327
Mailing Address100 Foden Rd Ste 103South Portland, ME 04106-2327 · (207) 828-1122
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 1, 2017
Last NPPES UpdateJune 27, 20243 updates tracked since enumeration
NPPES CertifiedJune 27, 2024
✔ NPI 1689109423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in ME · MD27841
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License MD27841 (ME)
100 FODEN RD STE 103, South Portland, ME 04106

Accepted 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

Kathryn Hess Libby 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 ID1254601156
PECOS Enrollment IDI20240725002650
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

6

Medicare enrollment records show Kathryn Libby reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pulmonary Disease
100 FODEN ROAD, WEST BUILDING SUITE 103
South Portland, ME 04106
  • Reassigned Medicare billing, Maine enrollment
  • 40 clinicians in this Medicare group
Gynecology
100 BRICKHILL AVE
South Portland, ME 04106
  • Reassigned Medicare billing, Maine enrollment
  • Also billed through NPI 1922791417 (Maine)
  • 3,140 clinicians in this Medicare group
General Acute Care Hospital
195 FORE RIVER PKWY, SUITE 300
Portland, ME 04102
  • Reassigned Medicare billing, Maine enrollment
  • 322 clinicians in this Medicare group
Critical Access
11 HOSPITAL DRIVE
Machias, ME 04654
  • Reassigned Medicare billing, Maine enrollment
  • 83 clinicians in this Medicare group
Medicare Defined Swing Bed Unit
24 HOSPITAL LN
Calais, ME 04619
  • Reassigned Medicare billing, Maine enrollment
  • Also billed through NPI 1922001049 (Maine)
  • 94 clinicians in this Medicare group
Hospitalist
4401 UNION ST
Johnstown, CO 80534
  • Reassigned Medicare billing, Virginia enrollment
  • 88 clinicians in this Medicare group

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

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
40 services18 patients

Hospital Affiliations CMS Care Compare 3

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

Northern Light Health

Acute Care Hospitals · Portland, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number200008
Location144 State StreetPortland, ME 04101 · Cumberland County
Emergency services Birthing friendly

Maine Medical Center

Acute Care Hospitals · Portland, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200009
Location22 Bramhall StPortland, ME 04102 · Cumberland County
Emergency services Birthing friendly

Memorial Hospital, The

Critical Access Hospitals · North Conway, NH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number301307
Location3073 White Mountain HighwayNorth Conway, NH 03860 · Carroll County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04106 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
$128.83 typical visit price
range $56.28 – $169.96
Typical copayment $32.20 (range $14.07 – $42.49)
Most-billed visit code 99204
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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 16

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

Pediatrics (Pediatric Pulmonology)
100 FODEN RD STE 103
SOUTH PORTLAND, ME 04106
Internal Medicine (Pulmonary Disease)
100 FODEN RD STE 103
SOUTH PORTLAND, ME 04106
Internal Medicine (Pulmonary Disease)
100 FODEN RD STE 103
SOUTH PORTLAND, ME 04106
Internal Medicine (Critical Care Medicine)
100 FODEN RD STE 103
SOUTH PORTLAND, ME 04106
Internal Medicine (Pulmonary Disease)
100 FODEN RD STE 103
SOUTH PORTLAND, ME 04106
Internal Medicine (Pulmonary Disease)
100 FODEN RD STE 103
SOUTH PORTLAND, ME 04106
Nurse Practitioner (Adult Health)
100 FODEN RD STE 103
SOUTH PORTLAND, ME 04106
Internal Medicine (Pulmonary Disease)
100 FODEN RD STE 103
SOUTH PORTLAND, ME 04106

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 Kathryn Libby's NPI number?

The NPI number for Kathryn Libby is 1689109423. It was assigned to this individual provider in the NPPES registry on May 1, 2017.

Where is Kathryn Libby located?

Kathryn Libby practices at 100 Foden Rd Ste 103, South Portland, ME 04106. The listed phone number is (207) 828-1122.

What is Kathryn Libby's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Kathryn Libby enrolled in Medicare?

Yes. Kathryn Libby 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 Kathryn Libby's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn Libby reassigns Medicare benefits to 6 organizations: Chest Medicine Associates, PA (South Portland, ME), Mainehealth (South Portland, ME), Mercy Hospital (Portland, ME), Down East Community Hospital (Machias, ME), Calais Community Hospital (Calais, ME) and 1 more organization, listed in the Medicare section above. 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 Kathryn Libby's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathryn Libby accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Taro Health list Kathryn Libby 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 Kathryn Libby affiliated with any hospitals?

According to CMS data, Kathryn Libby is affiliated with Northern Light Health, Maine Medical Center and Memorial Hospital, The.

When was this NPI record last updated?

The NPPES record for Kathryn Libby was last updated on June 27, 2024. 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.