DR. MARIANO RAMIREZ LIBROJO JR. M.D.
NPI 1689867533
Internal Medicine in Norwich, CT

Active since August 23, 2007PECOS EnrolledAccepts Medicare Assignment
92.22/100
CMS Quality Rating
326 WASHINGTON ST, NORWICH, CT 06360(860) 889-8331 Get Directions Write a Review

NPPES record last updated: December 2, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Mariano Ramirez Librojo Jr. M.d. NPPES

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

DR. MARIANO RAMIREZ LIBROJO JR. M.D. (NPI 1689867533) is an individual internal medicine provider in Norwich, Connecticut, licensed in Connecticut (045898) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1689867533
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MARIANO RAMIREZ LIBROJO JR.Credential: M.D.
Location Address326 WASHINGTON STNorwich, CT 06360-2740
Mailing Address135 Ledgewood Rd, Apt 104Groton, CT 06340-6608
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateAugust 23, 2007
Last NPPES UpdateDecember 2, 2008
✔ NPI 1689867533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CT · 045898
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.
326 WASHINGTON ST, Norwich, CT 06360

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

Dr. Mariano Ramirez Librojo Jr. M.d. 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 ID9234292988
PECOS Enrollment IDI20090107000329
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

2

Medicare enrollment records show Mariano Librojo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
326 WASHINGTON ST
Norwich, CT 06360
  • Reassigned Medicare billing, Connecticut enrollment
  • 430 clinicians in this Medicare group
General Acute Care Hospital
112 MANSFIELD AVE
Willimantic, CT 06226
  • Reassigned Medicare billing, Connecticut enrollment
  • 302 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.

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.
187 services181 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06360 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

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.

92.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.15
Promoting Interoperability100
Improvement Activities40
Cost58.82

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.

Nurse Anesthetist, Certified Registered
326 WASHINGTON ST
NORWICH, CT 06360
Social Worker (Clinical)
326 WASHINGTON ST, WILLIAM W BACKUS HOSPITAL
NORWICH, CT 06360
Registered Nurse (Medical-Surgical)
326 WASHINGTON ST
NORWICH, CT 06360
Family Medicine
326 WASHINGTON ST
NORWICH, CT 06360
Internal Medicine (Geriatric Medicine)
326 WASHINGTON ST
NORWICH, CT 06360
Social Worker (Clinical)
326 WASHINGTON ST
NORWICH, CT 06360
Emergency Medicine
326 WASHINGTON ST
NORWICH, CT 06360
Social Worker
326 WASHINGTON ST, WILLIAM W BACKUS HOSPITAL
NORWICH, CT 06360

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 Mariano Librojo's NPI number?

The NPI number for Mariano Librojo is 1689867533. It was assigned to this individual provider in the NPPES registry on August 23, 2007.

Where is Mariano Librojo located?

Mariano Librojo practices at 326 Washington St, Norwich, CT 06360. The listed phone number is (860) 889-8331.

What is Mariano Librojo's specialty?

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

Is Mariano Librojo enrolled in Medicare?

Yes. Mariano Librojo 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 Mariano Librojo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mariano Librojo reassigns Medicare benefits to 2 organizations: The William W Backus Hospital (Norwich, CT) and Windham Community Memorial Hospital, Inc. (Willimantic, CT). 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 Mariano Librojo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mariano Librojo accept?

Health plans from Anthem Blue Cross and Blue Shield list Mariano Librojo 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 Mariano Librojo was last updated on December 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.