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DR. SIXTO MALABANAN LIRIO MD
NPI 1780683672
Family Medicine in Cape May Court House, NJ

Active since July 21, 2005PECOS Enrolled
7 PERSHING AVE, CAPE MAY COURT HOUSE, NJ 08210(609) 463-0600(609) 463-9477 Get Directions Write a Review

NPPES record last updated: October 18, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Sixto Malabanan Lirio Md NPPES

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

DR. SIXTO MALABANAN LIRIO MD (NPI 1780683672) is an individual family medicine provider in Cape May Court House, New Jersey, licensed in New Jersey (MA45255) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780683672
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SIXTO MALABANAN LIRIOCredential: MD
Location Address7 PERSHING AVECape May Court House, NJ 08210-2736
Mailing Address10 Easy Street, SwaintonCape May Court House, NJ 08210 · (609) 463-0600 · Fax (609) 463-9477
Phone(609) 463-0600
Fax(609) 463-9477
Sole ProprietorYes
Enumeration DateJuly 21, 2005
Last NPPES UpdateOctober 18, 2010
✔ NPI 1780683672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NJ · MA45255
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.
7 PERSHING AVE, Cape May Court House, NJ 08210
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Other Identifiers 3

Medicaid2251302NJ
Medicare UPINC53760
Medicare PIN182448U8Y

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. Sixto Malabanan Lirio Md 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.

Areas of Expertise CMS Part B claims 5

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
161 services73 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
121 services66 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
109 services36 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
73 services66 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
47 services46 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08210 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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 16

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

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
1 supplier26 claims26 services$23.19 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier26 claims26 services$8.89 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
1 supplier20 claims40 services$6.40 avg. paid by Medicare
Ostomy skin barrier, pectin-based, paste, per ounce A4406
DME-Orthotic Devices · category DF010N
1 supplier20 claims40 services$5.52 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 inches, each A4415
DME-Orthotic Devices · category DF010N
1 supplier11 claims110 services$4.73 avg. paid by Medicare
Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (1 piece), each A4417
DME-Orthotic Devices · category DF010N
1 supplier26 claims1,560 services$3.47 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

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

SIXTO M LIRIO MD PA
Family Medicine
7 PERSHING AVE
CAPE MAY COURT HOUSE, NJ 08210
Cape May County (609) 463-0600

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 Sixto Lirio's NPI number?

The NPI number for Sixto Lirio is 1780683672. It was assigned to this individual provider in the NPPES registry on July 21, 2005.

Where is Sixto Lirio located?

Sixto Lirio practices at 7 Pershing Ave, Cape May Court House, NJ 08210. The listed phone number is (609) 463-0600.

What is Sixto Lirio's specialty?

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

Is Sixto Lirio enrolled in Medicare?

Yes. Sixto Lirio is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sixto Lirio was last updated on October 18, 2010. 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.