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JONATHAN LIEBMAN NP
NPI 1790755171
Nurse Practitioner - Community Health in Worthington, MA

Active since January 26, 2006PECOS EnrolledAccepts Medicare Assignment
58 OLD NORTH RD, WORTHINGTON, MA 01098(413) 238-5511(413) 238-5358 Get Directions Write a Review

NPPES record last updated: February 6, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jonathan Liebman Np NPPES

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

JONATHAN LIEBMAN NP (NPI 1790755171) is an individual community health provider in Worthington, Massachusetts, licensed in Massachusetts (226054) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Cooley Dickinson Hospital Inc,the, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1790755171
Entity TypeIndividualMale
Primary Taxonomy363LC1500X
Provider Legal NameJONATHAN LIEBMANCredential: NP
Location Address58 OLD NORTH RDWorthington, MA 01098-9753
Mailing Address58 Old North RdWorthington, MA 01098-9753 · (413) 238-5511 · Fax (413) 238-5358
Phone(413) 238-5511
Fax(413) 238-5358
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateJanuary 26, 2006
Last NPPES UpdateFebruary 6, 2015
✔ NPI 1790755171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Community HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LC1500X
License✔ Licensed in MA · 226054
58 OLD NORTH RD, Worthington, MA 01098
Open in Google Maps ↗

Other Identifiers 3

OtherNP1363MA · Blue Cross Blue Shield
Medicare UPINS63952MA
Medicare ID-Type UnspecifiedLINP1363MA · Medicare

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

Jonathan Liebman Np 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 ID4880661537
PECOS Enrollment IDI20040913001164
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

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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
18 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Cooley Dickinson Hospital Inc,the

Acute Care Hospitals · Northampton, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220015
Location30 Locust StreetNorthampton, MA 01060 · Hampshire County
Emergency services Birthing friendly

Baystate Franklin Medical Center

Acute Care Hospitals · Greenfield, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220016
Location164 High StreetGreenfield, MA 01301 · Franklin County
Emergency services Birthing friendly

Baystate Noble Hospital

Acute Care Hospitals · Westfield, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220065
Location115 West Silver StreetWestfield, MA 01085 · Hampden County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01098 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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 20

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

DR. MARY L STUART D.D.S.
Dentist (General Practice)
58 OLD NORTH RD
WORTHINGTON, MA 01098
Hampshire County (413) 238-5511
ELIZABETH A. COATES MD
Family Medicine
58 OLD NORTH RD
WORTHINGTON, MA 01098
Hampshire County (413) 238-5511
MARY ELIZABETH CHMURA MD
Family Medicine
58 OLD NORTH RD
WORTHINGTON, MA 01098
Hampshire County (413) 238-5511
KYLEIGH ALEXIS GOLEMBESKI
Nurse Practitioner (Family)
58 OLD NORTH RD
WORTHINGTON, MA 01098
Hampshire County (413) 238-5511
MARTIELE ELLIOTT LICSW
Social Worker (Clinical)
58 OLD NORTH RD
WORTHINGTON, MA 01098
Hampshire County (413) 238-5511
ARUNDHATI SABRINA STANLEY
Dentist
58 OLD NORTH RD
WORTHINGTON, MA 01098
Hampshire County (413) 343-6716
AJA COUPAL KEPPLER LCSW
Counselor (Mental Health)
58 OLD NORTH RD
WORTHINGTON, MA 01098
Hampshire County (413) 238-5511
AARON TIEGER RIVERWOOD LMHC
Counselor (Mental Health)
58 OLD NORTH RD
WORTHINGTON, MA 01098
Hampshire County (413) 238-5511

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 Jonathan Liebman's NPI number?

The NPI number for Jonathan Liebman is 1790755171. It was assigned to this individual provider in the NPPES registry on January 26, 2006.

Where is Jonathan Liebman located?

Jonathan Liebman practices at 58 Old North Rd, Worthington, MA 01098. The listed phone number is (413) 238-5511.

What is Jonathan Liebman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Community Health, with taxonomy code 363LC1500X.

Is Jonathan Liebman enrolled in Medicare?

Yes. Jonathan Liebman 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.

Is Jonathan Liebman affiliated with any hospitals?

According to CMS data, Jonathan Liebman is affiliated with Cooley Dickinson Hospital Inc,the, Baystate Franklin Medical Center and Baystate Noble Hospital.

When was this NPI record last updated?

The NPPES record for Jonathan Liebman was last updated on February 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.