HOLLY C LIBERATORE MD
NPI 1811928625
Emergency Medicine in Longview, WA

Q: What is Holly Liberatore's NPI number?

The NPI number for Holly Liberatore is 1811928625. It was assigned to this individual provider in the NPPES registry on July 6, 2006. The provider is also known as Holly Mossman.

Q: What is Holly Liberatore's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Holly Liberatore was last updated on May 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 July 06, 2006PECOS EnrolledAccepts Medicare Assignment

1615 DELAWARE ST, LONGVIEW, WA 98632(360) 414-2000 Get Directions Write a Review

NPPES record last updated: May 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Holly C Liberatore Md NPPES

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

HOLLY C LIBERATORE MD (NPI 1811928625) is an individual emergency medicine provider in Longview, Washington, licensed in Washington (MD00042244) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Petal, and is a graduate of St. Louis College Of Physicians And Surgeons (2000).

NPPES Registry Identity

NPI1811928625

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NameHOLLY C LIBERATORECredential: MD

Location Address1615 DELAWARE STLongview, WA 98632-2310

Mailing AddressPo Box 11510Westminster, CA 92685-1510

Phone(360) 414-2000

Sole ProprietorNo

Medical School CMSSt. Louis College Of Physicians And SurgeonsGraduated 2000

Enumeration DateJuly 6, 2006

Last NPPES UpdateMay 27, 2021

NPPES CertifiedMay 27, 2021

✔ NPI 1811928625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in WA · MD00042244

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 23705 (MS)

1615 DELAWARE ST, Longview, WA 98632

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Other Names 1

Former Name (1)Holly Mossman

Secondary Practice Location 1

Location 150 Parkway Ln Ste BPetal, MS 39465-3035 · Phone (601) 705-2897 · Fax (601) 579-5240

Other Identifiers 2

Medicaid05483727MS

Medicaid8351926WA

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

Holly C Liberatore Md 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 ID5991736860

PECOS Enrollment IDI20211001001153

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98632 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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.

CHOONG R KIM M.D.

Radiology (Radiation Oncology)