ERIC DAVID LIBBY M.D.
NPI 1922048016
Internal Medicine - Gastroenterology in Winchester, MA

Q: What is Eric Libby's NPI number?

The NPI number for Eric Libby is 1922048016. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Q: What is Eric Libby's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Eric Libby was last updated on November 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 June 07, 2006PECOS EnrolledAccepts Medicare Assignment

75.09/100

CMS Quality Rating

955 MAIN ST, WINCHESTER, MA 01890(781) 729-5855 Get Directions Write a Review

NPPES record last updated: November 6, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Eric David Libby M.d. NPPES

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

ERIC DAVID LIBBY M.D. (NPI 1922048016) is an individual gastroenterology provider in Winchester, Massachusetts, licensed in Massachusetts (79352) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Winchester Hospital, and is a graduate of Harvard Medical School (1987).

NPPES Registry Identity

NPI1922048016

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameERIC DAVID LIBBYCredential: M.D.

Location Address955 MAIN STWinchester, MA 01890-4302

Mailing Address955 Main St, Suite 206Winchester, MA 01890-4302 · (781) 729-5855

Phone(781) 729-5855

Sole ProprietorNo

Medical School CMSHarvard Medical SchoolGraduated 1987

Enumeration DateJune 7, 2006

Last NPPES UpdateNovember 6, 2012

✔ NPI 1922048016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in MA · 79352

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

955 MAIN ST, Winchester, MA 01890

Open in Google Maps ↗

Other Identifiers 7

Other303380Harvard Pilgrim Health

Other509647MA · Us Health

Other079352MA · Tufts Health

Medicare UPINF79615MA

Medicare PINBX8226MA

Medicaid3126072MA

OtherJ30490MA · Blue Cross & Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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

Eric David Libby 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 ID1254363948

PECOS Enrollment IDI20050901000787

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 15

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

138 services138 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

113 services113 patients

Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500

Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.

97 services91 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

81 services68 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

78 services77 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

52 services37 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

49 services48 patients

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.

48 services47 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

41 services41 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

21 services17 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

18 services14 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

16 services15 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

15 services12 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

15 services15 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

13 services13 patients

Hospital Affiliations CMS Care Compare

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

Winchester Hospital

Acute Care Hospitals · Winchester, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220105

Location41 Highland AvenueWinchester, MA 01890 · Middlesex County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01890 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

$144.11 typical visit price

range $63.72 – $189.86

Typical copayment $36.02 (range $15.93 – $47.46)

Most-billed visit code 99204

Established Patient

$111.18 typical visit price

range $21.07 – $155.29

Typical copayment $27.79 (range $5.26 – $38.82)

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.

75.09/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

68.93

Promoting Interoperability

Improvement Activities

Cost

66.38

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. JOSEPH P O'DONNELL D.M.D.

Dentist (Pediatric Dentistry)

955 MAIN ST
WINCHESTER, MA 01890

Middlesex County (781) 729-1900

ROBERT J OBRIEN JR, MD AND ASSOCIATES PC

Specialist

955 MAIN ST, SUITE G6
WINCHESTER, MA 01890

Middlesex County (781) 729-4878

LINDSAY ROSE MCGOVERN PA-C

Physician Assistant (Medical)

955 MAIN ST
WINCHESTER, MA 01890

Middlesex County (781) 729-4878

DR. GERALDINE C GARCIA-ROGERS D.M.D.

Dentist (Pediatric Dentistry)

955 MAIN ST
WINCHESTER, MA 01890

Middlesex County (781) 729-1900

MIDDLESEX SURGICAL ASSOCIATES INC

Specialist

955 MAIN ST, SUITE G2A
WINCHESTER, MA 01890

Middlesex County (781) 729-2020

DR. LAURA CHRISTINA VITALE M.D.

Pediatrics

955 MAIN ST, STE 103
WINCHESTER, MA 01890

Middlesex County (617) 359-5052

ALEXANDRIA MCGOVERN PA-C

Physician Assistant

955 MAIN ST
WINCHESTER, MA 01890

Middlesex County (781) 888-5791

EDWARD A RYAN MD

Ophthalmology

955 MAIN ST, STE 108
WINCHESTER, MA 01890

Middlesex County (787) 721-0447

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 Eric Libby's NPI number?

The NPI number for Eric Libby is 1922048016. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is Eric Libby located?

Eric Libby practices at 955 Main St, Winchester, MA 01890. The listed phone number is (781) 729-5855.

What is Eric Libby's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Eric Libby enrolled in Medicare?

Yes. Eric 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.

What insurance does Eric Libby accept?

Health plans from Anthem Blue Cross and Blue Shield list Eric 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 Eric Libby affiliated with any hospitals?

According to CMS data, Eric Libby is affiliated with Winchester Hospital.

When was this NPI record last updated?

The NPPES record for Eric Libby was last updated on November 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.