DR. JOHN PAUL GILIBERTO MD
NPI 1922324771
Otolaryngology in Seattle, WA

Active since April 18, 2010PECOS EnrolledAccepts Medicare Assignment
93.09/100
CMS Quality Rating
1959 NE PACIFIC ST., SEATTLE, WA 98195(206) 520-5000 Get Directions Write a Review

NPPES record last updated: April 17, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 17, 2019, Aug 18, 2016 (2 updates tracked since 2016).

About Dr. John Paul Giliberto Md NPPES

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

DR. JOHN PAUL GILIBERTO MD (NPI 1922324771) is an individual otolaryngology provider in Seattle, Washington, licensed in Washington (MD60543308) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with University Of Washington Medical Ctr, and is a graduate of Warren Alpert Medical School Of Brown University (2010).

NPPES Registry Identity

NPI1922324771
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. JOHN PAUL GILIBERTOCredential: MD
Location Address1959 NE PACIFIC ST.Seattle, WA 98195-0001
Mailing AddressPo Box 50095Seattle, WA 98145-5095 · (206) 520-5700
Sole ProprietorYes
Medical School CMSWarren Alpert Medical School Of Brown UniversityGraduated 2010
Enumeration DateApril 18, 2010
Last NPPES UpdateApril 17, 20192 updates tracked since enumeration
NPI 1922324771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in WA · MD60543308
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1959 NE PACIFIC ST., Seattle, WA 98195

Other Identifiers 1

Medicaid1922324771WA

Accepted 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

Dr. John Paul Giliberto 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 ID42449993
PECOS Enrollment IDI20150609003009
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 8

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.

Exam to assess movement of vocal cord flaps using an endoscope 31579
This procedure involves using a thin, flexible tube called an endoscope to view your vocal cords. The endoscope is gently inserted through your nose or mouth to observe the movement of your vocal cords. This helps identify any abnormalities or issues.
123 services97 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.
74 services63 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.
39 services35 patients
Injection of chemical for paralysis of nerve muscles on side of voice box 64617
This procedure involves injecting a chemical into the nerve muscles on one side of your voice box. The chemical temporarily paralyzes these muscles, helping to manage conditions that affect voice and swallowing. It's a safe, often temporary measure to improve your quality of life.
33 services14 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.
31 services31 patients
Injection into vocal cords using an endoscope with operating microscope or telescope 31571
This procedure involves using a thin, flexible tube called an endoscope along with a special microscope or telescope. The endoscope is carefully inserted into your throat to reach your vocal cords. Then, a precise injection is made into the vocal cords to treat various conditions.
19 services13 patients

Hospital Affiliations CMS Care Compare

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

University Of Washington Medical Ctr

Acute Care Hospitals · Seattle, WA
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number500008
Location1959 NE Pacific St Box 356151Seattle, WA 98195 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98195 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
$143.76 typical visit price
range $63.67 – $189.37
Typical copayment $35.94 (range $15.91 – $47.34)
Most-billed visit code 99204
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
Most-billed visit code 99213
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.

93.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.95
Promoting Interoperability100
Improvement Activities40

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.

Plastic Surgery
1959 NE PACIFIC ST., DEPARTMENT OF SURGERY - DIVISION OF PLASTIC SURGERY
SEATTLE, WA 98195
Nurse Practitioner
1959 NE PACIFIC ST.
SEATTLE, WA 98195
Nurse Practitioner
1959 NE PACIFIC ST.
SEATTLE, WA 98195
Urology
1959 NE PACIFIC ST.
SEATTLE, WA 98195
Family Medicine
1959 NE PACIFIC ST.
SEATTLE, WA 98195
Genetic Counselor, MS
1959 NE PACIFIC ST., BOX 356159
SEATTLE, WA 98195
Nurse Practitioner (Women's Health)
1959 NE PACIFIC ST.
SEATTLE, WA 98195
Student in an Organized Health Care Education/Training Program
1959 NE PACIFIC ST., BOX 356460
SEATTLE, WA 98195

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 John Paul Giliberto's NPI number?

The NPI number for John Paul Giliberto is 1922324771. It was assigned to this individual provider in the NPPES registry on April 18, 2010.

Where is John Paul Giliberto located?

John Paul Giliberto practices at 1959 NE Pacific St., Seattle, WA 98195. The listed phone number is (206) 520-5000.

What is John Paul Giliberto's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is John Paul Giliberto enrolled in Medicare?

Yes. John Paul Giliberto 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 John Paul Giliberto accept?

Health plans from CareSource, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list John Paul Giliberto 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 John Paul Giliberto affiliated with any hospitals?

According to CMS data, John Paul Giliberto is affiliated with University Of Washington Medical Ctr.

When was this NPI record last updated?

The NPPES record for John Paul Giliberto was last updated on April 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.