JOSEPH MICHAEL TIBALDI M.D.,F.A.C.P.
NPI 1972588564
Internal Medicine - Endocrinology, Diabetes & Metabolism in Fresh Meadows, NY

Active since December 07, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
17415 HORACE HARDING EXPY FL 2, FRESH MEADOWS, NY 11365(718) 762-3111(718) 353-6315 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 30, 2024, Apr 19, 2024, Apr 13, 2024 and 1 more (4 updates tracked since 2022).

About Joseph Michael Tibaldi M.d.,f.a.c.p. NPPES

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

JOSEPH MICHAEL TIBALDI M.D.,F.A.C.P. (NPI 1972588564) is an individual endocrinology, diabetes & metabolism provider in Fresh Meadows, New York, licensed in New York (144862) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with New York-presbyterian/queens, and is a graduate of Icahn School Of Medicine At Mount Sinai (1979).

NPPES Registry Identity

NPI1972588564
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameJOSEPH MICHAEL TIBALDICredential: M.D.,F.A.C.P.
Location Address17415 HORACE HARDING EXPY FL 2Fresh Meadows, NY 11365-1527
Mailing Address17415 Horace Harding Expy Fl 2Fresh Meadows, NY 11365-1527 · (718) 762-3111 · Fax (718) 353-6315
Fax(718) 353-6315
Sole ProprietorNo
Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 1979
Enumeration DateDecember 7, 2005
Last NPPES UpdateApril 30, 20244 updates tracked since enumeration
NPPES CertifiedApril 13, 2024
NPI 1972588564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Licenses Licensed in NY · 144862 Licensed in NY · AT1048188
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
17415 HORACE HARDING EXPY FL 2, Fresh Meadows, NY 11365

Other Identifiers 8

Other133442196NY · United Health Care
Other133442196NY · Magnacare
Other0460201011NY · Cigna
OtherDS054NY · Oxford
OtherJT023D8310NY · Empire Blue Cross B/s
Other28P0271NY · New York Presbyterian
Other0C3556NY · Phs
Other166146NY · Elderplan

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

Joseph Michael Tibaldi M.d.,f.a.c.p. 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 ID4688648835
PECOS Enrollment IDI20060113000799
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 12

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
1,680 services19 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.
712 services415 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
522 services280 patients
Hemoglobin a1c level, by device for home use 83037
A Hemoglobin A1c device for home use allows you to check your average blood sugar levels over the past 3 months. It's a simple, painless test that provides immediate results, helping you manage your diabetes more effectively.
343 services226 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
233 services180 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
106 services63 patients

Hospital Affiliations CMS Care Compare

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

New York-Presbyterian/Queens

Acute Care Hospitals · Flushing, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330055
Location56-45 Main StreetFlushing, NY 11355 · Queens County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11365 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
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 9

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
3 suppliers34 claims428 services$18.25 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
3 suppliers33 claims990 services$2.36 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
90 suppliers311 claims1,140 services$5.81 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
5 suppliers26 claims26 services$2.85 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
49 suppliers120 claims229 services$1.06 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
3 suppliers14 claims14 services$292.67 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 5

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

Internal Medicine (Endocrinology, Diabetes & Metabolism)
17415 HORACE HARDING EXPY FL 2
FRESH MEADOWS, NY 11365
Registered Nurse
17415 HORACE HARDING EXPY FL 2
FRESH MEADOWS, NY 11365
Internal Medicine (Endocrinology, Diabetes & Metabolism)
17415 HORACE HARDING EXPY FL 2
FRESH MEADOWS, NY 11365
Dietitian, Registered
17415 HORACE HARDING EXPY FL 2
FRESH MEADOWS, NY 11365
Internal Medicine (Endocrinology, Diabetes & Metabolism)
17415 HORACE HARDING EXPY FL 2
FRESH MEADOWS, NY 11365

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 Joseph Tibaldi's NPI number?

The NPI number for Joseph Tibaldi is 1972588564. It was assigned to this individual provider in the NPPES registry on December 7, 2005.

Where is Joseph Tibaldi located?

Joseph Tibaldi practices at 17415 Horace Harding Expy Fl 2, Fresh Meadows, NY 11365. The listed phone number is (718) 762-3111.

What is Joseph Tibaldi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Joseph Tibaldi enrolled in Medicare?

Yes. Joseph Tibaldi 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 Joseph Tibaldi affiliated with any hospitals?

According to CMS data, Joseph Tibaldi is affiliated with New York-Presbyterian/Queens.

When was this NPI record last updated?

The NPPES record for Joseph Tibaldi was last updated on April 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.