DR. SHANE A LIEBERMAN (MD) – Hospice and Palliative Medicine (Family Medicine) Physician, NPI 1295175875

DR. SHANE A LIEBERMAN (MD) is a healthcare provider. based in Lafayette, Colorado. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. TL4814 (CO). The NPI Number for DR. SHANE A LIEBERMAN (MD) is 1295175875

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHANE A LIEBERMAN (MD)
NPI
1295175875
Phone
(303) 338-4545
Address
200 EXEMPLA CIR
Enumeration Date
27 June 2013
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Secondary Phone
9703846874
Graduation Year
2013 (13 years ago)
PAC ID
7416247739
Group Practice PAC ID
1850294778
Professional Enrollment ID
I20171011001421
Address ID
CO816014227GL1906XAVEX300
Telehealth
Yes

Contacts

SOAP Endpoint
https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggateways
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:12State licenses:2Other namesUpdated within 12 months

2,660 FAMILY PRACTICE in CO

Provider Addresses for DR. SHANE A LIEBERMAN (MD)

  • 200 EXEMPLA CIR

    LAFAYETTE, CO 800263370

    Phone: (303) 338-4545

    Type: Mailing

  • 10350 E DAKOTA AVE

    DENVER, CO 802471314

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-10-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171011001421IFamily PracticeCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
G0316Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th11731$0
99215Established patient office or other outpatient visit, 40-54 minutes6941$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes5640$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes5150$0
G2212Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or3319$0
View full utilization report →

Insurance plans in this area (ZIP 80026)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850294778View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology)CO
Physician AssistantUT
Interventional Cardiology, Cardiovascular Disease (Cardiology)CO
-CO
Thoracic SurgeryID
-CO
Cardiovascular Disease (Cardiology)CO
-CO
U R O L O G YCO
-CO

Reviews

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Frequently asked questions

Can I verify DR. SHANE A LIEBERMAN (MD) with an NPI only?
You can start verification with NPI 1295175875 for DR. SHANE A LIEBERMAN (MD), then check state licensing separately.
Is DR. SHANE A LIEBERMAN (MD) listed as active for patients and plans?
The listing shows DR. SHANE A LIEBERMAN (MD) as active in the NPI system.
What is DR. SHANE A LIEBERMAN (MD) best known for clinically?
Directory data describes DR. SHANE A LIEBERMAN (MD) with Hospice and Palliative Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. SHANE A LIEBERMAN (MD)?
DR. SHANE A LIEBERMAN (MD)'s geographic hint is Lafayette, Colorado in our summary view.
Why does DR. SHANE A LIEBERMAN (MD) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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