ERIK LIBBY (PA) – Physician Assistant, NPI 1174629679

ERIK LIBBY (PA) is a healthcare provider. based in Glastonbury, Connecticut. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 001592 (CT). The NPI Number for ERIK LIBBY (PA) is 1174629679

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
ERIK LIBBY (PA)
NPI
1174629679
Phone
(860) 652-8883
Address
84 GLASTONBURY BLVD
Enumeration Date
15 September 2006
Last Update Date
15 August 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8606528883
Graduation Year
2004 (22 years ago)
PAC ID
4385681469
Group Practice PAC ID
0840254678
Professional Enrollment ID
I20050411000549
Address ID
CT060334468GL84XXXBLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,244 PHYSICIAN ASSISTANT in CT

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Provider Addresses for ERIK LIBBY (PA)

  • 84, Glastonbury Boulevard, Curtisville Historic District, Glastonbury, Hartford County, Connecticut, 06033, United States

    GLASTONBURY, CT 060334468

    Phone: (860) 652-8883

    Fax: (860) 652-8887

    Mailing address matches the actual address.

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: 2005-04-11

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
I20050411000549IPhysician AssistantCTTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes143102$0
73562X-ray of knee, 3 views5136$0
73502X-ray of hip, 2-3 views5033$0
73030X-ray of shoulder, minimum of 2 views4630$0
73564X-ray of knee, 4 or more views4233$0
View full utilization report →

Insurance plans in this area (ZIP 06033)

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Provider's Procedures

ERIK LIBBY (PA) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTCT73562X-ray of knee, 3 views11672

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: 0840254678View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeCT
Orthopedic SurgeryCT
Physical Therapist In Private PracticeCT
Orthopedic SurgeryAL
Sports Medicine, Orthopedic SurgeryCT

Reviews

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Frequently asked questions

What number should I use to identify ERIK LIBBY (PA) for billing?
Administrative and clinical systems typically use NPI 1174629679 for ERIK LIBBY (PA).
Should I treat ERIK LIBBY (PA) as an active provider?
Patients and plans typically see ERIK LIBBY (PA) as active in the national extract.
What does the directory say ERIK LIBBY (PA) does?
Insurance directories may phrase it differently, but here ERIK LIBBY (PA) maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to ERIK LIBBY (PA)?
ERIK LIBBY (PA) shows a connection to Glastonbury, Connecticut in registry-derived data.
Why is information missing for ERIK LIBBY (PA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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