JEREMIAH J. LIBBY (DO) – Diagnostic Radiology Physician, NPI 1184045213

JEREMIAH J. LIBBY (DO) is a healthcare provider. based in St petersburg, Florida. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials DO. They hold a License No. 71074 (WI). The NPI Number for JEREMIAH J. LIBBY (DO) is 1184045213

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
JEREMIAH J. LIBBY (DO)
NPI
1184045213
Phone
Not provided
Address
6500 38TH AVE N
Enumeration Date
16 December 2013
Last Update Date
9 May 2024

Doctor Profile

Medical School Name
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Secondary Phone
6036271661
Graduation Year
2013 (13 years ago)
PAC ID
3173872041
Group Practice PAC ID
2769436088
Professional Enrollment ID
I20190723002893
Address ID
WI545689735AR1091XSXXX500

Contacts

Secure Messaging
him@marshfieldclinichealthsystem.cernerdirect.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness85
Years active:12State licenses:1Other namesUpdated within 12 months

3,175 DIAGNOSTIC RADIOLOGY in FL

Provider Addresses for JEREMIAH J. LIBBY (DO)

  • 6500 38TH AVE N

    ST PETERSBURG, FL 337101629

    Phone:

    Type: Mailing

  • 6500 38th Ave N

    St Petersburg, FL 337101629

    Phone: (727) 341-4819

    Type: Location

  • 1000 N OAK AVE

    MARSHFIELD, WI 544495703

    Phone: (715) 387-5511

    Type: Mailing

  • 9576 HIGHWAY 70

    MINOCQUA, WI 545489067

    Phone: (715) 358-1000

    Type: Location

  • 9601 TOWNLINE RD

    MINOCQUA, WI 545489099

    Phone: (715) 358-1000

    Type: Location

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: 2019-07-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20180827001153IDiagnostic RadiologyNCTBD
I20190723002893IDiagnostic RadiologyWITBD

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
71045X-ray of chest, 1 view954812$0
71046X-ray of chest, 2 views427395$0
70450Ct scan head or brain without contrast291282$0
74177Ct scan of abdomen and pelvis with contrast269260$0
71275Ct scan of blood vessels of chest with contrast146145$0
View full utilization report →

Insurance plans in this area (ZIP 33710)

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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: 2769436088View full group profile
NameSpecialtyState
Diagnostic RadiologyAR
-NH
Diagnostic RadiologyPA
Diagnostic RadiologyNH
Diagnostic RadiologyNH
Diagnostic RadiologyIL
Diagnostic RadiologyNH
Diagnostic RadiologyCT
-NH
Diagnostic RadiologyNH

Reviews

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Frequently asked questions

What is the 10-digit NPI for JEREMIAH J. LIBBY (DO)?
JEREMIAH J. LIBBY (DO) — NPI 1184045213 — is the standard way to identify this listing.
Does CMS list JEREMIAH J. LIBBY (DO) as active?
Yes — JEREMIAH J. LIBBY (DO) is active in the NPI listing used on this page.
What is JEREMIAH J. LIBBY (DO) best known for clinically?
Directory data describes JEREMIAH J. LIBBY (DO) with Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What area does JEREMIAH J. LIBBY (DO) serve?
JEREMIAH J. LIBBY (DO)'s listing highlights St Petersburg, Florida; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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