DR. JEFFREY BIBERSTON (DO) – Critical Care Medicine (Internal Medicine) Physician, NPI 1790109866

DR. JEFFREY BIBERSTON (DO) is a healthcare provider. based in Jacksonville, Florida. specializing in CRITICAL CARE (INTENSIVISTS), PULMONARY DISEASE. They hold the professional credentials DO. They hold a License No. EMTL-2022-038 (GU). The NPI Number for DR. JEFFREY BIBERSTON (DO) is 1790109866

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEFFREY BIBERSTON (DO)
NPI
1790109866
Phone
(757) 953-7560
Address
554 KEILY STREET
Enumeration Date
10 February 2014
Last Update Date
8 April 2024

Doctor Profile

Medical School Name
KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Secondary Phone
5123538979
Graduation Year
2014 (12 years ago)
PAC ID
3173824562
Group Practice PAC ID
8921446345
Professional Enrollment ID
I20240502000222
Address ID
TX786667533SA1301XDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience80
Completeness75
Years active:12State licenses:4Digital endpointsOther names

1,454 CRITICAL CARE (INTENSIVISTS) in FL

Provider Addresses for DR. JEFFREY BIBERSTON (DO)

  • 554 KEILY STREET

    JACKSONVILLE, FL 32212

    Phone: (757) 953-7560

    Fax: (757) 953-7560

    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)

CMS reports 1 Open Payments records for all available years, with a total value of $28.

Total Amount is formed as General ($28) + Research ($0) + Ownership ($0) = $28.

Last reported payment date: 2023-10-30 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($28).

Total Amount

$28

General + Research + Ownership

Payments

1

Total payment records

General Amount

$28

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-30

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2026-01-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20221230001522IPulmonary DiseaseGUTBD
I20240502000222ICritical Care (Intensivists)TXTBD
I20260122002365IPulmonary DiseaseCATBD

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 minutes2424$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2311$0
99203New patient office or other outpatient visit, 30-44 minutes2222$0
99214Established patient office or other outpatient visit, 30-39 minutes2019$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 32212)

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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: 8921446345View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerVA
Critical Care (Intensivists)VA
Internal MedicineTX
Nurse PractitionerTX
Critical Care (Intensivists)TX
Nurse PractitionerTX
Emergency MedicineTX

Reviews

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Frequently asked questions

Can I verify DR. JEFFREY BIBERSTON (DO) with an NPI only?
You can start verification with NPI 1790109866 for DR. JEFFREY BIBERSTON (DO), then check state licensing separately.
Does CMS list DR. JEFFREY BIBERSTON (DO) as active?
Yes — DR. JEFFREY BIBERSTON (DO) is active in the NPI listing used on this page.
What is DR. JEFFREY BIBERSTON (DO)'s primary classification?
Critical Care Medicine (Internal Medicine) Physician is the headline specialty for DR. JEFFREY BIBERSTON (DO) here. Clinical services aligned with this taxonomy classification.
Where is DR. JEFFREY BIBERSTON (DO) based?
DR. JEFFREY BIBERSTON (DO) is tied to Jacksonville, Florida in the data we show; additional addresses may exist on the full record.
Is the information about DR. JEFFREY BIBERSTON (DO) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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