TAMARA LEIBOVICH – Physician Assistant, NPI 1083262232

TAMARA LEIBOVICH is a healthcare provider. based in Augusta, Georgia. specializing in PHYSICIAN ASSISTANT. They hold a License No. PA0450 (NV). The NPI Number for TAMARA LEIBOVICH is 1083262232

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
TAMARA LEIBOVICH
NPI
1083262232
Phone
(706) 863-9595
Address
PO BOX 12357
Enumeration Date
30 August 2019
Last Update Date
28 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7029142420
Graduation Year
2018 (8 years ago)
PAC ID
8123453339
Group Practice PAC ID
9537146063
Professional Enrollment ID
I20200116001311
Address ID
NV890523908HE10001AVEX415
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

1,223 PHYSICIAN ASSISTANT in NV

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Provider Addresses for TAMARA LEIBOVICH

  • PO BOX 12357

    AUGUSTA, GA 309142357

    Phone: (706) 863-9595

    Fax: (706) 868-8375

    Type: Mailing

  • South Maryland Parkway, John S. Park, Five Points, Las Vegas, Clark County, Nevada, 89101, United States

    LAS VEGAS, NV 891092317

    Phone: (706) 863-9595

    Fax: (706) 868-8375

    Type: Location

  • 3196 S MARYLAND PKWY STE 425

    LAS VEGAS, NV 891092318

    Phone: (706) 863-9595

    Fax: (706) 868-8375

    Type: Location

  • 10001 S EASTERN AVE STE 310

    HENDERSON, NV 890523908

    Phone: (702) 914-2420

    Fax: (702) 914-6653

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $287.

Total Amount is formed as General ($287) + Research ($0) + Ownership ($0) = $287.

Last reported payment date: 2024-06-07 • Largest payer in this snapshot: Smith+Nephew, Inc. ($226).

Total Amount

$287

General + Research + Ownership

Payments

9

Total payment records

General Amount

$287

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-07

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: 2020-01-16

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
I20200116001311IPhysician AssistantNVTBD

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 minutes1312$0
View full utilization report →

Insurance plans in this area (ZIP 30914)

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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: 9537146063View full group profile
NameSpecialtyState
General SurgeryNV
General SurgeryNV
General SurgeryCO
General SurgeryNV
General SurgeryNV
General SurgeryNV
General SurgeryNJ
General SurgeryNV
General SurgeryNV
-NV

Reviews

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Frequently asked questions

Does TAMARA LEIBOVICH have a public NPI I can cite?
Public records show TAMARA LEIBOVICH under NPI 1083262232.
Is TAMARA LEIBOVICH currently accepting referrals based on NPI status?
Registry metadata lists TAMARA LEIBOVICH as active.
How should patients interpret TAMARA LEIBOVICH's specialty?
The extract shows Physician Assistant for TAMARA LEIBOVICH. Clinical services aligned with this taxonomy classification.
Can patients visit TAMARA LEIBOVICH in Augusta, Georgia?
For routing, start with Augusta, Georgia for TAMARA LEIBOVICH, then verify phone and hours locally.
Can I export TAMARA LEIBOVICH's record?
You can download the official NPPES record; we summarize key fields for readability.

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