BREANNE L LYBYER (PA-C) – Physician Assistant, NPI 1245798719
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,534 PHYSICIAN ASSISTANT in ID
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Provider Addresses for BREANNE L LYBYER (PA-C)
Saint John's Way, Lewiston, Nez Perce County, Idaho, United States
LEWISTON, ID 835012435
Phone: (208) 743-7612
Type: Location
415 6th St
Lewiston, ID 835012434
Phone: (208) 743-2511
Type: Location
341 SAINT JOHNS WAY
LEWISTON, ID 835012436
Phone:
Type: Mailing
415 6TH ST
LEWISTON, ID 835012434
Phone: (208) 743-7612
Type: Location
2315 8TH ST
LEWISTON, ID 835017301
Phone: (208) 746-1383
Fax: (208) 746-6348
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: 2019-08-23
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190823002491 | I | Physician Assistant | ID | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 144 | 138 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 91 | 87 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 42 | 40 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 39 | 38 | $0 |
| 87086 | Bacterial colony count, urine | 35 | 34 | $0 |
Insurance plans in this area (ZIP 83501)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Nurse Midwife (Cnm) | ID | |
| - | ID | |
| Physician Assistant | ID | |
| Nurse Practitioner | WA | |
| Orthopedic Surgery | ID | |
| - | ID | |
| - | ID | |
| Nurse Practitioner | ID | |
| - | ID | |
| - | ID |
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