TIFFANY J LIBBY (MD) – Dermatology Physician, NPI 1912249418

TIFFANY J LIBBY (MD) is a healthcare provider. based in Belfast, Maine. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. MD16408 (RI). The NPI Number for TIFFANY J LIBBY (MD) is 1912249418

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
TIFFANY J LIBBY (MD)
NPI
1912249418
Phone
(212) 661-3376
Address
PO BOX 12638
Enumeration Date
22 March 2013
Last Update Date
17 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4014447959
Graduation Year
2013 (13 years ago)
PAC ID
6800146689
Group Practice PAC ID
3870872773
Professional Enrollment ID
I20180829003217
Address ID
RI029034923PR593XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:13State licenses:1Digital endpointsOther names

1,382 DERMATOLOGY in NY

Provider Addresses for TIFFANY J LIBBY (MD)

  • PO BOX 12638

    BELFAST, ME 049154017

    Phone: (212) 661-3376

    Fax: (212) 661-3366

    Type: Mailing

  • 820 2ND AVE RM 3A

    NEW YORK, NY 10017

    Phone: (212) 661-3376

    Fax: (212) 661-3366

    Type: Location

  • 400 Bald Hill Rd

    Warwick, RI 028861617

    Phone: (401) 444-7954

    Fax: (401) 738-3857

    Type: Location

  • 65 Village Square Dr Ste 201

    South Kingstown, RI 028792569

    Phone: (401) 444-7959

    Fax: (401) 515-7910

    Type: Location

  • 15 LA SALLE SQ

    PROVIDENCE, RI 029031814

    Phone: (401) 444-6779

    Fax: (401) 444-6912

    Type: Mailing

  • 375 WAMPANOAG TRL STE 401

    RIVERSIDE, RI 029152237

    Phone: (401) 444-7959

    Fax: (401) 432-6997

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 25 Open Payments records for all available years, with a total value of $53,793.

Total Amount is formed as General ($53,793) + Research ($0) + Ownership ($0) = $53,793.

Last reported payment date: 2024-10-08 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($29,750).

Total Amount

$53,793

General + Research + Ownership

Payments

25

Total payment records

General Amount

$53,793

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-08

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: 2018-08-29

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
I20180829003217IDermatologyRITBD

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
17311Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks192168$0
17312Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks6743$0
13132Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm6057$0
99213Established patient office or other outpatient visit, 20-29 minutes4844$0
17313Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks4339$0
View full utilization report →

Insurance plans in this area (ZIP 04915)

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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: 3870872773View full group profile
NameSpecialtyState
Physician AssistantRI
Pathology, DermatologyRI
Physician AssistantRI
-RI
D E R M A T O L O G YRI
D E R M A T O L O G YRI
Nurse PractitionerRI
D E R M A T O L O G YRI
Nurse PractitionerNH
Physician AssistantRI

Reviews

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Frequently asked questions

Is TIFFANY J LIBBY (MD) listed with a National Provider Identifier?
Yes — TIFFANY J LIBBY (MD) has NPI 1912249418 on file in the registry.
Is there an active status for TIFFANY J LIBBY (MD)?
For scheduling context, TIFFANY J LIBBY (MD) is shown as active in the registry.
What expertise is attributed to TIFFANY J LIBBY (MD)?
TIFFANY J LIBBY (MD)'s specialty line reads Dermatology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for TIFFANY J LIBBY (MD)?
Travel planning: use Belfast, Maine as the reference point for TIFFANY J LIBBY (MD), then confirm.
Can I trust this NPI listing for TIFFANY J LIBBY (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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