RANDY ALAN LIEBERMAN (MD) – Clinical Cardiac Electrophysiology Physician, NPI 1679513543

RANDY ALAN LIEBERMAN (MD) is a healthcare provider. based in Detroit, Michigan. specializing in CARDIAC ELECTROPHYSIOLOGY, CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials MD. They hold a License No. 4301074561 (MI). The NPI Number for RANDY ALAN LIEBERMAN (MD) is 1679513543

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
RANDY ALAN LIEBERMAN (MD)
NPI
1679513543
Phone
(313) 448-9650
Address
400 Mack Ave
Enumeration Date
7 June 2006
Last Update Date
25 February 2022

Doctor Profile

Medical School Name
WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Secondary Phone
3137454525
Graduation Year
1985 (41 years ago)
PAC ID
8325095722
Group Practice PAC ID
8628087681
Professional Enrollment ID
I20050829000617
Address ID
MI482012153DE4201XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:20State licenses:1Digital endpointsOther names

120 CARDIAC ELECTROPHYSIOLOGY in MI

Provider Addresses for RANDY ALAN LIEBERMAN (MD)

  • 400 Mack Ave

    Detroit, MI 482012136

    Phone: (313) 448-9650

    Fax: (313) 448-9979

    Type: Location

  • 4201 SAINT ANTOINE ST STE 7B

    DETROIT, MI 482012153

    Phone: (313) 745-0233

    Fax: (313) 993-0295

    Type: Location

  • 400 MACK AVE

    DETROIT, MI 482012136

    Phone:

    Type: Mailing

  • 1560, East Maple Road, Troy, Oakland County, Michigan, 48083, United States

    SUITE 400 - CREDENTIALING DEPT

    TROY, MI 480831135

    Phone: (313) 745-4525

    Fax: (313) 993-0085

    Type: Mailing

  • 5, Saint Antoine Street, Renaissance Center, Detroit, Wayne County, Michigan, 48226, United States

    DETROIT, MI 482012153

    Phone: (313) 745-4525

    Fax: (313) 993-0085

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 331 Open Payments records for all available years, with a total value of $241,826.

Total Amount is formed as General ($241,826) + Research ($0) + Ownership ($0) = $241,826.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($45,037).

Total Amount

$241,826

General + Research + Ownership

Payments

331

Total payment records

General Amount

$241,826

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2005-08-29

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
I20050829000617ICardiac ElectrophysiologyMITBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes13384$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes9655$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes9188$0
99214Established patient office or other outpatient visit, 30-39 minutes7657$0
99213Established patient office or other outpatient visit, 20-29 minutes4334$0
View full utilization report →

Insurance plans in this area (ZIP 48201)

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Provider's Procedures

RANDY ALAN LIEBERMAN (MD) performs procedures in CARDIAC ELECTROPHYSIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIAC ELECTROPHYSIOLOGYMI93284Evaluation, testing and programming adjustment of defibrillator with analysis, review and report1312

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: 8628087681View full group profile
NameSpecialtyState
-MI
Nurse PractitionerMI
Cardiovascular Disease (Cardiology)MI
H O S P I T A L I S TMI
-MI
Pulmonary Disease, Internal Medicine, Critical Care (Intensivists)MI
Internal Medicine, Infectious DiseaseMI
O B S T E T R I C S/ G Y N E C O L O G YMI
Pulmonary Disease, Critical Care (Intensivists)MI
O P H T H A L M O L O G YPA

Reviews

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Frequently asked questions

What is the registry number for RANDY ALAN LIEBERMAN (MD)?
The registry entry for RANDY ALAN LIEBERMAN (MD) shows NPI 1679513543.
Is RANDY ALAN LIEBERMAN (MD)'s NPI status active today?
Active status means RANDY ALAN LIEBERMAN (MD)'s NPI record is not deactivated in the public file.
Which specialty label fits RANDY ALAN LIEBERMAN (MD)?
NPPES ties RANDY ALAN LIEBERMAN (MD) to Clinical Cardiac Electrophysiology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to RANDY ALAN LIEBERMAN (MD)?
The directory associates RANDY ALAN LIEBERMAN (MD) with Detroit, Michigan. Check all listed addresses for suites or satellite offices.
Can I export RANDY ALAN LIEBERMAN (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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