EMMA LIBBY (MD) – Urology Physician, NPI 1194386375

EMMA LIBBY (MD) is a healthcare provider. based in Saint louis, Missouri. specializing in UROLOGY. They hold the professional credentials MD. They hold a License No. 2024021834 (MO). The NPI Number for EMMA LIBBY (MD) is 1194386375

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
EMMA LIBBY (MD)
NPI
1194386375
Phone
(314) 543-5270
Address
12700 SOUTHFORK RD STE 260
Enumeration Date
27 June 2019
Last Update Date
16 August 2024

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Secondary Phone
3142518850
Graduation Year
2019 (7 years ago)
PAC ID
3870828031
Group Practice PAC ID
5395768253
Professional Enrollment ID
I20240916002015
Address ID
MO631283288SA12700RDXX301
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

271 UROLOGY in MO

Provider Addresses for EMMA LIBBY (MD)

  • 12700 SOUTHFORK RD STE 260

    SAINT LOUIS, MO 631283288

    Phone: (314) 543-5270

    Type: Mailing

  • University Hospital, 1, Hospital Drive, Columbia, Boone County, Missouri, 65212, United States

    COLUMBIA, MO 652015276

    Phone: (573) 882-1771

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 61 Open Payments records for all available years, with a total value of $4,638.

Total Amount is formed as General ($4,638) + Research ($0) + Ownership ($0) = $4,638.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Boston Scientific Corporation ($2,838).

Total Amount

$4,638

General + Research + Ownership

Payments

61

Total payment records

General Amount

$4,638

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2024-09-16

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
I20240916002015IUrologyMOTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63128)

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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: 5395768253View full group profile
NameSpecialtyState
U R O L O G YIL
Nurse PractitionerMO
U R O L O G YMO
-MO
Physician AssistantGA
U R O L O G YMO
Physician AssistantMO
U R O L O G YMO
-MO
Physician AssistantMO

Reviews

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Frequently asked questions

What is the standard ID for EMMA LIBBY (MD) in the U.S.?
In the U.S., EMMA LIBBY (MD) is identified by NPI 1194386375.
Should I treat EMMA LIBBY (MD) as an active provider?
Patients and plans typically see EMMA LIBBY (MD) as active in the national extract.
What services align with EMMA LIBBY (MD)'s listing?
EMMA LIBBY (MD)'s public classification highlights Urology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to EMMA LIBBY (MD)?
The directory associates EMMA LIBBY (MD) with Saint Louis, Missouri. Check all listed addresses for suites or satellite offices.
Why is information missing for EMMA LIBBY (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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