DR. ANDREW G LIBERTIN (M.D.) – Gastroenterology Physician, NPI 1568467561

Gastroenterology Physician

DR. ANDREW G LIBERTIN (M.D.) is a healthcare provider. based in Canton, Ohio. specializing in Gastroenterology Physician. They hold the professional credentials M.D.. They hold a License No. 35.055141 (OH). The NPI Number for DR. ANDREW G LIBERTIN (M.D.) is 1568467561

Main info

Male

41 Years Of Experience

Accepts Medicare Assignment

Name

DR. ANDREW G LIBERTIN (M.D.)

NPI

1568467561

Phone

(330) 455-5011

Address

2726 FULTON DR NW

Enumeration Date

16 June 2005

Last Update Date

18 March 2024

Doctor Profile

Medical School Name

OHIO STATE UNIVERSITY COLLEGE OF MEDICINE

Secondary Phone

3304555011

Graduation Year

1985 (41 years ago)

PAC ID

8921907809

Group Practice PAC ID

5991604860

Professional Enrollment ID

I20101215000591

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience64

Completeness75

Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for DR. ANDREW G LIBERTIN (M.D.)

2726 FULTON DR NW
CANTON, OH 447183506
Phone: (330) 455-5011
Fax: (330) 588-7127
Type: Mailing
1622 E Market St
Warren, OH 444836613
Phone: (330) 399-7215
Fax: (330) 399-2411
Type: Location
2726 Fulton Dr NW
Canton, OH 447183506
Phone: (330) 455-5011
Fax: (330) 588-7127
Type: Location
1220 Boardman Canfield Rd
Boardman, OH 445124003
Phone: (330) 726-0131
Type: Location
3973 Loomis Pkwy
Ravenna, OH 442661803
Phone: (330) 399-7215
Type: Location
3973 LOOMIS PKWY
RAVENNA, OH 442661803
Phone: (330) 399-7215
Type: Location
7777 HEARTHSTONE AVE NW
CANTON, OH 447206971
Phone: (234) 237-9932
Type: Mailing
832 S MAIN ST
ORRVILLE, OH 446672208
Phone: (330) 684-4771
Fax: (330) 684-2075
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $204.

Total Amount is formed as General ($204) + Research ($0) + Ownership ($0) = $204.

Last reported payment date: 2023-12-06 • Largest payer in this snapshot: ABBVIE INC. ($103).

Total Amount

$204

General + Research + Ownership

Payments

Total payment records

General Amount

$204

General payments

Research Amount

Research funding

Ownership Amount

Ownership interests

Ownership Count

Ownership records

Last Payment Date

2023-12-06

Latest reported date

Top Companies

Largest payers in this snapshot

Company	Amount
ABBVIE INC.	$103
NESTLE HEALTHCARE NUTRITION INC.	$31
Takeda Pharmaceuticals U.S.A., Inc.	$26
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$18
Boehringer Ingelheim Pharmaceuticals, Inc.	$13

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: 2022-07-20

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

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
I20220720000735	I	Gastroenterology	OH	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.

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

HCPCS	Description	Services	Beneficiaries	Medicare allowed
45385	Removal of polyps or growths of large bowel using an endoscope with mechanical snare	23	23	$0

View full utilization report →

Insurance plans in this area (ZIP 44718)

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Provider's Procedures

DR. ANDREW G LIBERTIN (M.D.) performs procedures in Gastroenterology Physician. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
GASTROENTEROLOGY	OH	43235	Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope	24	24

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: 5991604860View full group profile

Name	Specialty	State
MARINA TOMPKINS (CRNA)	-	OH
ROBERT L WARD (CRNA)	Certified Registered Nurse Anesthetist (Crna)	OH
DR. SANJIV K KHULLAR (M.D.)	G A S T R O E N T E R O L O G Y	OH
MRS. MARY SUSAN SANDER (C.N.P.)	-	OH
DR. KENNY S YUNG (M.D.)	Gastroenterology, Internal Medicine	OH
COLLEEN R CONNOR (CRNA)	Certified Registered Nurse Anesthetist (Crna)	OH
ELLEN LINTNER (PA-C)	Physician Assistant	OH
STEPHANIE BURGER (APRN)	Nurse Practitioner	OH
MICHAEL TROY PEOPLES (CRNA)	Certified Registered Nurse Anesthetist (Crna)	OH
HEATHER ELIZABETH HARRIS	Certified Registered Nurse Anesthetist (Crna)	OH