LIBERTY BELLE JAY (PA-C) – Physician Assistant, NPI 1770529422
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,691 PHYSICIAN ASSISTANT in PA
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Provider Addresses for LIBERTY BELLE JAY (PA-C)
Bryn Mawr Avenue, Bryn Mawr, Youngstown, Mahoning County, Ohio, 44505, United States
BRYN MAWR, PA 190103406
Phone: (610) 527-2727
Fax: (610) 527-1588
Type: Mailing
Old Lancaster Road, Bryn Mawr, Lower Merion Township, Montgomery County, Pennsylvania, 19041, United States
BRYN MAWR, PA 190103231
Phone: (610) 922-2100
Fax: (610) 520-2091
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $429.
Total Amount is formed as General ($429) + Research ($0) + Ownership ($0) = $429.
Last reported payment date: 2024-09-11 • Largest payer in this snapshot: Eclipse Technology Solutions Inc. ($153).
Total Amount
$429
General + Research + Ownership
Payments
4
Total payment records
General Amount
$429
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Eclipse Technology Solutions Inc. | $153 |
| AXOGEN | $143 |
| Alafair Biosciences, Inc. | $97 |
| Bioventus LLC | $37 |
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: 2005-03-11
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 |
|---|---|---|---|---|
| I20050311000021 | I | Physician Assistant | PA | 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 |
|---|---|---|---|---|
| J7329 | Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg | 4,275 | 60 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 320 | 172 | $0 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 233 | 90 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 195 | 164 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 139 | 23 | $0 |
Insurance plans in this area (ZIP 19010)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | PA | 27447 | Repair of knee joint | 55 | 54 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | PA | |
| Occupational Therapist In Private Practice | PA | |
| Physical Therapist In Private Practice | PA | |
| Hand Surgery | PA | |
| Physician Assistant | PA | |
| Physical Therapist In Private Practice | PA | |
| Sports Medicine, Family Practice | NJ | |
| - | PA | |
| - | PA | |
| Orthopedic Surgery | PA |
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