DAVID KLIBANOFF – Optometrist, NPI 1275501421

DAVID KLIBANOFF is a healthcare provider. based in Pawtucket, Rhode Island. specializing in Optometrist. They hold a License No. ODTG476 (RI). The NPI Number for DAVID KLIBANOFF is 1275501421

Main info

Male
50 Years Of Experience
Accepts Medicare Assignment
Name
DAVID KLIBANOFF
NPI
1275501421
Phone
(401) 723-3400
Address
121 BROAD ST
Enumeration Date
12 March 2006
Last Update Date
20 May 2008

Doctor Profile

Medical School Name
NEW ENGLAND COLLEGE OF OPTOMETRY
Secondary Phone
4017233400
Graduation Year
1976 (50 years ago)
PAC ID
0840377883
Group Practice PAC ID
6002993045
Professional Enrollment ID
I20080401000822
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Loading map...

Provider Addresses for DAVID KLIBANOFF

  • 121, Broad Street, Pawtucket, Providence County, Rhode Island, 02860, United States

    PAWTUCKET, RI 028602053

    Phone: (401) 723-3400

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $64.

Total Amount is formed as General ($64) + Research ($0) + Ownership ($0) = $64.

Last reported payment date: 2023-05-30 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($64).

Total Amount

$64

General + Research + Ownership

Payments

1

Total payment records

General Amount

$64

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-30

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: 2008-04-01

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
I20080401000822IOptometryRITBD

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
99213Established patient office or other outpatient visit, 20-29 minutes3729$0
92250Photography of the retina2222$0
92014Established patient complete exam of visual system1818$0
92134Imaging of retina1414$0
View full utilization report →

Insurance plans in this area (ZIP 02860)

Loading plans...

Provider's Procedures

DAVID KLIBANOFF performs procedures in Optometrist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYRI92083Measurement of field of vision during daylight conditions7776
OPTOMETRYRI92134Diagnostic imaging of retina9796

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: 6002993045View full group profile
NameSpecialtyState
O P T O M E T R YRI
O P T O M E T R YRI

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is DAVID KLIBANOFF listed with a National Provider Identifier?
Yes — DAVID KLIBANOFF has NPI 1275501421 on file in the registry.
Active or inactive — what applies to DAVID KLIBANOFF?
You should see DAVID KLIBANOFF as active in CMS-hosted NPPES data.
What expertise is attributed to DAVID KLIBANOFF?
DAVID KLIBANOFF's specialty line reads Optometrist. Clinical services aligned with this taxonomy classification.
Is DAVID KLIBANOFF associated with Pawtucket?
Public fields place DAVID KLIBANOFF around Pawtucket, Rhode Island. Always confirm the exact site before visiting.
Can I trust this NPI listing for DAVID KLIBANOFF?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

Similar Providers

145, Newport Avenue, Pawtucket, Providence County, Rhode Island, 02861, United States
NPI: 1396730453
2, Dexter Street, Pawtucket, Providence County, Rhode Island, 02860, United States
NPI: 1023077898
39, East Avenue, Woodlawn, Pawtucket, Providence County, Rhode Island, 02860, United States
NPI: 1891751095
2, Dexter Street, Pawtucket, Providence County, Rhode Island, 02860, United States
NPI: 1073628921
172, Armistice Boulevard, Darlington, Pawtucket, Providence County, Rhode Island, 02860, United States
NPI: 1629172366
2 DEXTER ST
NPI: 1437290889
121 BROAD ST
NPI: 1528373743
55 BROAD ST
NPI: 1427364157
55 BROAD ST
NPI: 1053611996