MR. AARON MATTHEW LIBOLT (PA-C) – Surgical Physician Assistant, NPI 1821406331

MR. AARON MATTHEW LIBOLT (PA-C) is a healthcare provider. based in Lynden, Washington. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA61223537 (WA). The NPI Number for MR. AARON MATTHEW LIBOLT (PA-C) is 1821406331

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
MR. AARON MATTHEW LIBOLT (PA-C)
NPI
1821406331
Phone
(360) 441-0662
Address
110 PARK VIEW DR
Enumeration Date
28 July 2014
Last Update Date
13 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2066565060
Graduation Year
2021 (5 years ago)
PAC ID
9638567845
Group Practice PAC ID
8527972900
Professional Enrollment ID
I20211020002118
Address ID
WA980555791RE4011XSXXX410
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:11State licenses:1Digital endpointsOther names

4,282 PHYSICIAN ASSISTANT in WA

Provider Addresses for MR. AARON MATTHEW LIBOLT (PA-C)

  • 110 PARK VIEW DR

    LYNDEN, WA 982649561

    Phone: (360) 441-0662

    Type: Mailing

  • 150 Andover Park W

    Tukwila, WA 981882801

    Phone: (425) 979-2663

    Fax: (425) 524-4447

    Type: Location

  • 24060 SE Kent Kangley Rd Ste D-100

    Maple Valley, WA 980386851

    Phone: (425) 358-7708

    Fax: (425) 656-5047

    Type: Location

  • 27005 168th Pl SE Ste 201

    Covington, WA 980424902

    Phone: (253) 630-3660

    Fax: (253) 631-1591

    Type: Location

  • 1620 Lake Tapps Pkwy SE Ste 115

    Auburn, WA 980928376

    Phone: (253) 246-2860

    Fax: (253) 246-2861

    Type: Location

  • 4011 TALBOT RD S STE 300

    RENTON, WA 980555791

    Phone: (425) 656-5060

    Fax: (425) 656-5047

    Type: Mailing

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 $709.

Total Amount is formed as General ($709) + Research ($0) + Ownership ($0) = $709.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($513).

Total Amount

$709

General + Research + Ownership

Payments

7

Total payment records

General Amount

$709

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

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: 2021-10-20

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

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
I20211020002118IPhysician AssistantWATBD

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
J7325Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg76814$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg26450$0
20610Aspiration and/or injection of fluid from large joint12074$0
27447Replacement of knee joint, both sides of knee109104$0
99214Established patient office or other outpatient visit, 30-39 minutes9894$0
View full utilization report →

Insurance plans in this area (ZIP 98264)

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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: 8527972900View full group profile
NameSpecialtyState
-WA
Orthopedic Surgery, Hand SurgeryWA
Occupational Therapist In Private PracticeWA
-WA
Orthopedic Surgery, Sports MedicineWA
-WA
-WA
Physician AssistantWA
Nurse PractitionerWA
Nurse PractitionerWA

Reviews

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Frequently asked questions

What is the standard ID for MR. AARON MATTHEW LIBOLT (PA-C) in the U.S.?
In the U.S., MR. AARON MATTHEW LIBOLT (PA-C) is identified by NPI 1821406331.
Should I treat MR. AARON MATTHEW LIBOLT (PA-C) as an active provider?
Patients and plans typically see MR. AARON MATTHEW LIBOLT (PA-C) as active in the national extract.
Which specialty label fits MR. AARON MATTHEW LIBOLT (PA-C)?
NPPES ties MR. AARON MATTHEW LIBOLT (PA-C) to Surgical Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to MR. AARON MATTHEW LIBOLT (PA-C)?
MR. AARON MATTHEW LIBOLT (PA-C) shows a connection to Lynden, Washington in registry-derived data.
Why is information missing for MR. AARON MATTHEW LIBOLT (PA-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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