DOUGLAS LIEPERT (MD) – Sleep Medicine (Otolaryngology) Physician, NPI 1083675011
Sleep Medicine (Otolaryngology) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
242 OTOLARYNGOLOGY in IN
Provider Addresses for DOUGLAS LIEPERT (MD)
10001 W INNOVATION DR STE 200
MILWAUKEE, WI 532264851
Phone: (888) 938-3838
Fax: (888) 919-1083
Type: Mailing
53760 GENERATIONS DR
SOUTH BEND, IN 466351539
Phone: (574) 500-2010
Fax: (888) 919-1083
Type: Location
6301 University Commons
Suite 360
South Bend, IN 466351571
Phone: (574) 232-4800
Fax: (574) 280-4810
Type: Location
2012 S Main St Ste B
Goshen, IN 465265200
Phone: (574) 537-0519
Type: Location
2012, South Main Street, Historic Racemere Peninsula, Goshen, Elkhart County, Indiana, 46526, United States
GOSHEN, IN 465265200
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $943.
Total Amount is formed as General ($943) + Research ($0) + Ownership ($0) = $943.
Last reported payment date: 2024-03-20 • Largest payer in this snapshot: AERIN MEDICAL INC. ($452).
Total Amount
$943
General + Research + Ownership
Payments
9
Total payment records
General Amount
$943
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AERIN MEDICAL INC. | $452 |
| Stryker Corporation | $261 |
| Inspire Medical Systems, Inc. | $196 |
| Acclarent, Inc | $18 |
| Medtronic, Inc. | $16 |
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: 2010-08-05
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 |
|---|---|---|---|---|
| I20100805000286 | I | Otolaryngology | IN | 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 |
|---|---|---|---|---|
| 30117 | Removal or destruction of growth of nose through nose | 162 | 81 | $0 |
| 70486 | Ct scan of face without contrast | 119 | 116 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 116 | 113 | $0 |
| 31237 | Biopsy or removal of nasal polyp or tissue using an endoscope | 113 | 74 | $0 |
| 30140 | Removal of nasal air passage under lining tissue | 83 | 83 | $0 |
Insurance plans in this area (ZIP 53226)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| Family Practice | IN | |
| Hospitalist, Neurology | IN | |
| Family Practice | IN | |
| Family Practice | IN | |
| Otolaryngology, Neurology | AZ | |
| Certified Registered Nurse Anesthetist (Crna) | IN | |
| A N E S T H E S I O L O G Y | IN | |
| Family Practice | IN | |
| Critical Care (Intensivists), Pulmonary Disease | IN |
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