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Active NPI 1528012853 Individual Practitioner Male Practitioner

Dr. John Liboon , MD

Emergency Medicine • Poway, CA

Professional Overview & Biography Verified Profile Summary

Dr. John Liboon, MD is a registered healthcare professional specializing in Emergency Medicine in Poway, CA. Practice services are available at 15615 POMERADO RD under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, emergency department visit with moderate level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

15615 Pomerado Rd

Poway, CA 920642405

Telephone 8586134000
Associated Practice Facility / Clinic
🏢 Palomar Health Facility NPI 1619947090

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Poway, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.9 Yrs
Regional Practice Density
3 Specialists

Practicing in Poway, CA (7995 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
82.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
81 79 $1056.00 $186.42
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
53 53 $54.00 $8.88
99284 Emergency department visit with moderate level of medical decision making
22 22 $718.00 $128.16

Medical Specialties & State Licenses

Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License CA A65588

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Emergency Medicine - Emergency Medical Services

NUCC Taxonomy Code: 207PE0004X

State License WA MD00038681

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
8266652 (WA)

Secondary Practice Locations

1321 Colby Ave

Everett, WA 982011665

Phone: 4252612000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Sara Slavin , RN

Registered Nurse

NPI 1043182140

Registered Nurse

Jessica Mackay , RNFA

Registered Nurse - Registered Nurse First Assistant

NPI 1174384077
Jacob Denoyer , BSN, RN

Student in an Organized Health Care Education/Training Program

NPI 1285569160

Bachelor of Science in Nursing, Registered Nurse

Jordan Makin

Registered Nurse - Medical-Surgical

NPI 1437620390
NPI 1447050794

PTDPT

Jee Lee

Pharmacist

NPI 1477409902

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location April 05, 2019

Registered at 15615 POMERADO RD, POWAY, CA 920642405 (Tel: 8586134000)

📍
Updated Business Mailing Address April 05, 2019

Registered at 2100 POWELL ST STE 900, EMERYVILLE, CA 946081844 (Tel: 5103502600)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2019

Emergency Medicine (License #A65588 in CA)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1321 COLBY AVE, EVERETT, WA 982011665 (Tel: 4252612000)

📍
Updated Business Mailing Address July 08, 2007

Registered at 10920 S DEER DR, WOODWAY, WA 980206115

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN LIBOON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Emergency Medicine (License #MD00038681 in WA)

🟢
Initial NPI Registration & Enumeration May 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528012853
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 20, 2006
Last Update: April 05, 2019
Sole Proprietor: Yes

Mailing Address

2100 Powell St Ste 900

Emeryville, CA 946081844

Phone: 5103502600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.