Active NPI 1912249418 Individual Practitioner Female Practitioner

Dr. Tiffany J Libby , MD

Dermatology • Riverside, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Tiffany Libby, MD is a certified Dermatology practicing in Riverside, RI. With approximately 13 years of clinical experience since completing medical education in 2013, Dr. Libby delivers high-quality medical care to the local community at 375 WAMPANOAG TRL STE 401.

Dr. Libby maintains professional affiliations with Brown Dermatology Inc, Lifespan Physician Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks, complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm, removal and microscopic exam of growth of head, neck, hands, feet, or genitals. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

375 Wampanoag Trl Ste 401

Riverside, RI 029152237

Telephone 4014447959

Fax 4014326997

Associated Practice Facility / Clinic

🏢 University Dermatology, Inc. Facility NPI 1316996101

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Riverside, RI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

13 Yrs -6.7 yrs vs City Avg

City Avg: 19.7 Yrs

State Avg: 23.2 Yrs

Regional Practice Density

3 Specialists

Practicing in Riverside, RI (74 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Libby (13 Years) 13 Yrs

Riverside Specialty Average (19.7 Years) 19.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	183	156	$1592.39	$628.46
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	70	64	$1103.60	$240.47
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	56	42	$969.75	$417.80
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	41	33	$1496.49	$607.98
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	39	36	$713.85	$244.19
99213 Established patient office or other outpatient visit, typically 15 minutes	38	36	$210.00	$91.57
17000 Destruction of skin growth	25	23	$157.68	$43.90
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	23	21	$1166.70	$248.57
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	16	16	$999.19	$214.53
11102 Tangential biopsy of single skin lesion	14	14	$239.86	$76.31
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	13	12	$2327.77	$1009.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	192	168	$1603.73	$627.49
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	67	43	$978.48	$425.82
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	60	57	$1127.65	$243.62
99213 Established patient office or other outpatient visit, typically 15 minutes	48	44	$212.58	$92.01
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	43	39	$1506.79	$642.56
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	41	40	$726.10	$251.34
17000 Destruction of skin growth	29	25	$159.55	$52.60
17003 Destruction of precancer skin growth, 2-14 growths	29	16	$16.00	$6.94
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	20	19	$1018.00	$220.10
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	20	19	$583.20	$126.43
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	16	16	$1014.50	$218.90
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	12	12	$2342.75	$893.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	148	133	$1609.62	$639.69
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	55	43	$980.00	$431.25
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	54	50	$1143.76	$249.92
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	27	26	$1037.59	$251.11
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	26	24	$1512.23	$625.45
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	20	17	$734.05	$232.09
99213 Established patient office or other outpatient visit, typically 15 minutes	16	12	$214.81	$90.25
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	16	16	$1206.25	$262.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	124	102	$1921.57	$665.67
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	52	46	$996.54	$438.71
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	42	38	$982.67	$256.37
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	22	21	$986.20	$232.69
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	20	16	$1902.60	$609.32
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	16	14	$1015.00	$270.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	290	240	$2000.00	$646.49
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	127	85	$1000.00	$421.86
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	110	102	$950.00	$255.80
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	65	55	$2000.00	$619.03
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	41	40	$966.02	$228.09
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	27	27	$956.66	$225.77
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	23	23	$1015.00	$267.68
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	20	13	$15.00	$1.43
11900 Injection into skin growth, 1-7 growths	17	12	$125.14	$56.76
99213 Established patient office or other outpatient visit, typically 15 minutes	16	13	$225.00	$78.65
11102 Tangential biopsy of single skin lesion	16	14	$300.00	$69.79
17000 Destruction of skin growth	15	14	$171.00	$45.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	242	215	$2000.00	$662.47
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	137	91	$1000.00	$415.71
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	91	89	$950.00	$251.73
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	54	46	$2000.00	$618.63
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	46	39	$45.62	$23.67
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	40	39	$966.02	$231.74
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	28	28	$956.66	$223.48
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	24	24	$872.96	$204.46
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	20	20	$1015.00	$266.68
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	14	13	$1000.00	$396.98
11102 Tangential biopsy of single skin lesion	13	11	$300.00	$71.70
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	13	12	$895.98	$242.49

Medical Specialties & State Licenses

CMS Verified: 2025-12-17

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License RI MD16408

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1912249418 (RI)

Hospital & Practice Group Affiliations

Brown Dermatology Inc

593 Eddy St, Providence, RI 029034923

Phone: 4014447959

Lifespan Physician Group Inc

375 Wampanoag Trl, Riverside, RI 029152237

Phone: 4014447959

Secondary Practice Locations

65 Village Square Dr Ste 201

South Kingstown, RI 028792569

Phone: 4014447959

400 Bald Hill Rd

Warwick, RI 028861617

Phone: 4014447954

Practice Associates & Co-Workers

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

31 Associated Practitioners

Tami Menard , PA-C

Physician Assistant - Medical

NPI 1023019403

Physician Assistant (Certified)

Sean Na

Student in an Organized Health Care Education/Training Program

NPI 1083474696

Dr. Isaac Sluder , MD, MPH

Student in an Organized Health Care Education/Training Program

NPI 1114716206

Doctor of Medicine (M.D.), Master of Public Health

Daniel Nolte , PA

Physician Assistant

NPI 1124798855

Physician Assistant

Dr. Leslie Robinson-Bostom , MD

Dermatology

NPI 1154368454

Doctor of Medicine (M.D.)

Dr. Hayley Goldbach , MD

Dermatology

NPI 1154701019

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

13 Historical Events

📍

Updated Practice Location December 17, 2025

Registered at 375 WAMPANOAG TRL STE 401, RIVERSIDE, RI 029152237 (Tel: 4014447959)

📍

Updated Business Mailing Address December 17, 2025

Registered at 15 LA SALLE SQ, PROVIDENCE, RI 029031814 (Tel: 4014446779)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 17, 2025

Dermatology (License #MD16408 in RI)

📍

Updated Practice Location August 14, 2018

Registered at 820 2ND AVE RM 3A, NEW YORK, NY 10017 (Tel: 2126613376)

📍

Updated Business Mailing Address August 14, 2018

Registered at PO BOX 12638, BELFAST, ME 049154017 (Tel: 2126613376)

👤

Provider Name / Credentials Updated August 14, 2018

Recorded as TIFFANY LIBBY, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2018

Dermatology (License #283143 in NY)

✅

NPI Profile Active March 22, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location March 22, 2013

Registered at 17 E 102ND ST, 7TH FLOOR #1087, NEW YORK, NY 100295204 (Tel: 2126598551)

📍

Updated Business Mailing Address March 22, 2013

Registered at 156 VAN BRACKLE RD, MATAWAN, NJ 077471828 (Tel: 7329958474)

👤

Provider Name / Credentials Updated March 22, 2013

Recorded as TIFFANY JOW

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 22, 2013

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration March 22, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1912249418

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 22, 2013

Last Update: December 17, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

15 La Salle Sq

Providence, RI 029031814

Phone: 4014446779

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.