Doctor profile · Federal record

Dr. Marisa McKibban, P.A.

Physician Assistant · East Orange, NJ

  • NPI 1174607600
  • 20 yrs on file
  • Female
  • Solo practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
300 Central Ave
East Orange, NJ 070182819
(973) 470-3000
fax (973) 470-3506
Mailing address
104 South Ave W
Cranford, NJ 070162652

Credentials & registration

NPPES · NUCC
NPI registered
October 2006 — 20 yrs on file
Profile last updated
November 1, 2011
Specialty taxonomy
363A00000X — NUCC code
State license (1)
New Jersey #25MP00167000

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1174607600. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
83
Distinct HCPCS
3
Medicare allowed
$6,805
HCPCS Description Services Patients Avg allowed
99284 Emergency department visit with moderate level of medical decision making 48 47 $105
99282 Emergency department visit with straightforward medical decision making 18 16 $37
99283 Emergency department visit with low level of medical decision making 17 16 $63

In context: peer comparison

Among 2 peers in East Orange Physician Assistant, average services per provider: 68. This provider delivers 1.2× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
15
Patients
15
Total drug cost
$92
Drug Type Claims Patients Total cost
Cephalexin Generic 15 15 $92

Frequently asked questions

Auto-generated from federal data
What is Dr. Marisa McKibban's medical specialty?
Dr. Marisa McKibban practices Physician Assistant in East Orange, NJ.
Where does Dr. Marisa McKibban practice?
Dr. Marisa McKibban practices at 300 Central Ave, East Orange, NJ 070182819. Office phone: 9734703000.
What is Dr. Marisa McKibban's NPI?
Dr. Marisa McKibban's National Provider Identifier (NPI) is 1174607600, issued by NPPES.
What procedures does Dr. Marisa McKibban commonly perform?
Top Medicare-reported procedures in 2023: Emergency department visit with moderate level of medical decision making (HCPCS 99284); Emergency department visit with straightforward medical decision making (HCPCS 99282); Emergency department visit with low level of medical decision making (HCPCS 99283). Source: CMS Medicare Physician & Other Practitioners file.