Doctor profile · Federal record

Dr. Melissa Liebold, PA-C

Physician Assistant · Student in an Organized Health Care Education/Training Program · Port Jefferson Station, NY

  • NPI 1235725672
  • Accepts Medicare
  • 5 yrs in practice
  • Female
  • Solo practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
1500 Route 112 Ste A
Port Jefferson Station, NY 117768055
(631) 265-4200
Mailing address
91 Dorchester RD
Lake Ronkonkoma, NY 117791616

Credentials & registration

NPPES · NUCC
NPI registered
December 2020 — 6 yrs on file
Profile last updated
March 1, 2024
Year of graduation
2021 — 5 yrs since
Specialty taxonomy
363A00000X — NUCC code
State license (1)
New York #026336

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1235725672. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$123
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
E.R. Squibb & Sons, L.L.C. 1 $122.63

By nature of payment

Food and Beverage
$123

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
817
Patients
454
Total drug cost
$9,571
Drug Type Claims Patients Total cost
Alprazolam Generic 133 35 $665
Levothyroxine Sodium Generic 80 40 $1,951
Zolpidem Tartrate Generic 79 23 $171
Atorvastatin Calcium Generic 75 41 $1,080
Rosuvastatin Calcium Generic 67 38 $1,069
Azithromycin Generic 60 55 $229
Fluticasone Propionate Generic 50 44 $753
Amlodipine Besylate Generic 45 25 $443
Cefdinir Generic 44 41 $812
Omeprazole Generic 40 20 $455

Frequently asked questions

Auto-generated from federal data
What is Dr. Melissa Liebold's medical specialty?
Dr. Melissa Liebold practices Physician Assistant in Port Jefferson Station, NY.
Where does Dr. Melissa Liebold practice?
Dr. Melissa Liebold practices at 1500 Route 112 Ste A, Port Jefferson Station, NY 117768055. Office phone: 6312654200.
What is Dr. Melissa Liebold's NPI?
Dr. Melissa Liebold's National Provider Identifier (NPI) is 1235725672, issued by NPPES.
Does Dr. Melissa Liebold accept Medicare assignment?
Yes. Dr. Melissa Liebold accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.