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Dr. Michael Tanner Libsack , DO

Anesthesiology β€’ Flagstaff, AZ

Active NPI 1659830974 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

1200 N Beaver St
Flagstaff, AZ 860013118

Call 9287793366 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1200 N Beaver St

Flagstaff, AZ 860013118

Telephone 9287793366
Organization at the Same NPPES Address or Phone
Darlene M Lee Md Pc Facility NPI 1568474013

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Lebanon, OR; New Orleans, LA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Northern Arizona Healthcare Corporation. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2021

Industry payments (Open Payments)

Fewer than 11 payment records totaling $13.24 in 2024

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2024.

Guide: How to read an Open Payments record

Years since graduation

5 years (graduated 2021)

CMS Doctors and Clinicians data list 2021 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Libsack has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Libsack as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Flagstaff and Arizona

42 active clinicians are listed under Anesthesiology with a practice address in Flagstaff, AZ (1,473 in Arizona).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Flagstaff

0% of these 42 clinicians have the CMS telehealth indicator.

73.8% of these 42 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2024

Program year 2024 (payments made January 1 – December 31, 2024): fewer than 11 records totaling $13.24.

Manufacturer Payment Nature Product Type Amount ($)
Avanos Medical
Food and Beverage
In-kind items and services
ON-Q* PUMP AND ACCESSORIES General $13.24

Source: CMS Open Payments, program year 2024, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-06-24
Anesthesiology Primary Specialty

NUCC Taxonomy Code: 207L00000X

License # reported to NPPES AZ 011715

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Arizona Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - ANESTHESIOLOGY

Medicare Enrollment ID

I20250707003861

Enrollment State Jurisdiction

AZ

PECOS Control ID

6002216280

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Northern Arizona Healthcare Corporation

1215 N Beaver St, Flagstaff, AZ 860013126

Phone: 9287732249

Northern Arizona Healthcare Corporation

1200 N Beaver St, Flagstaff, AZ 860013118

Northern Arizona Healthcare Corporation

269 S Candy Ln, Cottonwood, AZ 863264158

Phone: 9286395588

Northern Arizona Healthcare Corporation

269 S Candy Ln, Cottonwood, AZ 863264158

Phone: 9286341331

Northern Arizona Healthcare Corporation

1200 N Beaver St, Flagstaff, AZ 860013118

Phone: 9282142920

Northern Arizona Healthcare Corporation

2000 S Thompson St, Flagstaff, AZ 860018759

Phone: 9282266400

Northern Arizona Healthcare Corporation

7810 N Us Hwy 89, Flagstaff, AZ 860046255

Phone: 9285228375

Secondary Practice Locations

1430 Tulane Ave # 8050

New Orleans, LA 701122632

Phone: 5049885904

200 Mullins Dr

Lebanon, OR 973553983

Phone: 6027083662

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Melissa Acquaviva , CRNA

Nurse Anesthetist, Certified Registered

NPI 1639238348

Certified Registered Nurse Anesthetist

Dr. Michelle Aerni , DO

Anesthesiology - Critical Care Medicine

NPI 1225014822

Doctor of Osteopathic Medicine (D.O.)

Dr. Muhammad Ali , MD

Internal Medicine - Critical Care Medicine

NPI 1801264353

Doctor of Medicine (M.D.)

NPI 1841585353

Doctor of Medicine (M.D.)

Dr. Cara Bachman , MD

Emergency Medicine

NPI 1952806564

Doctor of Medicine (M.D.)

Brett Brawley

Nurse Practitioner - Family

NPI 1437917937

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ“
Updated Practice Location June 24, 2025

Registered at 1200 N BEAVER ST, FLAGSTAFF, AZ 860013118 (Tel: 9287793366)

πŸ“
Updated Business Mailing Address June 24, 2025

Registered at 1200 N BEAVER ST, ATTN: PAYER CREDENTIALING, FLAGSTAFF, AZ 860013118 (Tel: 9282136235)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2025

Anesthesiology (license number reported to NPPES: AZ 011715)

πŸ“
Updated Practice Location April 03, 2021

Registered at 1430 TULANE AVE # 8050, NEW ORLEANS, LA 701122632 (Tel: 5049885904)

πŸ“
Updated Business Mailing Address April 03, 2021

Registered at 1430 TULANE AVE # 8050, NEW ORLEANS, LA 701122632 (Tel: 5049885904)

πŸ‘€
Provider Name / Credentials Updated April 03, 2021

Recorded as MICHAEL LIBSACK, DO

βœ…
NPI Profile Active March 16, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 16, 2019

Registered at 200 MULLINS DR, LEBANON, OR 973553983 (Tel: 6027083662)

πŸ“
Business Mailing Address (Initial Record) March 16, 2019

Registered at 200 MULLINS DR, LEBANON, OR 973553983 (Tel: 6027083662)

πŸ‘€
Provider Name / Credentials (Initial Record) March 16, 2019

Recorded as MICHAEL LIBSACK

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 16, 2019

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration March 16, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1659830974
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 16, 2019
Last Update: June 24, 2025
Sole Proprietor: Yes

Other Anesthesiology Specialists in Flagstaff

All Anesthesiology Specialists in Flagstaff

Mailing Address

1200 N Beaver St, Attn: Payer Credentialing

Flagstaff, AZ 860013118

Phone: 9282136235

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.