HAYDEN LEIBROCK (MD) – Family Medicine Physician, NPI 1043878051

HAYDEN LEIBROCK (MD) is a healthcare provider. based in Texarkana, Arkansas. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. E-14790 (AR). The NPI Number for HAYDEN LEIBROCK (MD) is 1043878051

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
HAYDEN LEIBROCK (MD)
NPI
1043878051
Phone
(870) 779-6000
Address
3417 U OF A WAY
Enumeration Date
4 June 2019
Last Update Date
8 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8709463571
Graduation Year
2019 (7 years ago)
PAC ID
0749510220
Group Practice PAC ID
2961307616
Professional Enrollment ID
I20211115000939
Address ID
AR720422994DE1641XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,499 FAMILY PRACTICE in AR

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Provider Addresses for HAYDEN LEIBROCK (MD)

  • 3417 U OF A WAY

    TEXARKANA, AR 718541419

    Phone: (870) 779-6000

    Fax: (870) 779-6093

    Type: Mailing

  • 300, East 6th Street, Texarkana, Miller County, Arkansas, 71854, United States

    TEXARKANA, AR 718545207

    Phone: (870) 779-6000

    Fax: (870) 779-6093

    Type: Location

  • 1641 S WHITEHEAD DR

    DE WITT, AR 720422994

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $34.

Total Amount is formed as General ($34) + Research ($0) + Ownership ($0) = $34.

Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Exact Sciences Corporation ($18).

Total Amount

$34

General + Research + Ownership

Payments

2

Total payment records

General Amount

$34

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-30

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-11-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211115000939IFamily PracticeARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 71854)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2961307616View full group profile
NameSpecialtyState
Interventional Radiology, Diagnostic RadiologyAR
Emergency Medicine, Family PracticeAR
Family PracticeND
Osteopathic Manipulative Medicine, Emergency MedicineAR
Family PracticeAR
-AR
Physician AssistantAR
General PracticeAR

Reviews

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Frequently asked questions

Can I verify HAYDEN LEIBROCK (MD) with an NPI only?
You can start verification with NPI 1043878051 for HAYDEN LEIBROCK (MD), then check state licensing separately.
Is HAYDEN LEIBROCK (MD) listed as active for patients and plans?
The listing shows HAYDEN LEIBROCK (MD) as active in the NPI system.
What taxonomy line describes HAYDEN LEIBROCK (MD)?
For research purposes, treat HAYDEN LEIBROCK (MD) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does HAYDEN LEIBROCK (MD) serve?
HAYDEN LEIBROCK (MD)'s listing highlights Texarkana, Arkansas; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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