DR. BRYAN KENT LEDBETTER (D.O.) – Family Medicine Physician, NPI 1194807024

DR. BRYAN KENT LEDBETTER (D.O.) is a healthcare provider. based in Fort smith, Arkansas. specializing in FAMILY PRACTICE, OSTEOPATHIC MANIPULATIVE MEDICINE. They hold the professional credentials D.O.. They hold a License No. 4427 (OK). The NPI Number for DR. BRYAN KENT LEDBETTER (D.O.) is 1194807024

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRYAN KENT LEDBETTER (D.O.)
NPI
1194807024
Phone
(479) 782-6318
Address
1623 Rogers Ave
Enumeration Date
19 October 2006
Last Update Date
18 November 2019

Doctor Profile

Medical School Name
OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
9184830213
Graduation Year
2005 (21 years ago)
PAC ID
5597823716
Group Practice PAC ID
2961594916
Professional Enrollment ID
I20180710000568
Address ID
OK744541015PO505XXSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,499 FAMILY PRACTICE in AR

Provider Addresses for DR. BRYAN KENT LEDBETTER (D.O.)

  • 1623 Rogers Ave

    Fort Smith, AR 729013826

    Phone: (479) 782-6318

    Fax: (479) 782-7028

    Type: Location

  • 11106 S Yale Ave Ste 100

    Tulsa, OK 74137

    Phone: (918) 895-7000

    Fax: (918) 895-7213

    Type: Location

  • South Yale Avenue, Braden Park, Tulsa, Tulsa County, Oklahoma, 74137, United States

    TULSA, OK 741363331

    Phone: (888) 247-0125

    Fax: (918) 502-8001

    Type: Mailing

  • South Yale Avenue, Kimberly-Clark, Jenks, Tulsa, Oklahoma, 74008, United States

    TULSA, OK 741377620

    Phone: (918) 895-7000

    Fax: (918) 895-7213

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 32 Open Payments records for all available years, with a total value of $471.

Total Amount is formed as General ($471) + Research ($0) + Ownership ($0) = $471.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: ABBVIE INC. ($219).

Total Amount

$471

General + Research + Ownership

Payments

32

Total payment records

General Amount

$471

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

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: 2008-10-16

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
I20081016000447IFamily PracticeOKTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes15544$0
99213Established patient office or other outpatient visit, 20-29 minutes3021$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1414$0
View full utilization report →

Insurance plans in this area (ZIP 72901)

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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: 2961594916View full group profile
NameSpecialtyState
Family Practice, Emergency MedicineOK
Physician AssistantOK
Nurse PractitionerOK
Mental Health CounselorCO
Nurse PractitionerOK
-OK
Physician AssistantOK
Family PracticeOK
Physician AssistantOK
Physician AssistantOK

Reviews

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Frequently asked questions

How is DR. BRYAN KENT LEDBETTER (D.O.) identified in CMS data?
CMS-hosted NPPES data lists DR. BRYAN KENT LEDBETTER (D.O.) with NPI 1194807024.
Does CMS list DR. BRYAN KENT LEDBETTER (D.O.) as active?
Yes — DR. BRYAN KENT LEDBETTER (D.O.) is active in the NPI listing used on this page.
What healthcare role does DR. BRYAN KENT LEDBETTER (D.O.) hold?
Scheduling teams often label DR. BRYAN KENT LEDBETTER (D.O.) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DR. BRYAN KENT LEDBETTER (D.O.) based?
DR. BRYAN KENT LEDBETTER (D.O.) is tied to Fort Smith, Arkansas in the data we show; additional addresses may exist on the full record.
Why does DR. BRYAN KENT LEDBETTER (D.O.) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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