LORI A LEASEBURGE (MD) – Obstetrics Physician, NPI 1275628455

LORI A LEASEBURGE (MD) is a healthcare provider. based in Jacksonville, Florida. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. ME93918 (FL). The NPI Number for LORI A LEASEBURGE (MD) is 1275628455

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
LORI A LEASEBURGE (MD)
NPI
1275628455
Phone
(904) 249-3743
Address
1891 BEACH BLVD
Enumeration Date
4 October 2006
Last Update Date
1 November 2011

Doctor Profile

Medical School Name
JC EDWARDS SCHOOL OF MEDICINE, MARSHALL UNIVERSITY
Secondary Phone
9042493743
Graduation Year
1997 (29 years ago)
PAC ID
7214965979
Group Practice PAC ID
5496749004
Professional Enrollment ID
I20050924000054
Address ID
FL322502644JA1891XBLVD301
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

2,538 OBSTETRICS/GYNECOLOGY in FL

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Provider Addresses for LORI A LEASEBURGE (MD)

  • 1891, Beach Boulevard, Jacksonville Beach, Duval County, Florida, 32250, United States

    SUITE 200

    JACKSONVILLE, FL 322502644

    Phone: (904) 249-3743

    Fax: (904) 249-2047

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 38 Open Payments records for all available years, with a total value of $688.

Total Amount is formed as General ($688) + Research ($0) + Ownership ($0) = $688.

Last reported payment date: 2024-11-04 • Largest payer in this snapshot: Astellas Pharma US Inc ($119).

Total Amount

$688

General + Research + Ownership

Payments

38

Total payment records

General Amount

$688

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-04

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: 2005-09-24

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
I20050924000054IObstetrics/GynecologyFLTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes354267$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination8787$0
81002Urinalysis, manual test6862$0
99214Established patient office or other outpatient visit, 30-39 minutes6759$0
99203New patient office or other outpatient visit, 30-44 minutes4646$0
View full utilization report →

Insurance plans in this area (ZIP 32250)

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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: 5496749004View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
O B S T E T R I C S/ G Y N E C O L O G YFL
Nurse PractitionerOH
Nurse PractitionerFL
-FL
Nurse PractitionerFL

Reviews

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Frequently asked questions

What identifier follows LORI A LEASEBURGE (MD) across health systems?
The NPI 1275628455 uniquely identifies LORI A LEASEBURGE (MD) in U.S. healthcare data.
Quick check: is LORI A LEASEBURGE (MD) active?
Public NPPES data shows LORI A LEASEBURGE (MD) with an active NPI status right now.
What does the directory say LORI A LEASEBURGE (MD) does?
Insurance directories may phrase it differently, but here LORI A LEASEBURGE (MD) maps to Obstetrics Physician. Clinical services aligned with this taxonomy classification.
Is LORI A LEASEBURGE (MD) tied to Jacksonville, Florida?
If you are local to Jacksonville, Florida, LORI A LEASEBURGE (MD) may be relevant to your search.
Who maintains LORI A LEASEBURGE (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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