TIMOTHY J LEEBURTON (M.D.) – Orthopaedic Hand Surgery Physician, NPI 1104823574

TIMOTHY J LEEBURTON (M.D.) is a healthcare provider. based in Belleville, Illinois. specializing in ORTHOPEDIC SURGERY, HAND SURGERY. They hold the professional credentials M.D.. They hold a License No. 036138424 (IL). The NPI Number for TIMOTHY J LEEBURTON (M.D.) is 1104823574

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY J LEEBURTON (M.D.)
NPI
1104823574
Phone
(618) 257-4644
Address
4500 MEMORIAL DRIVE CREDENTIALING DEPT
Enumeration Date
30 June 2005
Last Update Date
25 March 2021

Doctor Profile

Medical School Name
RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Secondary Phone
-
Graduation Year
1998 (28 years ago)
PAC ID
4183695364
Group Practice PAC ID
6800784083
Professional Enrollment ID
I20150902001876
Address ID
IL622265373BE4700XDRXX300

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,265 ORTHOPEDIC SURGERY in IL

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Provider Addresses for TIMOTHY J LEEBURTON (M.D.)

  • 4500 MEMORIAL DRIVE CREDENTIALING DEPT

    MEMORIAL HOSPITAL MEDICAL AFFAIRS

    BELLEVILLE, IL 62226

    Phone: (618) 257-4644

    Type: Mailing

  • 4700, Memorial Drive, Royal Heights, Belleville, Saint Clair County, Illinois, 62226, United States

    SUITE 350

    BELLEVILLE, IL 622265373

    Phone: (618) 234-9884

    Fax: (618) 235-9902

    Type: Location

  • 4700 MEMORIAL DR STE 340

    BELLEVILLE, IL 622265373

    Phone: (618) 234-9884

    Type: Location

  • 4700 Memorial Dr

    Suite 350

    Belleville, IL 622265373

    Phone: (618) 234-9884

    Fax: (618) 235-9902

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $1,190.

Total Amount is formed as General ($1,190) + Research ($0) + Ownership ($0) = $1,190.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Elite Orthopedics, LLC ($584).

Total Amount

$1,190

General + Research + Ownership

Payments

7

Total payment records

General Amount

$1,190

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

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: 2015-09-02

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
I20150902001876IOrthopedic SurgeryILTBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg632103$0
99213Established patient office or other outpatient visit, 20-29 minutes305186$0
73130X-ray of hand, minimum of 3 views220165$0
99203New patient office or other outpatient visit, 30-44 minutes142142$0
73110X-ray of wrist, minimum of 3 views12386$0
View full utilization report →

Insurance plans in this area (ZIP 62226)

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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: 6800784083View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerIL
Physician AssistantIL
Family PracticeIL
-MO
O B S T E T R I C S/ G Y N E C O L O G YMO
G A S T R O E N T E R O L O G YGA
Physician AssistantIL
-MO
Gastroenterology, Gastroenterology, Internal MedicineOH

Reviews

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Frequently asked questions

What unique ID ties claims to TIMOTHY J LEEBURTON (M.D.)?
NPI 1104823574 is assigned to TIMOTHY J LEEBURTON (M.D.) under the national enumeration system.
Is TIMOTHY J LEEBURTON (M.D.) active in the national directory?
TIMOTHY J LEEBURTON (M.D.)'s public NPI profile is in an active state.
Does TIMOTHY J LEEBURTON (M.D.) list a primary specialty?
If you are matching referrals, note Orthopaedic Hand Surgery Physician for TIMOTHY J LEEBURTON (M.D.). Clinical services aligned with this taxonomy classification.
Does TIMOTHY J LEEBURTON (M.D.) practice in Illinois?
You will see Belleville, Illinois on file for TIMOTHY J LEEBURTON (M.D.) alongside any extra practice locations.
How can I contact TIMOTHY J LEEBURTON (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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