MARCIALEE LEDBETTER (MD) – Psychiatry Physician, NPI 1164492567

MARCIALEE LEDBETTER (MD) is a healthcare provider. based in Chicago, Illinois. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. 036084346 (IL). The NPI Number for MARCIALEE LEDBETTER (MD) is 1164492567

Main info

Female
37 Years Of Experience
Accepts Medicare Assignment
Name
MARCIALEE LEDBETTER (MD)
NPI
1164492567
Phone
(773) 989-2780
Address
4753 N Broadway St Ste 910
Enumeration Date
26 January 2006
Last Update Date
24 October 2022

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
9073644445
Graduation Year
1989 (37 years ago)
PAC ID
0840288445
Group Practice PAC ID
1456265362
Professional Enrollment ID
I20190702003304
Address ID
AK998017109JU3051XBLVD301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,367 PSYCHIATRY in IL

Provider Addresses for MARCIALEE LEDBETTER (MD)

  • 4753 N Broadway St Ste 910

    Chicago, IL 606404991

    Phone: (773) 989-2780

    Fax: (773) 989-2781

    Type: Location

  • 5148 N ASHLAND AVE # 1

    CHICAGO, IL 606402830

    Phone: (918) 995-0584

    Fax: (918) 660-3631

    Type: Mailing

  • 25 JUNE ST

    SANFORD, ME 040732621

    Phone: (207) 324-4310

    Type: Location

  • 4753 N BROADWAY ST STE 910

    CHICAGO, IL 606404991

    Phone: (773) 989-2780

    Fax: (773) 989-2781

    Type: Location

  • Box, Sequoyah County, Oklahoma, United States

    OKLAHOMA CITY, OK 731268838

    Phone: (918) 660-3632

    Fax: (918) 660-3631

    Type: Mailing

  • East 41st Street, Granite Avenue, Tulsa, Tulsa County, Oklahoma, 74135, United States

    3RD FLOOR, STE C

    TULSA, OK 741352527

    Phone: (918) 660-3130

    Fax: (918) 660-3132

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2019-07-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 5 Medicare enrollment records; no due dates published yet.

Enrollment records

5

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
I20121017000650IPsychiatryMETBD
I20140509001669IPsychiatryINTBD
I20170103000392IPsychiatryVTTBD
I20170414000483IPsychiatryILTBD
I20190702003304IPsychiatryTXTBD

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 minutes5546$0
99214Established patient office or other outpatient visit, 30-39 minutes4833$0
View full utilization report →

Insurance plans in this area (ZIP 60640)

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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: 1456265362View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for MARCIALEE LEDBETTER (MD)?
MARCIALEE LEDBETTER (MD) — NPI 1164492567 — is the standard way to identify this listing.
Does the file indicate MARCIALEE LEDBETTER (MD) is practicing under active NPI?
Directory data currently reports MARCIALEE LEDBETTER (MD) as active.
What healthcare role does MARCIALEE LEDBETTER (MD) hold?
Scheduling teams often label MARCIALEE LEDBETTER (MD) under Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Where is MARCIALEE LEDBETTER (MD) based?
MARCIALEE LEDBETTER (MD) is tied to Chicago, Illinois in the data we show; additional addresses may exist on the full record.
Is the information about MARCIALEE LEDBETTER (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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