STACEY A LEITHLITER (PA) – Physician Assistant, NPI 1437208410

STACEY A LEITHLITER (PA) is a healthcare provider. based in Carterville, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 085000393 (IL). The NPI Number for STACEY A LEITHLITER (PA) is 1437208410

Main info

Female
38 Years Of Experience
Accepts Medicare Assignment
Name
STACEY A LEITHLITER (PA)
NPI
1437208410
Phone
(618) 985-8221
Address
PO BOX 577
Enumeration Date
9 January 2007
Last Update Date
25 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6189987600
Graduation Year
1988 (38 years ago)
PAC ID
1557531985
Group Practice PAC ID
9830562016
Professional Enrollment ID
I20111018000273
Address ID
IL629595896MA3331XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

5,035 PHYSICIAN ASSISTANT in IL

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Provider Addresses for STACEY A LEITHLITER (PA)

  • Carterville, Jasper County, Missouri, 64835, United States

    CARTERVILLE, IL 629180577

    Phone: (618) 985-8221

    Type: Mailing

  • 7, South Hospital Drive, Murphysboro, Jackson County, Illinois, 62966, United States

    MURPHYSBORO, IL 629663333

    Phone: (618) 687-3418

    Type: Location

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 $674.

Total Amount is formed as General ($674) + Research ($0) + Ownership ($0) = $674.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Astellas Pharma US Inc ($142).

Total Amount

$674

General + Research + Ownership

Payments

38

Total payment records

General Amount

$674

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

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: 2011-10-18

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
I20111018000273IPhysician AssistantILTBD

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
J1071Injection, testosterone cypionate, 1 mg41,05214$0
96372Injection of drug or substance under skin or into muscle28431$0
81003Automated urinalysis test249169$0
51705Simple change of bladder tube17115$0
99213Established patient office or other outpatient visit, 20-29 minutes165118$0
View full utilization report →

Insurance plans in this area (ZIP 62918)

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Provider's Procedures

STACEY A LEITHLITER (PA) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTIL51798Ultrasound measurement of bladder capacity after voiding200141

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: 9830562016View full group profile
NameSpecialtyState
Hospitalist, Family PracticeIL
Internal Medicine, HospitalistIL
Pulmonary DiseaseNM
Family Practice, Internal MedicineIL
Physician AssistantIL
Nurse PractitionerIL
Nurse PractitionerIL
H E M A T O L O G Y/ O N C O L O G YIL
H O S P I T A L I S TMO
Neurology, Critical Care (Intensivists)IN

Reviews

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Frequently asked questions

What number should I use to identify STACEY A LEITHLITER (PA) for billing?
Administrative and clinical systems typically use NPI 1437208410 for STACEY A LEITHLITER (PA).
Does the public listing show STACEY A LEITHLITER (PA) as active?
STACEY A LEITHLITER (PA)'s NPI record reflects an active status in NPPES.
How should patients interpret STACEY A LEITHLITER (PA)'s specialty?
The extract shows Physician Assistant for STACEY A LEITHLITER (PA). Clinical services aligned with this taxonomy classification.
What geographic area is tied to STACEY A LEITHLITER (PA)?
STACEY A LEITHLITER (PA) is associated with Carterville, Illinois in the same public data insurers reference.
Who maintains STACEY A LEITHLITER (PA)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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