COURTNEY LEDDELL (MD) – Anesthesiology Physician, NPI 1962508523

COURTNEY LEDDELL (MD) is a healthcare provider. based in Mattoon, Illinois. specializing in ANESTHESIOLOGY, INTERVENTIONAL PAIN MANAGEMENT, PAIN MANAGEMENT. They hold the professional credentials MD. They hold a License No. 036114585 (IL). The NPI Number for COURTNEY LEDDELL (MD) is 1962508523

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
COURTNEY LEDDELL (MD)
NPI
1962508523
Phone
(217) 258-2440
Address
1000 Health Center Dr
Enumeration Date
14 September 2006
Last Update Date
16 June 2022

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
2178768121
Graduation Year
2001 (25 years ago)
PAC ID
3173539715
Group Practice PAC ID
3173592722
Professional Enrollment ID
I20060306000614
Address ID
IL625264163DE2300XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,631 ANESTHESIOLOGY in IL

Provider Addresses for COURTNEY LEDDELL (MD)

  • 1000 Health Center Dr

    Mattoon, IL 619384644

    Phone: (217) 258-2440

    Fax: (217) 258-2186

    Type: Location

  • Sherwood Drive, Lake Bluff, Lake, Illinois, 60044, United States

    LAKE BLUFF, IL 600442203

    Phone:

    Type: Mailing

  • 1300, Franklin Avenue, Normal, McLean County, Illinois, 61701, United States

    NORMAL, IL 617613592

    Phone: (309) 454-1400

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $86.

Total Amount is formed as General ($86) + Research ($0) + Ownership ($0) = $86.

Last reported payment date: 2024-09-17 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($62).

Total Amount

$86

General + Research + Ownership

Payments

5

Total payment records

General Amount

$86

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-17

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: 2006-03-06

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
I20060306000614IAnesthesiologyILTBD

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
00142Anesthesia for lens surgery10299$0
View full utilization report →

Insurance plans in this area (ZIP 61938)

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Provider's Procedures

COURTNEY LEDDELL (MD) performs procedures in ANESTHESIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYIL01402Anesthesia for open or endoscopic total knee joint replacement2524
ANESTHESIOLOGYIL76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle1615

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: 3173592722View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YIL
A N E S T H E S I O L O G YMN
-IL
A N E S T H E S I O L O G YIL
-IL
A N E S T H E S I O L O G YIL

Reviews

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Frequently asked questions

How do I look up COURTNEY LEDDELL (MD) by NPI?
Use NPI 1962508523 when you need to reference COURTNEY LEDDELL (MD) in forms, claims, or directories.
Is COURTNEY LEDDELL (MD)'s NPI currently valid?
The extract we use shows COURTNEY LEDDELL (MD) as active.
Does COURTNEY LEDDELL (MD) list a primary specialty?
If you are matching referrals, note Anesthesiology Physician for COURTNEY LEDDELL (MD). Clinical services aligned with this taxonomy classification.
What location shows for COURTNEY LEDDELL (MD)?
We surface Mattoon, Illinois for COURTNEY LEDDELL (MD) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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