DR. LEANN MARIE STIDHAM (M.D.) – Diagnostic Radiology Physician, NPI 1750543591
Diagnostic Radiology Physician
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NPPES metrics only — not quality of care.
847 DIAGNOSTIC RADIOLOGY in IN
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Provider Addresses for DR. LEANN MARIE STIDHAM (M.D.)
Indiana University Health Jay Hospital, 500, West Votaw Street, Portland, Jay County, Indiana, 47371, United States
PORTLAND, IN 473711322
Phone: (260) 726-7131
Type: Location
500 W Votaw St
Portland, IN 473711322
Phone: (260) 726-7131
Type: Location
PO BOX 1526
LIMA, OH 458021526
Phone: (866) 479-2711
Type: Mailing
411 W TIPTON ST
SEYMOUR, IN 472742363
Phone: (812) 522-0144
Fax: (812) 522-0466
Type: Mailing
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.
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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: 2010-08-19
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100819001115 | I | Diagnostic Radiology | IN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 77063 | Screening 3d breast mammography | 606 | 606 | $0 |
| 77067 | Screening mammography | 606 | 606 | $0 |
| 71045 | X-ray of chest, 1 view | 238 | 189 | $0 |
| 77080 | Dxa bone density measurement of hip, pelvis, spine | 166 | 166 | $0 |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | 138 | 130 | $0 |
Insurance plans in this area (ZIP 47371)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | IN | 71250 | CT scan chest | 38 | 38 |
| DIAGNOSTIC RADIOLOGY | IN | 74177 | CT scan of abdomen and pelvis with contrast | 96 | 87 |
| DIAGNOSTIC RADIOLOGY | IN | 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 40 | 37 |
| DIAGNOSTIC RADIOLOGY | IN | 93922 | Ultrasound study of arteries of both arms and legs | 23 | 23 |
| DIAGNOSTIC RADIOLOGY | IN | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 38 | 37 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | TN | |
| Diagnostic Radiology | MN | |
| Diagnostic Radiology | MN | |
| Diagnostic Radiology | MN | |
| Diagnostic Radiology | IN | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology, Interventional Radiology | MN | |
| Diagnostic Radiology, Interventional Radiology | MN | |
| Diagnostic Radiology | IN |
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