DR. EVERETT J DELEON (M.D.) – Emergency Medicine Physician, NPI 1194712828

DR. EVERETT J DELEON (M.D.) is a healthcare provider. based in Mcconnell afb, Kansas. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. MD60902300 (WA). The NPI Number for DR. EVERETT J DELEON (M.D.) is 1194712828

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. EVERETT J DELEON (M.D.)
NPI
1194712828
Phone
(316) 759-5864
Address
57950 LEAVENWORTH ST
Enumeration Date
27 September 2005
Last Update Date
19 May 2021

Doctor Profile

Medical School Name
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3604352133
Graduation Year
1998 (28 years ago)
PAC ID
8921186669
Group Practice PAC ID
3476462334
Professional Enrollment ID
I20181220001250
Address ID
WA982231642AR330XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

452 EMERGENCY MEDICINE in KS

Provider Addresses for DR. EVERETT J DELEON (M.D.)

  • 57950 LEAVENWORTH ST

    ATTN CREDENTIALS MANAGER

    MCCONNELL AFB, KS 672213506

    Phone: (316) 759-5864

    Fax: (316) 759-5038

    Type: Mailing

  • 57950 Leavenworth St

    Attn Credentials Manager

    McConnell AFB, KS 672213506

    Phone: (316) 759-5864

    Fax: (316) 759-5038

    Type: Location

  • 7903 9TH PL SE

    LAKE STEVENS, WA 982584551

    Phone: (316) 210-4619

    Type: Mailing

  • 330 S STILLAGUAMISH AVE

    ARLINGTON, WA 982231603

    Phone: (360) 618-7600

    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: 2018-12-20

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
I20181220001250IEmergency MedicineWATBD

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
99285Emergency department visit with high level of medical decision making129120$0
99284Emergency department visit with moderate level of medical decision making6460$0
99291Critical care, first 30-74 minutes4343$0
99283Emergency department visit with low level of medical decision making2323$0
View full utilization report →

Insurance plans in this area (ZIP 67221)

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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: 3476462334View full group profile
NameSpecialtyState
Emergency MedicineTX
Emergency MedicineMI
Emergency MedicineIN
Family Practice, Emergency MedicineOR
-WA
Emergency MedicineOR
Emergency MedicineWA
Emergency MedicineWA
-NY
-WA

Reviews

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Frequently asked questions

Is there an official ID for DR. EVERETT J DELEON (M.D.) in U.S. healthcare records?
The official identifier for DR. EVERETT J DELEON (M.D.) is NPI 1194712828.
Is there an active status for DR. EVERETT J DELEON (M.D.)?
For scheduling context, DR. EVERETT J DELEON (M.D.) is shown as active in the registry.
How would a patient describe DR. EVERETT J DELEON (M.D.)'s focus?
For DR. EVERETT J DELEON (M.D.), the primary taxonomy reads as Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. EVERETT J DELEON (M.D.) located near Mcconnell Afb?
DR. EVERETT J DELEON (M.D.) currently maps to Mcconnell Afb, Kansas in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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