DR. NICOLE LAUREN LEBO (MD) – Otolaryngology Physician, NPI 1063074425

DR. NICOLE LAUREN LEBO (MD) is a healthcare provider. based in Brewer, Maine. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. MD24001 (ME). The NPI Number for DR. NICOLE LAUREN LEBO (MD) is 1063074425

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. NICOLE LAUREN LEBO (MD)
NPI
1063074425
Phone
(207) 973-5000
Address
43 WHITING HILL RD STE 300
Enumeration Date
5 July 2019
Last Update Date
3 September 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2079737000
Graduation Year
2014 (12 years ago)
PAC ID
7113355074
Group Practice PAC ID
2062315161
Professional Enrollment ID
I20200903001034
Address ID
ME044016616BA489XXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

41 OTOLARYNGOLOGY in ME

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Provider Addresses for DR. NICOLE LAUREN LEBO (MD)

  • 43 WHITING HILL RD STE 300

    BREWER, ME 044121006

    Phone: (207) 973-5000

    Fax: (207) 973-5042

    Type: Mailing

  • 145, Union Street, Bangor, Penobscot County, Maine, 04401, United States

    BANGOR, ME 044013073

    Phone: (207) 973-9595

    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: 2020-09-03

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
I20200903001034IOtolaryngologyMETBD

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
99214Established patient office or other outpatient visit, 30-39 minutes11384$0
99213Established patient office or other outpatient visit, 20-29 minutes7163$0
31575Diagnostic exam of voice box using a flexible endoscope6648$0
99204New patient office or other outpatient visit, 45-59 minutes3333$0
View full utilization report →

Insurance plans in this area (ZIP 04412)

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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: 2062315161View full group profile
NameSpecialtyState
Physician AssistantME
Nurse PractitionerME
Certified Registered Nurse Anesthetist (Crna)ME
Cardiovascular Disease (Cardiology)ME
Endocrinology, Internal MedicineME
-ME
Nurse PractitionerME
Thoracic SurgeryME
H O S P I T A L I S TME
-NJ

Reviews

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Frequently asked questions

Is DR. NICOLE LAUREN LEBO (MD) listed with a National Provider Identifier?
Yes — DR. NICOLE LAUREN LEBO (MD) has NPI 1063074425 on file in the registry.
Would DR. NICOLE LAUREN LEBO (MD) appear as active to a payer?
You can treat DR. NICOLE LAUREN LEBO (MD) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe DR. NICOLE LAUREN LEBO (MD)'s focus?
For DR. NICOLE LAUREN LEBO (MD), the primary taxonomy reads as Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
Is DR. NICOLE LAUREN LEBO (MD) located near Brewer?
DR. NICOLE LAUREN LEBO (MD) currently maps to Brewer, Maine in this extract.
Does DR. NICOLE LAUREN LEBO (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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