ROBERT C LEATHERMAN (DO) – Diagnostic Radiology Physician, NPI 1225026313
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
200 DIAGNOSTIC RADIOLOGY in ME
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Provider Addresses for ROBERT C LEATHERMAN (DO)
The Aroostook Medical Center, 140, Academy Street, Presque Isle, Aroostook County, Maine, 04769, United States
PRESQUE ISLE, ME 047693102
Phone: (207) 768-4573
Fax: (207) 768-4046
Type: Mailing
2111 EXCHANGE ST
ASTORIA, OR 971033329
Phone: (503) 325-4321
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: 2021-06-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20120329000617 | I | Diagnostic Radiology | ME | TBD |
| I20210611002572 | I | Diagnostic Radiology | OR | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 23 | 21 | $0 |
Insurance plans in this area (ZIP 04769)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AZ | |
| Orthopedic Surgery | IA | |
| Pulmonary Disease | OR | |
| - | OR | |
| Nurse Practitioner | OR | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| Emergency Medicine | WA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WA | |
| - | CO | |
| Certified Registered Nurse Anesthetist (Crna) | OR |
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