DR. ERIC D LEDERMAN (M.D.) – Colon & Rectal Surgery Physician, NPI 1255368973

DR. ERIC D LEDERMAN (M.D.) is a healthcare provider. based in Saint louis, Missouri. specializing in COLORECTAL SURGERY (PROCTOLOGY). They hold the professional credentials M.D.. They hold a License No. 114589 (MO). The NPI Number for DR. ERIC D LEDERMAN (M.D.) is 1255368973

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. ERIC D LEDERMAN (M.D.)
NPI
1255368973
Phone
(314) 991-4644
Address
555 N. NEW BALLAS
Enumeration Date
27 June 2006
Last Update Date
30 June 2010

Doctor Profile

Medical School Name
WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4137948640
Graduation Year
1992 (34 years ago)
PAC ID
1759280712
Group Practice PAC ID
8628386448
Professional Enrollment ID
I20210617000908
Address ID
MA011991001SP759XXSTXX308
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

50 COLORECTAL SURGERY (PROCTOLOGY) in MO

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Provider Addresses for DR. ERIC D LEDERMAN (M.D.)

  • SSM Physical Therapy, 555, North New Ballas Road, St. Louis, Saint Louis County, Missouri, 63141, United States

    SUITE 265

    SAINT LOUIS, MO 631412330

    Phone: (314) 991-4644

    Fax: (314) 991-4910

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $2,475.

Total Amount is formed as General ($2,475) + Research ($0) + Ownership ($0) = $2,475.

Last reported payment date: 2023-11-07 • Largest payer in this snapshot: Medtronic, Inc. ($2,475).

Total Amount

$2,475

General + Research + Ownership

Payments

2

Total payment records

General Amount

$2,475

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medtronic, Inc.$2,475
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: 2021-06-17

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
I20210617000908IColorectal Surgery (Proctology)MATBD

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
97597Removal of tissue from wound, 20.0 sq cm or less5142$0
View full utilization report →

Insurance plans in this area (ZIP 63141)

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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: 8628386448View full group profile
NameSpecialtyState
General SurgeryMA
General SurgeryMA
Emergency MedicineMA
Nurse PractitionerMA
Nurse PractitionerVT
General SurgeryMA
-MA
General SurgeryMA
Vascular Surgery, Internal MedicineCA

Reviews

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Frequently asked questions

Where can patients find DR. ERIC D LEDERMAN (M.D.)'s NPI?
You can confirm DR. ERIC D LEDERMAN (M.D.) with NPI 1255368973; it appears in the national provider directory.
Is DR. ERIC D LEDERMAN (M.D.)'s NPI currently valid?
The extract we use shows DR. ERIC D LEDERMAN (M.D.) as active.
What kind of provider is DR. ERIC D LEDERMAN (M.D.)?
The page reflects Colon & Rectal Surgery Physician for DR. ERIC D LEDERMAN (M.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. ERIC D LEDERMAN (M.D.)?
The page summarizes Saint Louis, Missouri for DR. ERIC D LEDERMAN (M.D.); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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