DR. MICHAEL H LEDBETTER (DO) – Geriatric Medicine (Family Medicine) Physician, NPI 1477552479

DR. MICHAEL H LEDBETTER (DO) is a healthcare provider. based in Osage beach, Missouri. specializing in FAMILY PRACTICE, GERIATRIC MEDICINE. They hold the professional credentials DO. They hold a License No. R9D86 (MO). The NPI Number for DR. MICHAEL H LEDBETTER (DO) is 1477552479

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL H LEDBETTER (DO)
NPI
1477552479
Phone
Not provided
Address
54 HOSPITAL DR
Enumeration Date
20 July 2005
Last Update Date
23 July 2009

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
5738732521
Graduation Year
1983 (43 years ago)
PAC ID
7618005521
Group Practice PAC ID
9133026776
Professional Enrollment ID
I20100513001089
Address ID
MO650206819CA226XX54XX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,330 FAMILY PRACTICE in MO

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Provider Addresses for DR. MICHAEL H LEDBETTER (DO)

  • Lake Regional Health System, 54, Hospital Drive, Osage Beach, Camden County, Missouri, 65065, United States

    OSAGE BEACH, MO 650653050

    Phone:

    Type: Mailing

  • Business Route 5, Camdenton, Camden County, Missouri, 65020, United States

    UNIT 1A

    CAMDENTON, MO 650202659

    Phone: (573) 346-5624

    Fax: (573) 346-1957

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2024-09-11 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-11

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
GlaxoSmithKline, LLC.$15
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: 2010-05-13

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
I20100513001089IFamily PracticeMOTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 65065)

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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: 9133026776View full group profile
NameSpecialtyState
-MO
Nurse PractitionerMO
N E U R O L O G YMO
Nurse PractitionerMO
Nurse PractitionerMO
Hematology/Oncology, Internal MedicineMO
Family PracticeMO
Nurse PractitionerMO
Nurse PractitionerMO
Family PracticeMO

Reviews

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Frequently asked questions

Can I verify DR. MICHAEL H LEDBETTER (DO) with an NPI only?
You can start verification with NPI 1477552479 for DR. MICHAEL H LEDBETTER (DO), then check state licensing separately.
Is DR. MICHAEL H LEDBETTER (DO) still practicing?
DR. MICHAEL H LEDBETTER (DO) is currently listed as active in the public NPI registry.
What taxonomy line describes DR. MICHAEL H LEDBETTER (DO)?
For research purposes, treat DR. MICHAEL H LEDBETTER (DO) as Geriatric Medicine (Family Medicine) Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. MICHAEL H LEDBETTER (DO)?
DR. MICHAEL H LEDBETTER (DO)'s geographic hint is Osage Beach, Missouri in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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