MRS. LESLIE ANN EDDLEMAN (D.O.) – General Practice Physician, NPI 1063848653
General Practice Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,775 FAMILY PRACTICE in OK
Provider Addresses for MRS. LESLIE ANN EDDLEMAN (D.O.)
1011 Honor Heights Dr.
Muskogee, OK 74401
Phone: (918) 577-3000
Type: Location
PO BOX 751
HULBERT, OK 744410751
Phone: (918) 772-3390
Fax: (918) 772-2244
Type: Mailing
1328 S YORK ST
MUSKOGEE, OK 744037650
Phone: (918) 683-0470
Fax: (918) 683-0475
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: 2019-11-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20191127000447 | I | Family Practice | OK | 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 |
|---|---|---|---|---|
| 83036 | Hemoglobin a1c level | 39 | 16 | $0 |
Insurance plans in this area (ZIP 74401)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OK | |
| Nurse Practitioner | OK | |
| Nurse Practitioner | OK | |
| Nurse Practitioner | OK | |
| Nurse Practitioner | OK | |
| Physician Assistant | OK | |
| Nurse Practitioner | OK | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NY | |
| Nurse Practitioner | OK | |
| Physician Assistant | AR |
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