JOHN C LEATHERMAN (MD) – Family Medicine Physician, NPI 1295779460

JOHN C LEATHERMAN (MD) is a healthcare provider. based in Ramona, Oklahoma. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 17649 (OK). The NPI Number for JOHN C LEATHERMAN (MD) is 1295779460

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
JOHN C LEATHERMAN (MD)
NPI
1295779460
Phone
(918) 536-1024
Address
PO BOX 420
Enumeration Date
16 June 2006
Last Update Date
6 March 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1983 (43 years ago)
PAC ID
6709843386
Professional Enrollment ID
I20041215000463
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for JOHN C LEATHERMAN (MD)

  • Ramona, San Diego County, California, 92065, United States

    RAMONA, OK 740610420

    Phone: (918) 536-1024

    Fax: (918) 536-2203

    Type: Mailing

  • 400, Wyandotte Place, Ramona, Washington County, Oklahoma, 74061, United States

    RAMONA, OK 740613678

    Phone: (918) 287-1310

    Fax: (918) 287-1727

    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: 2022-08-23

PECOS data refreshed: 2026-06-15

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
I20220823003807IFamily PracticeTXTBD

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 minutes194106$0
99213Established patient office or other outpatient visit, 20-29 minutes144108$0
99212Established patient office or other outpatient visit, 10-19 minutes7258$0
View full utilization report →

Insurance plans in this area (ZIP 74061)

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Reviews

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Frequently asked questions

What NPI should I save for JOHN C LEATHERMAN (MD)?
Save NPI 1295779460 if you need a stable reference for JOHN C LEATHERMAN (MD).
Is JOHN C LEATHERMAN (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does JOHN C LEATHERMAN (MD) work in?
You can think of JOHN C LEATHERMAN (MD) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is JOHN C LEATHERMAN (MD)'s primary listing?
We display Ramona, Oklahoma because that is what the record indicates for JOHN C LEATHERMAN (MD).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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