LESLIE MCCRARY-ETUK (MD) – Family Medicine Physician, NPI 1174670418
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,332 FAMILY PRACTICE in MO
Provider Addresses for LESLIE MCCRARY-ETUK (MD)
102 WOODMONT BLVD STE 600
NASHVILLE, TN 372055250
Phone: (888) 987-1151
Type: Mailing
1315 AUBERT AVE
SAINT LOUIS, MO 631131918
Phone: (314) 449-9726
Fax: (314) 449-9641
Type: Location
5471 Dr Martin Luther King Dr
Saint Louis, MO 631124265
Phone: (314) 367-5820
Fax: (314) 367-5820
Type: Location
5471, Doctor Martin Luther King Drive, Wells Goodfellow, Cabanne Place, City of Saint Louis, Missouri, 63112, United States
SAINT LOUIS, MO 631124265
Phone: (314) 367-5820
Fax: (314) 367-6326
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $197.
Total Amount is formed as General ($197) + Research ($0) + Ownership ($0) = $197.
Last reported payment date: 2024-08-24 • Largest payer in this snapshot: Novo Nordisk Inc ($87).
Total Amount
$197
General + Research + Ownership
Payments
10
Total payment records
General Amount
$197
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $87 |
| Exact Sciences Corporation | $51 |
| Lilly USA, LLC | $28 |
| MIMEDX Group, Inc. | $16 |
| AstraZeneca Pharmaceuticals LP | $15 |
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: 2011-09-30
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 |
|---|---|---|---|---|
| I20110930000583 | I | Family Practice | MO | 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 |
|---|---|---|---|---|
| 80053 | Blood test, comprehensive group of blood chemicals | 75 | 73 | $0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 70 | 66 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 64 | 62 | $0 |
| 83036 | Hemoglobin a1c level | 59 | 53 | $0 |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 23 | 22 | $0 |
Insurance plans in this area (ZIP 37205)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | MO | 83036 | Hemoglobin A1C level | 81 | 56 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MO | |
| Internal Medicine | MO | |
| Nurse Practitioner | MO | |
| - | MO | |
| - | MO | |
| - | MO | |
| - | MO | |
| Internal Medicine | MO | |
| P O D I A T R Y | MO | |
| - | MO |
Reviews
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