DR. KELLY M LEBLANC (DDS) – Dentist, NPI 1912007295
Dentist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
119 DENTIST in TX
Provider Addresses for DR. KELLY M LEBLANC (DDS)
3 Grogans Park Dr Ste 103
Spring, TX 773802937
Phone: (832) 770-4509
Type: Location
14911 POLLUX DR
WILLIS, TX 773185080
Phone: (281) 989-4320
Fax: (281) 292-2125
Type: Mailing
Louetta Road, Spring, Harris County, Texas, 77373, United States
SUITE A
SPRING, TX 77379
Phone: (281) 376-3959
Fax: (281) 257-1070
Type: Mailing
2040 N LOOP 336 W STE 230
CONROE, TX 773043579
Phone: (832) 770-4509
Fax: (281) 292-2125
Type: Location
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 $24.
Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.
Last reported payment date: 2024-10-24 • Largest payer in this snapshot: Philips North America LLC ($17).
Total Amount
$24
General + Research + Ownership
Payments
2
Total payment records
General Amount
$24
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Philips North America LLC | $17 |
| Align Technology, Inc. | $7 |
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: 2026-01-08
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 |
|---|---|---|---|---|
| I20260108002583 | I | Dentist | TX | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 77380)
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