DR. LEEDYLYN H. STADULIS (M.D.) – Obstetrics & Gynecology Physician, NPI 1245221100

DR. LEEDYLYN H. STADULIS (M.D.) is a healthcare provider. based in Fredericksburg, Virginia. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 0101231333 (VA). The NPI Number for DR. LEEDYLYN H. STADULIS (M.D.) is 1245221100

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. LEEDYLYN H. STADULIS (M.D.)
NPI
1245221100
Phone
(540) 940-2000
Address
1101 Sam Perry Blvd
Enumeration Date
31 October 2005
Last Update Date
8 May 2026

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
5409402000
Graduation Year
1994 (32 years ago)
PAC ID
3870779481
Group Practice PAC ID
2769546530
Professional Enrollment ID
I20110517000166
Address ID
VA224079433FR4710XPKWY309
Telehealth
Yes
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

1,165 OBSTETRICS/GYNECOLOGY in VA

Provider Addresses for DR. LEEDYLYN H. STADULIS (M.D.)

  • 1101 Sam Perry Blvd

    Suite 401

    Fredericksburg, VA 224014467

    Phone: (540) 940-2000

    Fax: (540) 940-2001

    Type: Location

  • 4710 SPOTSYLVANIA PKWY STE 206

    FREDERICKSBURG, VA 224079433

    Phone: (540) 741-0460

    Type: Location

  • 1101, Sam Perry Boulevard, Fredericksburg, Fredericksburg City, Virginia, 22401, United States

    SUITE 401

    FREDERICKSBURG, VA 224014467

    Phone: (540) 940-2000

    Fax: (540) 940-2001

    Type: Mailing

  • 1340 CENTRAL PARK BLVD STE 100

    FREDERICKSBURG, VA 224014940

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 51 Open Payments records for all available years, with a total value of $1,092.

Total Amount is formed as General ($1,092) + Research ($0) + Ownership ($0) = $1,092.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($163).

Total Amount

$1,092

General + Research + Ownership

Payments

51

Total payment records

General Amount

$1,092

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

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: 2011-05-17

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
I20110517000166IObstetrics/GynecologyVATBD

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
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination4242$0
99214Established patient office or other outpatient visit, 30-39 minutes2817$0
View full utilization report →

Insurance plans in this area (ZIP 22401)

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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: 2769546530View full group profile

Reviews

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Frequently asked questions

What number should I use to identify DR. LEEDYLYN H. STADULIS (M.D.) for billing?
Administrative and clinical systems typically use NPI 1245221100 for DR. LEEDYLYN H. STADULIS (M.D.).
Is DR. LEEDYLYN H. STADULIS (M.D.)'s NPI status active today?
Active status means DR. LEEDYLYN H. STADULIS (M.D.)'s NPI record is not deactivated in the public file.
What services align with DR. LEEDYLYN H. STADULIS (M.D.)'s listing?
DR. LEEDYLYN H. STADULIS (M.D.)'s public classification highlights Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Is DR. LEEDYLYN H. STADULIS (M.D.) tied to Fredericksburg, Virginia?
If you are local to Fredericksburg, Virginia, DR. LEEDYLYN H. STADULIS (M.D.) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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