Individual provider Active NPI

John L Ledbetter, M.D.

  • Interventional Pain Medicine Physician
  • Monroe, LA
National Provider Identifier
1225069065
Registry record updated Jan 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
07192R Issued in LA
Practice address
210 Layton Ave Ste 20
Monroe, LA 71201-8548
Phone
(318) 323-6405
Fax
(318) 410-8290
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 07192R LA Primary

Addresses

Primary practice location

210 Layton Ave Ste 20
Monroe, LA 71201-8548

Mailing address

210 Layton Ave
Monroe, LA 71201-8548
Phone (318) 323-6405

Other identifiers 1

IdentifierTypeStateIssuer
1363812MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070213000247 LA Practitioner - Interventional Pain Management 4880590454 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
University of Texas Southwestern Medical School at Dallas, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Louisiana Pain Care, LLCGroup PAC ID 9032015607, 15 clinicians

Practice addresses (Care Compare)

210 Layton Ave
Suite 20
Monroe, LA 71210-8548
Phone (318) 323-6405

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.18 of 100Reported as individual
Quality
39.5
Promoting interoperability
97
Improvement activities
40
Cost
74.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana Pain Care, LLC CurrentSince Oct 1, 2000 Accepting new patients
Louisiana Pain Care, LLC Interventional Pain Medicine CurrentSince Oct 1, 2000 Accepting new patients
Twin City Anesthesia Past Accepting new patients

Locations

210 Layton Ave
Monroe, LA 71201
Phone (318) 323-6405

210 Layton Ave
Ste 20
Monroe, LA 71201
Phone (318) 323-6405

Interoperability endpoints

  • Direct secure messaging: jledbetter16314@direct.casso.us.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: john.ledbettermd.p1@direct.lapaincare.nextgenshare.com
  • Direct secure messaging: john.ledbettermd.p2@direct.lapaincare.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264464000000",
    "number": "1225069065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 LAYTON AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712018548",
            "telephone_number": "318-323-6405",
            "fax_number": "318-410-8290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 LAYTON AVE STE 20",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712018548",
            "telephone_number": "318-323-6405",
            "fax_number": "318-410-8290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDBETTER",
        "first_name": "JOHN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2010-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "LA",
            "license": "07192R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1363812",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.