Jeffrey Rayne Lesueur, M.D.
Individual provider Active NPI Otolaryngology Physician · Lakeside, AZ
NPI 1336366335 · NPPES record last updated Feb 3, 2026
Key facts
- NPI
- 1336366335
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Otolaryngology Physician 207Y00000X
- License
- 45950 (AZ)
- Practice address
- 5448 Highway 260
Suite 140
Lakeside, AZ 85929-5739 - Phone
- (928) 532-0072
- Fax
- (928) 532-0078
- NPI assigned
- Apr 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Otolaryngology
- Education
- Baylor College of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5448 Hwy 260
Suite 140
Lakeside, AZ 85929-5750
5448 Hwy 260 140
Lakeside, AZ 85929-5750
Phone (928) 532-0072
Hospital & facility affiliations
- Summit Healthcare Regional Medical Center
- White Mountain Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 15 |
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120829000678 | AZ | Practitioner - Otolaryngology | 5799932547 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45950 | AZ | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeffrey R Lesueur MD PC | Otolaryngology | Current |
Accepting new patients |
| Kent Walter Cox MD PS | Otolaryngology | Past | Accepting new patients |
| Summit Healthcare Association | Past |
Accepting new patients |
Locations
5448 Highway 260
Ste 140
Lakeside, AZ 85929
Phone (928) 532-0072
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 45950 | AZ | Yes |
Addresses
Primary practice location
5448 Highway 260
Suite 140
Lakeside, AZ 85929-5739
Mailing address
5448 Highway 260
Suite 140
Lakeside, AZ 85929-5739
Phone (928) 532-0072
Other providers in Lakeside, AZ
- Melissa Ann Kyrimis
- Kathy Lacapa-Boegl
- Lakeside Family Health Center PC
- Lakeside Medical PLLC
- Lakeside Volunteer Fire Department
- Lincare Inc.
- Sarah Lindstrom
- Natosha Carling Lisonbee
- LWN Medical PLLC
- Marc Community Resources, Inc
All providers in Lakeside, AZ · Otolaryngology Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.