Active NPI
Stephen R Lebduska, MD
- Physical Medicine & Rehabilitation Physician
- Syracuse, NY
National Provider Identifier
1366471369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 180037
- Practice address
- 750 E Adams St
Syracuse, NY 13210-2306 - Phone
- (315) 464-5820
- Fax
- (315) 464-8699
- NPI assigned
- Jul 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 180037 | NY | Primary |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 180037 | NY | |
| Spinal Cord Injury Medicine Physician | 2081P0004X | 180037 | NY |
Addresses
Primary practice location
750 E Adams St
Syracuse, NY 13210-2306
Mailing address
750 E Adams St
Syracuse, NY 13210-2306
Phone (315) 464-5820
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01446455 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
813 Fay Rd
Syracuse, NY 13219-3009
Phone (315) 488-2951
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.72 of 100
- Quality
- 89.22
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180037 | NY | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Syracuse Orthopedic Specialists, PLLC | Past | Accepting new patients |
Interoperability endpoints
- slebduska7176@direct.upstate.edu
Organizations & group practices 2
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.
-
- Physical Medicine & Rehabilitation Physician
- Syracuse, NY
- NPI 1336189919
-
- Orthopaedic Surgery Physician
- Syracuse, NY
- NPI 1669410379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287619200000",
"number": "1366471369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 E ADAMS ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132102306",
"telephone_number": "315-464-5820",
"fax_number": "315-464-8699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 E ADAMS ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132102306",
"telephone_number": "315-464-5820",
"fax_number": "315-464-8699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEBDUSKA",
"first_name": "STEPHEN",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-02",
"last_updated": "2010-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NY",
"license": "180037",
"primary": true
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "NY",
"license": "180037",
"primary": false
},
{
"code": "2081P0004X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
"state": "NY",
"license": "180037",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01446455",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.