Michael H Ledbetter, DO
Individual provider Active NPI Geriatric Medicine (Family Medicine) Physician · Camdenton, MO
NPI 1477552479 · NPPES record last updated Jul 23, 2009
Key facts
- NPI
- 1477552479
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Geriatric Medicine (Family Medicine) Physician 207QG0300X
- License
- R9D86 (MO)
- Practice address
- 1930 N Business Route 5
Unit 1a
Camdenton, MO 65020-2659 - Phone
- (573) 346-5624
- Fax
- (573) 346-1957
- NPI assigned
- Jul 20, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.19 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.51
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Regional Health System | Current |
Accepting new patients | |
| Lake Regional Health System | Current | Accepting new patients | |
| Lake Regional Medical Management, Inc. | Current | Accepting new patients | |
| Lake Regional Health System | Current |
Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
1930 N Business Route 5
Unit 1A
Camdenton, MO 65020
Phone (573) 346-5624
1930 N Business Route 5
Camdenton, MO 65020
Phone (573) 346-5624
54 Hospital Dr
Osage Beach, MO 65065
Phone (573) 280-2772
Interoperability endpoints
- michaelledbetter@mhccaremail.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | R9D86 | MO | Yes |
Addresses
Primary practice location
1930 N Business Route 5
Unit 1a
Camdenton, MO 65020-2659
Mailing address
54 Hospital Dr
Osage Beach, MO 65065-3050
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010010035 | Other | MO | RAILROAD MEDICARE |
| 241994201 | Medicaid | MO |
Other providers in Camdenton, MO
- Lake Regional Health System
- Lake Regional Health System
- Kimberly Lasswell
- Holden Lee Laughman
- Alvin Neal Lawson
- Lens Mart Inc
- Leslie Orthopedics and Sports Medicine Inc
- M.W.Allen Pharmacy Inc.
- Mader-Dye Chiropractic Health Center, Inc,
- Melody Sue Mader
All providers in Camdenton, MO · Geriatric Medicine (Family Medicine) Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2009. 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.