Individual provider Active NPI

Lucy Baldwin Ledyard

  • Dermatology Physician
  • Kalispell, MT
National Provider Identifier
1528593548
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
98559 Issued in MT
Practice address
40 Four Mile Dr Ste 7
Kalispell, MT 59901-2655
Phone
(406) 314-4788
Fax
(406) 890-6708
NPI assigned
Apr 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dermatology Physician 207N00000X 98559 MT Primary

Addresses

Primary practice location

40 Four Mile Dr Ste 7
Kalispell, MT 59901-2655

Mailing address

22 Pine Ave
Whitefish, MT 59937-2533
Phone (406) 212-0515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20210715001649 MT Practitioner - Dermatology 4082978176 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of North Dakota School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Highline Dermatology and Skin CancerGroup PAC ID 0749529055, 6 clinicians

Practice addresses (Care Compare)

505 Cascade Loop
Kalispell, MT 59901-7370
Phone (406) 314-4788

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.14 of 100Reported as group
Quality
82.27
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision33
Removal of skin lesions899
Skin biopsy150

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Highline Dermatology & Skin Cancer Dermatology CurrentSince Sep 1, 2021 Accepting new patients
Glacier Dermatology PC Dermatology CurrentSince Jun 15, 2021 Accepting new patients

Locations

40 Four Mile Dr
Ste 7
Kalispell, MT 59901
Phone (406) 314-4788

505 Cascade Loop
Kalispell, MT 59901
Phone (406) 314-4788

1111 Baker Ave
Uppr
Whitefish, MT 59937
Phone (406) 407-7990

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.

Hospital & facility affiliations 7

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": "1493251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1528593548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 PINE AVE",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599372533",
            "telephone_number": "406-212-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 FOUR MILE DR STE 7",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599012655",
            "telephone_number": "406-314-4788",
            "fax_number": "406-890-6708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDYARD",
        "first_name": "LUCY",
        "middle_name": "BALDWIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-27",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MT",
            "license": "98559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

Verify at the official NPI Registry.