Active NPI
Christopher T Lebrun, MD
- Orthopaedic Surgery Physician
- Riverside, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- C172147
- Practice address
- 4500 Brockton Ave Ste 306
Riverside, CA 92501-4027 - Phone
- (951) 977-2460
- Fax
- (951) 977-2444
- NPI assigned
- Jul 13, 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MD422624 | PA | |
| Orthopaedic Trauma Physician | 207XX0801X | D0069284 | MD | |
| Orthopaedic Trauma Physician | 207XX0801X | MD422624 | PA | |
| Orthopaedic Trauma Physician | 207XX0801X | C172147 | CO | |
| Orthopaedic Surgery Physician | 207X00000X | C172147 | CA | Primary |
Addresses
Primary practice location
4500 Brockton Ave Ste 306
Riverside, CA 92501-4027
Mailing address
1801 Orange Tree LN Ste 200
Redlands, CA 92374-4587
Phone (909) 557-1600
Other practice location 1
4234 Riverwalk Pkwy Ste 200
Riverside, CA 92505-3312
Phone (951) 977-2500
Other practice location 2
400 N Pepper Ave
Colton, CA 92324-1801
Phone (909) 580-1775
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Other | FL | AVMED |
| 952901 | Other | MD | CAREFIRST MD BCBS-WMG |
| 9801151 | Other | FL | AETNA |
| CA479677 | Medicaid | CA | |
| 2108660 | Other | PA | HIGHMARK BLUE SHIELD-WMG |
| 417879301 | Medicaid | MD | |
| 1710902655 | Other | MD | NPI |
| 416145 | Other | PA | UPMC-WMG |
| 102310711 | Medicaid | PA | |
| 1583229 | Other | PA | GATEWAY-WMG |
| 277217500 | Medicaid | FL | |
| 30084123 | Other | PA | AMERIHEALTH MERCY-WMG |
| 6314726 | Other | FL | CIGNA |
| D0069284 | Other | MD | MD LICENSE |
| PENDING | Other | FL | BC/BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, MD, SD, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Uniformed Services Uhs Fe Hebert School of Med, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4234 Riverwalk Pkwy
Suite 200
Riverside, CA 92505-3312
Phone (951) 977-2500
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C172147 | CA | MD | Orthopaedic Surgery Physician |
| C172147 | CO | MD | Orthopaedic Trauma Physician |
| D0069284 | MD | MD | Orthopaedic Trauma Physician |
| MD422624 | PA | MD | Orthopaedic Trauma Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DLP Conemaugh Physician Practices LLC | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| DLP Conemaugh Physician Practices LLC | Current | Accepting new patients | |
| Acute Care Surgery of South Dakota PC | Orthopaedic Surgery | Current | Accepting new patients |
| San Bernardino Medical Orthopaedic Group, Inc. | Orthopaedic Surgery | Current | Accepting new patients |
| Wellspan Medical Group | Current | Accepting new patients | |
| DLP Conemaugh Physician Practices LLC | Orthopaedic Trauma | Current | Accepting new patients |
| Wellspan Medical Group | Current | Accepting new patients | |
| San Bernardino Medical Orthopaedic Group, Inc. | Orthopaedic Surgery | Current | Accepting new patients |
| York Hospital | Past | Accepting new patients | |
| Umass Memorial Medical Center, Inc. | Past | Accepting new patients | |
| Southeast Volusia Medical Services Inc | Past | Accepting new patients | |
| York Hospital | Orthopaedic Surgery | Past | Accepting new patients |
| Altru Health System | Past | Accepting new patients | |
| University of Maryland Medical Center, LLC | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Mid-South Orthopedic Hospitalists LLC | Orthopaedic Surgery | Past | Accepting new patients |
| Acute Care Surgical Affiliates of Texas PA | Orthopaedic Surgery | Past | Accepting new patients |
| Temecula Valley Hospital Inc | Past | Accepting new patients | |
| San Gorgonio Memorial Hospital | Past | Accepting new patients | |
| Riverside Healthcare System, L.P. | Past | Accepting new patients | |
| San Bernardino Medical Orthopaedic Group, Inc. | Orthopaedic Surgery | Past | Accepting new patients |
| Dignity Health | Past | Accepting new patients |
Locations
15325 Fairfield Ranch Rd
Ste 150
Chino Hills, CA 91709
Phone (909) 557-1668
400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1800
1798 N Garey Ave
Pomona, CA 91767
Phone (909) 865-9810
8805 Haven Ave
Ste 200
Rancho Cucamonga, CA 91730
Phone (909) 912-1750
1801 Orange Tree Ln
Ste 200
Redlands, CA 92374
Phone (909) 557-1607
1801 Orange Tree Ln
Ste 240
Redlands, CA 92374
1901 W Lugonia Ave
Ste 310
Redlands, CA 92374
Phone (909) 793-2964
4500 Brockton Ave
Riverside, CA 92501
Phone (951) 742-8846
4234 Riverwalk Pkwy
Ste 200
Riverside, CA 92505
Phone (951) 977-2500
4500 Brockton Ave
Ste 306
Riverside, CA 92501
Phone (951) 275-9000
2131 Elks Dr
Ste 200
San Bernardino, CA 92404
Phone (909) 726-6100
2 Celeste Dr
Johnstown, PA 15905
Phone (814) 255-6720
1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740
1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540
1600 S George St
York, PA 17403
Phone (717) 848-3615
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
25 Monument Rd
Ste 290
York, PA 17403
Phone (717) 741-8220
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 24
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.
-
dba Arrowhead Orthopaedics
- Orthopaedic Surgery Physician
- Redlands, CA
- NPI 1336187475
-
- Orthopaedic Surgery Physician
- Rapid City, SD
- NPI 1730797184
-
dba Conemaugh Physician Group Cresson
- Family Medicine Physician
- Cresson, PA
- NPI 1932515905
-
dba WellSpan Digestive Health
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
- Orthopaedic Trauma Physician
- Baltimore, MD
- NPI 1497708051
-
dba Arrowhead Orthopaedics
- Orthopaedic Surgery Physician
- Beaumont, CA
- NPI 1235964537
-
- Internal Medicine Physician
- Johnstown, PA
- NPI 1205242609
Orthopaedic Trauma
-
dba Conemaugh Physician Group - Davidsville
- Rural Health Clinic/Center
- Hollsopple, PA
- NPI 1356757710
-
dba WellSpan Pediatric Surgical Specialist
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
-
dba St. Bernardine Medical Center
- General Acute Care Hospital
- San Bernardino, CA
- NPI 1689769911
-
dba Riverside Community Hospital
- Rehabilitation Hospital Unit
- Riverside, CA
- NPI 1053358010
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Riverside Community Hospital
- General Acute Care Hospital
- Riverside, CA
- NPI 1114971660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627257600000",
"number": "1710902655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 ORANGE TREE LN STE 200",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923744587",
"telephone_number": "909-557-1600",
"fax_number": "909-557-1732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 BROCKTON AVE STE 306",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925014027",
"telephone_number": "951-977-2460",
"fax_number": "951-977-2444"
}
],
"practiceLocations": [
{
"address_1": "4234 Riverwalk Pkwy Ste 200",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "CA",
"postal_code": "925053312",
"country_code": "US",
"telephone_number": "951-977-2500",
"fax_number": "951-684-1678",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 N Pepper Ave",
"address_purpose": "LOCATION",
"city": "Colton",
"state": "CA",
"postal_code": "923241801",
"country_code": "US",
"telephone_number": "909-580-1775",
"fax_number": "909-580-2377",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEBRUN",
"first_name": "CHRISTOPHER",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2021-07-26",
"certification_date": "2021-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "PA",
"license": "MD422624",
"primary": false
},
{
"code": "207XX0801X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Trauma",
"state": "MD",
"license": "D0069284",
"primary": false
},
{
"code": "207XX0801X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Trauma",
"state": "PA",
"license": "MD422624",
"primary": false
},
{
"code": "207XX0801X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Trauma",
"state": "CO",
"license": "C172147",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "C172147",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "PENDING",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST MD BCBS-WMG",
"identifier": "952901",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "9801151",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CA479677",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD-WMG",
"identifier": "2108660",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "417879301",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1710902655",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC-WMG",
"identifier": "416145",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102310711",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY-WMG",
"identifier": "1583229",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "277217500",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH MERCY-WMG",
"identifier": "30084123",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "6314726",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MD LICENSE",
"identifier": "D0069284",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "PENDING",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; 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.