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DR. ANDREW T LEEBOLT DO
NPI 1104486885
Family Medicine in Lillington, NC

Active since June 16, 2019PECOS EnrolledAccepts Medicare Assignment
215 BRIGHTWATER DRIVE, LILLINGTON, NC 27546(910) 892-1000 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 29, 2024, Jun 16, 2019 (2 updates tracked since 2019).

About Dr. Andrew T Leebolt Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANDREW T LEEBOLT DO (NPI 1104486885) is an individual family medicine provider in Lillington, North Carolina, licensed in Tennessee (5357) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Smyth County Community Hospital, and maintains a secondary practice location in Erwin.

NPPES Registry Identity

NPI1104486885
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ANDREW T LEEBOLTCredential: DO
Location Address215 BRIGHTWATER DRIVELillington, NC 27546
Mailing Address215 Brightwater DriveLillington, NC 27546 · (910) 892-1000
Phone(910) 892-1000
Sole ProprietorYes
Medical School CMSEdward Via Col Of Osteo Medicine-virginia CampusGraduated 2019
Enumeration DateJune 16, 2019
Last NPPES UpdateApril 29, 20252 updates tracked since enumeration
NPPES CertifiedApril 29, 2025
✔ NPI 1104486885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in TN · 5357✔ Licensed in VA · 0102208637
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 5357 (TN), 0102208637 (VA)
215 BRIGHTWATER DRIVE, Lillington, NC 27546
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Secondary Practice Location 1

Location 1800 S Mohawk Dr Ste CErwin, TN 37650-2124 · Phone (423) 735-0500

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Andrew T Leebolt Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294158523
PECOS Enrollment IDI20240826001780
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
49 services49 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
37 services33 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
36 services35 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Smyth County Community Hospital

Acute Care Hospitals · Marion, VA
OwnershipVoluntary non-profit - Private
CMS Certification Number490038
Location245 Medical Park DriveMarion, VA 24354 · Smyth County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27546 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AVRAHAM GINSBURG DO
Emergency Medicine
215 BRIGHTWATER DRIVE
LILLINGTON, NC 27546
Harnett County (910) 892-1000
HARNETT EMERGENCY PHYSICIANS, PLLC
Emergency Medicine
215 BRIGHTWATER DRIVE
LILLINGTON, NC 27546
Harnett County (910) 892-1000
KYLE COFFEY DO
Student in an Organized Health Care Education/Training Program
215 BRIGHTWATER DRIVE
LILLINGTON, NC 27546
Harnett County (910) 892-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Leebolt's NPI number?

The NPI number for Andrew Leebolt is 1104486885. It was assigned to this individual provider in the NPPES registry on June 16, 2019.

Where is Andrew Leebolt located?

Andrew Leebolt practices at 215 Brightwater Drive, Lillington, NC 27546. The listed phone number is (910) 892-1000.

What is Andrew Leebolt's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Andrew Leebolt enrolled in Medicare?

Yes. Andrew Leebolt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Andrew Leebolt accept?

Health plans from Oscar Insurance Company list Andrew Leebolt as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Andrew Leebolt affiliated with any hospitals?

According to CMS data, Andrew Leebolt is affiliated with Smyth County Community Hospital.

When was this NPI record last updated?

The NPPES record for Andrew Leebolt was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.