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MARCIALEE LEDBETTER MD
NPI 1164492567
Psychiatry & Neurology - Psychiatry in Sanford, ME

Active since January 26, 2006PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating

NPPES record last updated: October 24, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 24, 2022, Feb 14, 2021 (2 updates tracked since 2021).

About Marcialee Ledbetter Md NPPES

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

MARCIALEE LEDBETTER MD (NPI 1164492567) is an individual psychiatry provider in Sanford, Maine, licensed in Oklahoma (20207) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Oklahoma College Of Medicine (1989).

NPPES Registry Identity

NPI1164492567
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameMARCIALEE LEDBETTERCredential: MD
Location Address25 JUNE STSanford, ME 04073-2621
Mailing Address5148 N Ashland Ave # 1Chicago, IL 60640-2830 · (918) 995-0584 · Fax (918) 660-3631
Phone(207) 324-4310
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 1989
Enumeration DateJanuary 26, 2006
Last NPPES UpdateOctober 24, 20222 updates tracked since enumeration
NPPES CertifiedOctober 24, 2022
✔ NPI 1164492567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in OK · 20207
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License 036084346 (IL)
25 JUNE ST, Sanford, ME 04073
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Other Identifiers 1

Medicaid10023880DOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Marcialee Ledbetter Md 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 ID840288445
PECOS Enrollment IDI20190702003304
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 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
61 services45 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
49 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04073 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
$169.96 typical visit price
range $56.28 – $169.96
Typical copayment $42.49 (range $14.07 – $42.49)
Most-billed visit code 99205
Established Patient
$70.13 typical visit price
range $18.22 – $138.92
Typical copayment $17.53 (range $4.55 – $34.73)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

DR. SARAH D. SHEPHERD D.O.
Emergency Medicine
25 JUNE ST
SANFORD, ME 04073
York County (928) 757-2101
SUZANNE REID
Dietitian, Registered
25 JUNE ST
SANFORD, ME 04073
York County (207) 490-7396
MS. OLIVIA LEA CLEMENT PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
25 JUNE ST
SANFORD, ME 04073
York County (207) 490-7000
CHRISTINA TRACY LMSW-CC
Counselor (Mental Health)
25 JUNE ST
SANFORD, ME 04073
York County (207) 490-7000
DR. PHILIP CHRISTIAN RUSSELL M.D.
Psychiatry & Neurology (Psychiatry)
25 JUNE ST
SANFORD, ME 04073
York County (401) 497-1280
MRS. STEPHANIE BRUNS WILLIAMS PA-C
Physician Assistant
25 JUNE ST
SANFORD, ME 04073
York County (207) 490-7517
SOPHIE TREDE MD
Psychiatry & Neurology (Psychiatry)
25 JUNE ST
SANFORD, ME 04073
York County (207) 490-7836
NANCY M BATCHELOR CRNA
Nurse Anesthetist, Certified Registered
25 JUNE ST
SANFORD, ME 04073
York County (207) 324-4310

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 Marcialee Ledbetter's NPI number?

The NPI number for Marcialee Ledbetter is 1164492567. It was assigned to this individual provider in the NPPES registry on January 26, 2006.

Where is Marcialee Ledbetter located?

Marcialee Ledbetter practices at 25 June St, Sanford, ME 04073. The listed phone number is (207) 324-4310.

What is Marcialee Ledbetter's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Marcialee Ledbetter enrolled in Medicare?

Yes. Marcialee Ledbetter 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 Marcialee Ledbetter accept?

Health plans from CareSource list Marcialee Ledbetter 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.

When was this NPI record last updated?

The NPPES record for Marcialee Ledbetter was last updated on October 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.