MR. EDWARD TIMOTHY LEBLANC PA-C
NPI 1235476755
Physician Assistant in Mchenry, IL

Active since January 04, 2013PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
4309 W MEDICAL CENTER DR STE A200, MCHENRY, IL 60050(815) 759-8070(815) 759-4931 Get Directions Write a Review

NPPES record last updated: September 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 8, 2023, May 7, 2021, Jan 13, 2021 (3 updates tracked since 2021).

About Mr. Edward Timothy Leblanc Pa-c NPPES

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

MR. EDWARD TIMOTHY LEBLANC PA-C (NPI 1235476755) is an individual physician assistant in Mchenry, Illinois, licensed in Illinois (085009681) and active in the NPI registry since January 2013. He is enrolled in Medicare PECOS, is affiliated with University Of Wi Hospitals & Clinics Authority, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1235476755
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. EDWARD TIMOTHY LEBLANCCredential: PA-C
Location Address4309 W MEDICAL CENTER DR STE A200Mchenry, IL 60050-8437
Mailing Address4309 W Medical Center Dr Ste A200Mchenry, IL 60050-8437 · (815) 759-8070 · Fax (815) 759-4931
Fax(815) 759-4931
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJanuary 4, 2013
Last NPPES UpdateSeptember 8, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2023
NPI 1235476755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in IL · 085009681
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 3644-23 (WI)
4309 W MEDICAL CENTER DR STE A200, Mchenry, IL 60050

Accepted 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

Mr. Edward Timothy Leblanc Pa-c 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 ID8527281153
PECOS Enrollment IDI20150901001591
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.

Harvest of vein using an endoscope 33508
Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.
13 services12 patients
Coronary artery bypass using artery graft, 1 graft 33533
A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number520098
Location600 Highland AvenueMadison, WI 53792 · Dane County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60050 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
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.

Internal Medicine (Interventional Cardiology)
4309 W MEDICAL CENTER DR STE A200
MCHENRY, IL 60050
Internal Medicine (Cardiovascular Disease)
4309 W MEDICAL CENTER DR STE A200
MCHENRY, IL 60050
Physician Assistant
4309 W MEDICAL CENTER DR STE A200
MCHENRY, IL 60050
Clinical Nurse Specialist (Adult Health)
4309 W MEDICAL CENTER DR STE A200
MCHENRY, IL 60050
Nurse Practitioner
4309 W MEDICAL CENTER DR STE A200
MCHENRY, IL 60050
Nurse Practitioner
4309 W MEDICAL CENTER DR STE A200
MCHENRY, IL 60050
Nurse Practitioner
4309 W MEDICAL CENTER DR STE A200
MCHENRY, IL 60050
Nurse Practitioner
4309 W MEDICAL CENTER DR STE A200
MCHENRY, IL 60050

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 Edward Leblanc's NPI number?

The NPI number for Edward Leblanc is 1235476755. It was assigned to this individual provider in the NPPES registry on January 4, 2013.

Where is Edward Leblanc located?

Edward Leblanc practices at 4309 W Medical Center Dr Ste A200, Mchenry, IL 60050. The listed phone number is (815) 759-8070.

What is Edward Leblanc's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Edward Leblanc enrolled in Medicare?

Yes. Edward Leblanc 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 Edward Leblanc accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW, HealthPartners and Quartz and 1 other insurer list Edward Leblanc 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 Edward Leblanc affiliated with any hospitals?

According to CMS data, Edward Leblanc is affiliated with University Of Wi Hospitals & Clinics Authority.

When was this NPI record last updated?

The NPPES record for Edward Leblanc was last updated on September 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.