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KARLA LEDOUX DO
NPI 1760440341
Psychiatry & Neurology - Neurology in Lakeland, FL

Active since May 03, 2006PECOS EnrolledAccepts Medicare Assignment
1600 LAKELAND HILLS BLVD, LAKELAND, FL 33805(863) 680-7300(866) 264-8519 Get Directions Write a Review

NPPES record last updated: September 21, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 9, 2023, Feb 12, 2019, Jan 16, 2019 and 11 more (14 updates tracked since 2016).

About Karla Ledoux Do NPPES

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

KARLA LEDOUX DO (NPI 1760440341) is an individual neurology provider in Lakeland, Florida, licensed in Florida (OS6654) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Piedmont Fayette Hospital, and maintains a secondary practice location in Owensboro.

NPPES Registry Identity

NPI1760440341
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameKARLA LEDOUXCredential: DO
Location Address1600 LAKELAND HILLS BLVDLakeland, FL 33805-3019
Mailing Address7201 Spring Valley DrTampa, FL 33615-2114
Phone(863) 680-7300
Fax(866) 264-8519
Sole ProprietorNo
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 1992
Enumeration DateMay 3, 2006
Last NPPES UpdateSeptember 21, 202314 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2023
✔ NPI 1760440341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in FL · OS6654✔ Licensed in NC · 2014-00489✔ Licensed in KY · 04089
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1600 LAKELAND HILLS BLVD, Lakeland, FL 33805
Open in Google Maps ↗

Secondary Practice Location 1

Location 11301 Pleasant Valley Rd Ste 300Owensboro, KY 42303-9774 · Phone (270) 417-7830 · Fax (270) 417-7839

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Karla Ledoux 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 ID5193880235
PECOS Enrollment IDI20170221002917, I20241101002781
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Karla Ledoux reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lee Memorial Health System
98 mi
Federally Qualified Health Center (FQHC)
3210 DR MARTIN LUTHER KING BLVD
Fort Myers, FL 33916
  • Reassigned Medicare billing, Florida enrollment
  • 1,345 clinicians in this Medicare group
NPI 1447099973 (239) 343-6050
Lee Health System Inc
107 mi
Internal Medicine
9981 S HEALTHPARK DR
Fort Myers, FL 33908
  • Reassigned Medicare billing, Florida enrollment
  • 1,899 clinicians in this Medicare group
NPI 1942058557 (239) 424-1500
Piedmont Providers LLC
466 mi
Internal Medicine
220 J L WHITE DR STE 120
Jasper, GA 30143
  • Reassigned Medicare billing, Georgia enrollment
  • 689 clinicians in this Medicare group
NPI 1548273592 (770) 801-2500
Owensboro Health Medical Group Inc
668 mi
Otolaryngology
1501 S DIXIE ST
Horse Cave, KY 42749
  • Reassigned Medicare billing, Kentucky enrollment
  • 643 clinicians in this Medicare group
NPI 1891177556 (270) 786-2191
Baptist Health Medical Group Inc
703 mi
Internal Medicine
2413 RING RD STE 100
Elizabethtown, KY 42701
  • Reassigned Medicare billing, Kentucky enrollment
  • 967 clinicians in this Medicare group
NPI 1093338527 (270) 737-0077

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 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.
89 services71 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
32 services28 patients

Hospital Affiliations CMS Care Compare 3

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

Piedmont Fayette Hospital

Acute Care Hospitals · Fayetteville, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110215
Location1255 Highway 54 WestFayetteville, GA 30214 · Fayette County
Emergency services Birthing friendly

Piedmont Newnan Hospital, Inc

Acute Care Hospitals · Newnan, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110229
Location745 Poplar RoadNewnan, GA 30265 · Coweta County
Emergency services Birthing friendly

Owensboro Health Regional Hospital

Acute Care Hospitals · Owensboro, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180038
Location1201 Pleasant Valley RoadOwensboro, KY 42303 · Daviess County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33805 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 20

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

DAWN M PALASZEWSKI M.D.
Obstetrics & Gynecology
1600 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 680-7000
DR. JULIA MCNEICE DO
Internal Medicine
1600 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 680-7190
CHEZA MARIE WILKINSON APRN
Nurse Practitioner
1600 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 680-7490
FRANCES MARIE HARRIS MD
Anesthesiology
1600 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 680-7000
ROBERT H BEVIS MD
Internal Medicine
1600 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 680-7190
DANTON MANABAT SUN MD
Family Medicine
1600 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 680-7190
DR. LILLIAM S. CHIQUES-COLON MD
Internal Medicine
1600 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 680-7190
ANNA M DE LA TORRE CRNA
Nurse Anesthetist, Certified Registered
1600 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 680-7000

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 Karla Ledoux's NPI number?

The NPI number for Karla Ledoux is 1760440341. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Where is Karla Ledoux located?

Karla Ledoux practices at 1600 Lakeland Hills Blvd, Lakeland, FL 33805. The listed phone number is (863) 680-7300.

What is Karla Ledoux's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Karla Ledoux enrolled in Medicare?

Yes. Karla Ledoux 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.

Which organizations bill Medicare for Karla Ledoux's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karla Ledoux reassigns Medicare benefits to 5 organizations: Lee Memorial Health System (Fort Myers, FL), Lee Health System Inc (Fort Myers, FL), Piedmont Providers LLC (Jasper, GA), Owensboro Health Medical Group Inc (Horse Cave, KY) and Baptist Health Medical Group Inc (Elizabethtown, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Karla Ledoux's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karla Ledoux accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and AvMed list Karla Ledoux 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 Karla Ledoux affiliated with any hospitals?

According to CMS data, Karla Ledoux is affiliated with Piedmont Fayette Hospital, Piedmont Newnan Hospital, Inc and Owensboro Health Regional Hospital.

When was this NPI record last updated?

The NPPES record for Karla Ledoux was last updated on September 21, 2023. 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.