ETHAN JEREMY LEDBETTER MD
NPI 1780265389
Family Medicine in Mt Pleasant, NC

Q: What is Ethan Ledbetter's NPI number?

The NPI number for Ethan Ledbetter is 1780265389. It was assigned to this individual provider in the NPPES registry on April 16, 2021.

Q: What is Ethan Ledbetter's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ethan Ledbetter was last updated on May 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since April 16, 2021PECOS EnrolledAccepts Medicare Assignment

8560 COOK ST, MT PLEASANT, NC 28124(704) 436-6521(704) 436-9505 Get Directions Write a Review

NPPES record last updated: May 21, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 21, 2021, Apr 16, 2021 (2 updates tracked since 2021).

On this page

About Ethan Jeremy Ledbetter Md NPPES

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

ETHAN JEREMY LEDBETTER MD (NPI 1780265389) is an individual family medicine provider in Mt Pleasant, North Carolina, licensed in North Carolina (303086) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Mcleod Regional Medical Center-pee Dee, and is a graduate of Brody School Of Medicine At East Carolina University (2021).

NPPES Registry Identity

NPI1780265389

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameETHAN JEREMY LEDBETTERCredential: MD

Location Address8560 COOK STMt Pleasant, NC 28124-7686

Mailing Address270 Copperfield Blvd Ne Ste 202Concord, NC 28025-2441 · (704) 721-2060 · Fax (704) 403-0470

Phone(704) 436-6521

Fax(704) 436-9505

Sole ProprietorNo

Medical School CMSBrody School Of Medicine At East Carolina UniversityGraduated 2021

Enumeration DateApril 16, 2021

Last NPPES UpdateMay 21, 20212 updates tracked since enumeration

NPPES CertifiedApril 19, 2021

✔ NPI 1780265389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NC · 303086

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.

8560 COOK ST, Mt Pleasant, NC 28124

Open in Google Maps ↗

Accepted Insurance

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

Ethan Jeremy 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 ID4385046523

PECOS Enrollment IDI20240731004262

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 Reassignment

Medicare enrollment records show Ethan Ledbetter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mcleod Loris Seacoast Hospital

127 mi

Nurse Anesthetist, Certified Registered

3655 MITCHELL ST
Loris, SC 29569

Reassigned Medicare billing, South Carolina enrollment
240 clinicians in this Medicare group

NPI 1265708119 (843) 716-7000

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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

244 services114 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

102 services101 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

51 services31 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

21 services21 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

20 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Mcleod Regional Medical Center-Pee Dee

Acute Care Hospitals · Florence, SC

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420051

Location555 E Cheves St Box 8700Florence, SC 29506 · Florence County

Emergency services Birthing friendly

Grand Strand Regional Medical Center

Acute Care Hospitals · Myrtle Beach, SC

3/5 CMS rating

OwnershipProprietary

CMS Certification Number420085

Location809 82nd ParkwayMyrtle Beach, SC 29572 · Horry County

Emergency services Birthing friendly

Mcleod Loris Hospital

Acute Care Hospitals · Loris, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420105

Location3655 Mitchell StreetLoris, SC 29569 · Horry County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28124 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 20

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

ANDREW HNAT MD

Family Medicine

8560 COOK ST
MT PLEASANT, NC 28124

Cabarrus County (704) 436-6521

LARA JUNINE PONS MD

Family Medicine

8560 COOK ST
MOUNT PLEASANT, NC 28124

Cabarrus County (704) 436-6521

CAROLINAS PHYSICIANS NETWORK INC

Clinic/Center (Rural Health)

8560 COOK ST
MT PLEASANT, NC 28124

Cabarrus County (704) 436-6521

CAROLINAS PHYSICIANS NETWORK INC

Counselor

8560 COOK ST
MT PLEASANT, NC 28124

Cabarrus County (704) 436-6521

JENNIFER KING SCOTT M.D.

Student in an Organized Health Care Education/Training Program

8560 COOK ST
MT PLEASANT, NC 28124

Cabarrus County (704) 436-6521

SUSAN RUTH ANDERSEN MD

Family Medicine

8560 COOK ST
MOUNT PLEASANT, NC 28124

Cabarrus County (704) 436-6521

CMC-NORTHEAST, INC.

Psychiatry & Neurology (Neurology)

8560 COOK ST
MT PLEASANT, NC 28124

Cabarrus County (704) 403-1911

CAROLINAS PHYSICIANS NETWORK INC

Family Medicine

8560 COOK ST
MOUNT PLEASANT, NC 28124

Cabarrus County (704) 436-6521

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 Ethan Ledbetter's NPI number?

The NPI number for Ethan Ledbetter is 1780265389. It was assigned to this individual provider in the NPPES registry on April 16, 2021.

Where is Ethan Ledbetter located?

Ethan Ledbetter practices at 8560 Cook St, Mt Pleasant, NC 28124. The listed phone number is (704) 436-6521.

What is Ethan Ledbetter's specialty?

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

Is Ethan Ledbetter enrolled in Medicare?

Yes. Ethan 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.

Which organization bills Medicare for Ethan Ledbetter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ethan Ledbetter reassigns Medicare benefits to Mcleod Loris Seacoast Hospital (Loris, SC). The 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 Ethan Ledbetter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ethan Ledbetter accept?

Health plans from Molina Healthcare list Ethan 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.

Is Ethan Ledbetter affiliated with any hospitals?

According to CMS data, Ethan Ledbetter is affiliated with Mcleod Regional Medical Center-Pee Dee, Grand Strand Regional Medical Center and Mcleod Loris Hospital.

When was this NPI record last updated?

The NPPES record for Ethan Ledbetter was last updated on May 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.