1. Home
  2. Directory
  3. Pennsylvania
  4. Lebanon
  5. Thoracic Surgery Cardiothoracic Vascular Surgery
  6. NPI Profile

MARTIN LEBOUTILLIER III M.D.
NPI 1831152651
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Lebanon, PA

Active since April 11, 2006PECOS EnrolledAccepts Medicare Assignment
FOURTH & WALNUT STS, 2ND FL, LEBANON, PA 17042(717) 270-3751(717) 270-3754 Get Directions Write a Review

NPPES record last updated: July 20, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Martin Leboutillier Iii M.d. NPPES

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

MARTIN LEBOUTILLIER III M.D. (NPI 1831152651) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Lebanon, Pennsylvania, licensed in Pennsylvania (MD065743L) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Wellspan Good Samaritan Hospital, and is a graduate of Columbia University College Of Physicians And Surgeons (1990).

NPPES Registry Identity

NPI1831152651
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameMARTIN LEBOUTILLIER IIICredential: M.D.
Location AddressFOURTH & WALNUT STS, 2ND FLLebanon, PA 17042-1281
Mailing AddressFourth & Walnut Sts, 2nd FlLebanon, PA 17042-1281 · (717) 270-3751 · Fax (717) 270-3754
Phone(717) 270-3751
Fax(717) 270-3754
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 1990
Enumeration DateApril 11, 2006
Last NPPES UpdateJuly 20, 2016
✔ NPI 1831152651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in PA · MD065743L
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
FOURTH & WALNUT STS, Lebanon, PA 17042
Open in Google Maps ↗

Other Identifiers 8

Medicaid001708549PA
Medicare PIN013897FLTPA
Medicare UPING76986
Medicare PIN013897PA
Other30139141PA · Amerihealth Mercy-wmg
Other1511587PA · Gateway
Medicaid058255700MD
Other976216PA · Highmark Blue Shield

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

Martin Leboutillier Iii M.d. 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 ID6002712866
PECOS Enrollment IDI20031211000445
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 artery from arm for heart bypass graft using an endoscope 33509
This procedure involves taking an artery from your arm using a small camera (endoscope). This artery is then used to bypass a blocked artery in your heart, improving blood flow and heart health. It's a common, safe procedure.
13 services13 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Wellspan Good Samaritan Hospital

Acute Care Hospitals · Lebanon, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390066
Location252 South 4th StreetLebanon, PA 17042 · Lebanon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17042 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
$166.87 typical visit price
range $54.64 – $166.87
Typical copayment $41.71 (range $13.66 – $41.71)
Most-billed visit code 99205
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

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 Martin Leboutillier's NPI number?

The NPI number for Martin Leboutillier is 1831152651. It was assigned to this individual provider in the NPPES registry on April 11, 2006.

Where is Martin Leboutillier located?

Martin Leboutillier practices at Fourth & Walnut Sts 2nd Fl, Lebanon, PA 17042. The listed phone number is (717) 270-3751.

What is Martin Leboutillier's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Martin Leboutillier enrolled in Medicare?

Yes. Martin Leboutillier 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.

Is Martin Leboutillier affiliated with any hospitals?

According to CMS data, Martin Leboutillier is affiliated with Wellspan Good Samaritan Hospital.

When was this NPI record last updated?

The NPPES record for Martin Leboutillier was last updated on July 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.