LESLIE PAUL EDGCOMB M.D.
NPI 1629014022
Surgery - Vascular Surgery in Rockford, IL
NPI Status: Active since June 22, 2006
- Individual
- Male
- Surgery
- Vascular Surgery
- Accepts Insurance
- PECOS Enrolled
About LESLIE EDGCOMB
This page provides the complete NPI Profile along with additional information for Leslie Edgcomb, a provider established in Rockford, Illinois with a medical specialization in Surgery, focusing in vascular surgery . The healthcare provider is registered in the NPI registry with number 1629014022 assigned on June 2006. The practitioner's primary taxonomy code is 2086S0129X with license number 036072104 (IL). The provider is registered as an individual and his NPI record was last updated 10 years ago.
- NPI
- 1629014022
- Provider Name
- LESLIE PAUL EDGCOMB M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 5668 E STATE ST ROCKFORD, IL 61108
- Location Phone
- (815) 229-7580
- Mailing Address
- 5668 E STATE ST ROCKFORD, IL 61108
- Mailing Phone
- (815) 229-7580
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-22-2006
- Last Update Date
- 10-06-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Surgery Vascular Surgery
- Taxonomy Code
- 2086S0129X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 036072104
- License State
- IL
- Taxonomy Description
- A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Dean Bronze $0 Copay PCP Visits - HMO
- Dean Bronze Share - HMO
- Dean Catastrophic - HMO
- Dean Expanded Bronze Standard - HMO
- Dean Focus Bronze $0 Copay PCP Visits - EPO
- Dean Focus Bronze Share - EPO
- Dean Focus Catastrophic - EPO
- Dean Focus Expanded Bronze Standard - EPO
- Dean Focus Gold HSA - EPO
- Dean Focus Gold Share - EPO
- Dean Focus Gold Standard - EPO
- Dean Focus Silver $0 Copay PCP Visits - EPO
- Dean Focus Silver Share - EPO
- Dean Focus Silver Standard - EPO
- Dean Gold HSA - HMO
- Dean Gold Share - HMO
- Dean Gold Standard - HMO
- Dean Silver $0 Copay PCP Visits - HMO
- Dean Silver Share - HMO
- Dean Silver Standard - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
747120 | MEDICARE ID-TYPE UNSPECIFIED (04) | ||
30696600 | MEDICAID (05) | WI | |
036072104 | MEDICAID (05) | IL | |
020017328 | OTHER (01) | RAILROAD MEDICARE | |
A75172 | MEDICARE UPIN (02) |
Medicare Participation & PECOS Enrollment Status
Leslie Edgcomb is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Complete ultrasound study of arm and leg arteries
Established patient office or other outpatient visit, 20-29 minutes
New patient office or other outpatient visit, 45-59 minutes
Removal of skin and tissue, 20.0 sq cm or less
Removal of tissue from wound, 20.0 sq cm or less
Ultrasound of both sides of head and neck blood flow
Ultrasound study of arm and leg arteries
Ultrasound study of arm or leg veins with compression and maneuvers
Ultrasound study of one arm or leg veins with compression and maneuvers
This procedure involves using sound waves to produce images of your arm and leg arteries. It helps identify blockages or abnormalities that could lead to conditions like stroke or peripheral artery disease. It's non-invasive and painless.
This service was performed 12 times for 12 patientsThis 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.
This service was performed 180 times for 71 patientsThis is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
This service was performed 40 times for 40 patientsThis procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
This service was performed 97 times for 32 patientsThis procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
This service was performed 12 times for 11 patientsAn ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
This service was performed 40 times for 40 patientsAn ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.
This service was performed 11 times for 11 patientsAn ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
This service was performed 42 times for 42 patientsThis is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
This service was performed 52 times for 51 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 61108 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $85.71
- Minimum New Patient Price $54.8
- Maximum New Patient Price $168.44
- Average New Patient Copayment $21.42
- Minimum New Patient Copayment $13.7
- Maximum New Patient Copayment $42.11
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $68.64
- Minimum Established Patient Price $17.16
- Maximum Established Patient Price $136.56
- Average Established Patient Copayment $17.16
- Minimum Established Patient Copayment $4.29
- Maximum Established Patient Copayment $34.14
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 6 | 2 | 9 | 0 | 1 | 4 | 0 | 2 | 2 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 6 | 4 | 9 | 0 | 1 | 8 | 0 | 4 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 6 + 4 + 9 + 0 + 1 + 8 + 0 + 4 + 24 = 58 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 58 = 2 | 2 |
The NPI number 1629014022 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1992738819 | JAMES WALTER GIRARDY M.D. Individual | Surgery | 5668 E STATE ST ROCKFORD, IL 61108 (815) 397-7900 |
1528092194 | THOMAS J STIEGLITZ M.D. Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5668 E STATE ST ROCKFORD, IL 61108 (815) 397-7900 |
1447364740 | FREDRIC C. KULLBERG, M.D.S.C. Organization | Internal Medicine (Pulmonary Disease) | 5668 E STATE ST SUITE B600 ROCKFORD, IL 61108 (815) 397-7212 |
1447363866 | JOHN A. BUTLER, M.D.S.C. Organization | Internal Medicine (Pulmonary Disease) | 5668 E STATE ST SUITE B600 ROCKFORD, IL 61108 (815) 397-7212 |
1780798801 | NADEEM HANIF, M.D.S.C. Organization | Internal Medicine (Pulmonary Disease) | 5668 E STATE ST SUITE B600 ROCKFORD, IL 61108 (815) 397-7212 |
1568576734 | THEODORE S. INGRASSIA, III, M.D.S.C. Organization | Internal Medicine (Pulmonary Disease) | 5668 E STATE ST SUITE B600 ROCKFORD, IL 61108 (815) 397-7212 |
1285965905 | JOHN ERIC PLAYER DO Individual | Surgery | 5668 E STATE ST SUITE 1000 ROCKFORD, IL 61108 (815) 397-7900 |
1942485735 | SAMEER ANSAR M.D. Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 5668 E STATE ST SUITE 2000 ROCKFORD, IL 61108 (815) 381-7790 |
1477975175 | LONN E BRANDER DDS LTD Organization | Dentist | 5668 E STATE ST SUITE 1100 ROCKFORD, IL 61108 (815) 977-5281 |
1477553659 | MARK E HASTINGS MD Individual | Orthopaedic Surgery | 5668 E STATE ST SUITE 400 ROCKFORD, IL 61108 (815) 398-7755 |
1235139452 | ANDREAS J FISCHER MD Individual | Orthopaedic Surgery | 5668 E STATE ST SUITE 400 ROCKFORD, IL 61108 (815) 398-7755 |
1033183728 | DR. DAVID G CABLE M.D. Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5668 E STATE ST SUITE 1000 ROCKFORD, IL 61108 (815) 397-7900 |
1467482828 | LAWRENCE P PRABHAKAR M.D. Individual | Colon & Rectal Surgery | 5668 E STATE ST ROCKFORD, IL 61108 (815) 229-7580 |
1053344903 | JEFFREY ANDREW BARTEAU M.D. Individual | Surgery | 5668 E STATE ST ROCKFORD, IL 61108 (815) 229-7580 |
1275567703 | MARY E KELLER M.D. Individual | Surgery | 5668 E STATE ST ROCKFORD, IL 61108 (815) 229-7580 |
1104934389 | DR. ANDREW PAUL HOFFMAN M.D. Individual | Surgery | 5668 E STATE ST ROCKFORD, IL 61108 (815) 229-7580 |
1386748473 | DR. EDWARD C PYUN JR. MD Individual | Surgery | 5668 E STATE ST ROCKFORD, IL 61108 (815) 229-7580 |
1831298942 | DR. ROBERT G HODGE MD Individual | Surgery | 5668 E STATE ST ROCKFORD, IL 61108 (815) 229-7580 |
1447550884 | DR. TETSUYA TAKEUCHI M.D. Individual | Surgery | 5668 E STATE ST ROCKFORD, IL 61108 (815) 229-7580 |
1326408436 | VICTORIA MCCOY APN Individual | Nurse Practitioner | 5668 E STATE ST ROCKFORD, IL 61108 (815) 229-7580 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629014022, enumerated in the NPI registry as an "individual" on June 22, 2006
The provider is located at 5668 E State St Rockford, Il 61108 and the phone number is (815) 229-7580
The provider's speciality is Surgery with taxonomy code 2086S0129X with a focus in Vascular Surgery
The provider might be accepting Accepts: Dean Health Plan, Medicare, Medicaid and Railroad. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $85.71 with an average copayment of $21.42 for new patient appointments. Established patients should expect a typical charge of $68.64 and an average copayment of 17.16. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Complete ultrasound study of arm and leg arteries, Established patient office or other outpatient visit, 20-29 minutes, New patient office or other outpatient visit, 45-59 minutes, Removal of skin and tissue, 20.0 sq cm or less, Removal of tissue from wound, 20.0 sq cm or less, Ultrasound of both sides of head and neck blood flow, Ultrasound study of arm and leg arteries, Ultrasound study of arm or leg veins with compression and maneuvers and Ultrasound study of one arm or leg veins with compression and maneuvers.
This NPI record was last updated on June 22, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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