MR. JOHN D LEDBETTER D.O.
NPI 1750355004
Family Medicine in San Antonio, TX

NPI Status: Active since February 14, 2006

Contact Information

1303 MCCULLOUGH AVE
STE 135
SAN ANTONIO, TX
ZIP 78212
Phone: (210) 227-9214
Fax: (210) 476-8515

Get Directions Reviews

  • Individual
  • Male
  • Years of Experience 29
  • Family Medicine
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled
  • Medicare Quality Reporting

About JOHN LEDBETTER

This page provides the complete NPI Profile along with additional information for John Ledbetter, a primary care provider established in San Antonio, Texas with a medical specialization in Family Medicine and more than 29 years of experience. He graduated from University Of North Texas Hsc, College Of Osteopathic Med in 1997. The healthcare provider is registered in the NPI registry with number 1750355004 assigned on February 2006. The practitioner's primary taxonomy code is 207Q00000X with license number K5598 (TX). The provider is registered as an individual and his NPI record was last updated 16 years ago.

NPI
1750355004
Provider Name
MR. JOHN D LEDBETTER D.O.
Gender
Male
Entity Type
Individual
Location Address
1303 MCCULLOUGH AVE STE 135 SAN ANTONIO, TX 78212
Location Phone
(210) 227-9214
Location Fax
(210) 476-8515
Mailing Address
1303 MCCULLOUGH AVE STE 135 SAN ANTONIO, TX 78212
Mailing Phone
(210) 227-9214
Mailing Fax
(210) 476-8515
Medical School Name
UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Graduation Year
1997
Is Sole Proprietor?
No
Enumeration Date
02-14-2006
Last Update Date
11-12-2009
Code Navigator

A primary care provider (PCP) like John Ledbetter sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
K5598
License State
TX
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Gold 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
  • Gold 3 Advanced: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Gold 3 Advanced: Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
  • Gold 4 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Gold S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
  • Silver 5 Advanced: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Silver S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Silver S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 + Adult Dental+Vision - 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.

*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
G81381MEDICARE UPIN (02)TX 
8561K0MEDICARE ID-TYPE UNSPECIFIED (04)TX 
1358285MEDICAID (05)TX 

Medicare Participation & PECOS Enrollment Status

John Ledbetter is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

John Ledbetter 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

  • PECOS PAC ID: 6901093087

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20101215000768

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • 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

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Other DME (DE017N)

    Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)

    8 DME suppliers used 25 Medicare Claims 72 Services Paid

  • DME-Medical/Surgical Supplies (DA000N)

    Lancets, per box of 100 (HCPCS:A4259)

    4 DME suppliers used 12 Medicare Claims 20 Services Paid

  • DME-Hospital Beds (DB000N)

    Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress (HCPCS:E0260)

    1 DME suppliers used 12 Medicare Claims 12 Services Paid

  • DME-Oxygen and Supplies (DC002N)

    Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)

    3 DME suppliers used 18 Medicare Claims 18 Services Paid

  • DME-Wheelchairs (DD000N)

    Lightweight wheelchair (HCPCS:K0003)

    1 DME suppliers used 13 Medicare Claims 13 Services Paid

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.

Administration of influenza virus vaccine

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

This service was performed 53 times for 53 patients

Administration of vaccine

Administering a vaccine involves injecting a small, safe piece of a virus or bacteria into your body. This triggers your immune system to recognize and fight off the disease in the future. It's a vital tool in preventing serious illnesses and maintaining public health.

This service was performed 21 times for 21 patients

Established patient office or other outpatient visit, 20-29 minutes

This 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 192 times for 147 patients

Established patient office or other outpatient visit, 30-39 minutes

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.

This service was performed 229 times for 195 patients

Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free

The quadrivalent influenza vaccine is a flu shot that protects against four different flu viruses. Derived from cell cultures, it is free of preservatives and antibiotics. It's a safe and effective way to reduce your risk of getting the flu.

This service was performed 43 times for 43 patients

Injection of drug or substance under skin or into muscle

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

This service was performed 53 times for 26 patients

Injection, methylprednisolone acetate, 80 mg

Methylprednisolone acetate is a strong anti-inflammatory medication. It is often given as an 80 mg injection to reduce inflammation and pain. It's commonly used for conditions like arthritis, allergic disorders, or other inflammatory diseases.

This service was performed 16 times for 15 patients

Insertion of needle into vein for collection of blood sample

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

This service was performed 109 times for 98 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

This service was performed 14 times for 14 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $21.23 for a new patient copayment and $24.26 for an established patient copayment.

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 78212 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $84.92
  • Minimum New Patient Price $54.84
  • Maximum New Patient Price $166.88
  • Average New Patient Copayment $21.23
  • Minimum New Patient Copayment $13.71
  • Maximum New Patient Copayment $41.72

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $97.05
  • Minimum Established Patient Price $17.52
  • Maximum Established Patient Price $136.11
  • Average Established Patient Copayment $24.26
  • Minimum Established Patient Copayment $4.38
  • Maximum Established Patient Copayment $34.02

* 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.

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Colorectal Cancer Screening 79% 103
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
Pneumococcal Vaccination Status for Older Adults 72% 160
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 100% 233
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2
Preventive Care and Screening: Screening for Depression and Follow-Up Plan 89% 141
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen

Reviews for MR. JOHN D LEDBETTER D.O.

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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.
1750355004
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27100651000
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 6 + 5 + 1 + 0 + 0 + 0 + 24 = 46
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 46 = 44

The NPI number 1750355004 is valid because the calculated check digit 4 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
1386645372DR. VICTOR IVAN LYDAY M.D.
Individual
Orthopaedic Surgery (Hand Surgery)1303 MCCULLOUGH AVE SUITE 361
SAN ANTONIO, TX 78212
(210) 224-2639
1285626853DR. JOSE F CAVAZOS M.D.
Individual
Family Medicine (Adult Medicine)1303 MCCULLOUGH AVE 533
SAN ANTONIO, TX 78212
(210) 226-5229
1265428577DR. ERIC SCHAFFER MD
Individual
Plastic Surgery1303 MCCULLOUGH AVE STE 363
SAN ANTONIO, TX 78212
(210) 227-3223
1104815075 MARK A ISAEFF M.D.
Individual
Internal Medicine1303 MCCULLOUGH AVE SUITE 542
SAN ANTONIO, TX 78212
(210) 572-4431
1083603252DR. DANIEL A CALDERON M.D.
Individual
Obstetrics & Gynecology1303 MCCULLOUGH AVE SUITE GL70
SAN ANTONIO, TX 78212
(210) 226-9705
1760471825DR. ORLANDO J SURIS M.D.
Individual
Obstetrics & Gynecology1303 MCCULLOUGH AVE SUITE GL70
SAN ANTONIO, TX 78212
(210) 226-9705
1386633535DR. DOMINGO PADILLA, JR M.D.
Individual
Specialist1303 MCCULLOUGH AVE SUITE GL70
SAN ANTONIO, TX 78212
(210) 226-9705
1821070863 AMBER GRAPEVINE MS, RD
Individual
Dietitian, Registered1303 MCCULLOUGH AVE SUITE GL 70
SAN ANTONIO, TX 78212
(210) 226-9705
1457334328DR. JAMES HAROLD VERNIER M.D.
Individual
Anesthesiology1303 MCCULLOUGH AVE SUITE 229
SAN ANTONIO, TX 78212
(210) 477-9699
1346223260DR. HAROLD G. FELTER M.D.
Individual
Internal Medicine (Cardiovascular Disease)1303 MCCULLOUGH AVE SUITE 300
SAN ANTONIO, TX 78212
(210) 271-7221
1275516700 JOHN J DELEON JR. M.D.
Individual
Urology1303 MCCULLOUGH AVE SUITE 166
SAN ANTONIO, TX 78212
(210) 225-4444
1013993096DR. ROBERT JAY MAGNON M.D.
Individual
Dermatology1303 MCCULLOUGH AVE SUITE 525
SAN ANTONIO, TX 78212
(210) 225-2769
1427038819 MICHELLE PATIN FOOTE M.D.
Individual
Obstetrics & Gynecology1303 MCCULLOUGH AVE GL70
SAN ANTONIO, TX 78212
(210) 226-9705
1255301149DR. JEANNIE ALLYSON BAQUERO M.D.
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)1303 MCCULLOUGH AVE SUITE 374
SAN ANTONIO, TX 78212
(210) 223-5483
1760428619 NEERA BHATIA MD
Individual
Obstetrics & Gynecology1303 MCCULLOUGH AVE #237
SAN ANTONIO, TX 78212
(210) 222-2694
1750310934DR. JOHN E. ETLINGER M.D.
Individual
Surgery1303 MCCULLOUGH AVE SUITE 235
SAN ANTONIO, TX 78212
(210) 229-9290
1477583367DR. MARVIN SAM BELASCO M.D.
Individual
Specialist1303 MCCULLOUGH AVE 125
SAN ANTONIO, TX 78212
(210) 223-5443
1366472250O'NEILL & ASSOCIATES P.A.
Organization
Specialist1303 MCCULLOUGH AVE 125
SAN ANTONIO, TX 78212
(210) 223-5543
1285665711 DONALD LENOIR MD
Individual
Anesthesiology1303 MCCULLOUGH AVE SUITE 229
SAN ANTONIO, TX 78212
(210) 477-9699
1922030394 BOYCE B. OLIVER M.D.
Individual
Surgery1303 MCCULLOUGH AVE SUITE 235
SAN ANTONIO, TX 78212
(210) 225-1916

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750355004, enumerated in the NPI registry as an "individual" on February 14, 2006

The provider is located at 1303 Mccullough Ave Ste 135 San Antonio, Tx 78212 and the phone number is (210) 227-9214

The provider's speciality is Family Medicine with taxonomy code 207Q00000X

The provider has more than 29 years of experience. He graduated from University Of North Texas Hsc, College Of Osteopathic Med in 1997.

The provider might be accepting Accepts: Aetna CVS Health, Medicare and Medicaid. 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 $84.92 with an average copayment of $21.23 for new patient appointments. Established patients should expect a typical charge of $97.05 and an average copayment of 24.26. 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: Administration of influenza virus vaccine, Administration of vaccine, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free, Injection of drug or substance under skin or into muscle, Injection, methylprednisolone acetate, 80 mg, Insertion of needle into vein for collection of blood sample and Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report.

This NPI record was last updated on February 14, 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.