LESLIE PAUL EDGCOMB M.D. NPI 1629014022

NPI Information

  • NPI: 1629014022
  • Provider Name: LESLIE PAUL EDGCOMB, M.D.
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5668 E STATE ST
    ROCKFORD, IL
    ZIP 61108
  • Phone: (815) 229-7580

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NPI Details

Leslie Paul Edgcomb, M.D. is a vascular surgery surgery in Rockford, IL. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Leslie Paul Edgcomb, M.D. NPI is 1629014022. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5668 E STATE ST
ROCKFORD, IL
ZIP 61108-464
Phone: (815) 229-7580

The NPI 1629014022 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Removal of tissue from wound, 20.0 sq cm or less (HCPCS:97597)
  • Complete ultrasound study of arm and leg arteries (HCPCS:93923)
  • Ultrasound study of arm and leg arteries (HCPCS:93922)

The enumeration date for this NPI number is 6/22/2006 and was last updated on 10/6/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0129XSurgeryVascular Surgery036072104ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1747120MEDICARE ID-TYPE UNSPECIFIED
230696600MEDICAIDWISCONSIN
3036072104MEDICAIDILLINOIS
4020017328OTHERRAILROAD MEDICARE
5A75172MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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