Active NPI 1780682153 Individual Practitioner Male Practitioner

Dr. Keith C Leatherbury , MD

Surgery • Fremont, NE

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Keith Leatherbury, MD is a certified Surgery practicing in Fremont, NE. With approximately 39 years of clinical experience since completing medical education in 1987, Dr. Leatherbury delivers high-quality medical care to the local community at 2830 N CLARKSON ST.

Dr. Leatherbury is affiliated with Physicians Clinic Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, removal of skin and tissue, 20.0 sq cm or less. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2830 N Clarkson St

Fremont, NE 680257718

Telephone 4027216333

Fax 4027216320

Associated Practice Facility / Clinic

🏢 Fremont Medical Associates, P.c. Facility NPI 1164459509

Medicare Profile & Education

Medical School

Other

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Fremont, NE

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

39 Yrs +12.5 yrs vs City Avg

City Avg: 26.5 Yrs

State Avg: 24.0 Yrs

Regional Practice Density

2 Specialists

Practicing in Fremont, NE (239 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

71.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Leatherbury (39 Years) 39 Yrs

Fremont Specialty Average (26.5 Years) 26.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	289	118	$255.00	$61.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$288.00	$91.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	60	52	$122.97	$36.04
11042 Removal of skin and tissue, 20.0 sq cm or less	54	24	$334.00	$56.03
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	20	15	$41.00	$15.21
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$372.00	$118.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$441.00	$152.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	262	125	$243.00	$62.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$274.00	$88.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	32	$110.00	$40.73
11042 Removal of skin and tissue, 20.0 sq cm or less	31	22	$318.00	$52.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$420.00	$153.79
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	12	$102.00	$45.51
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$354.00	$120.10
15853 Removal of sutures or staples	13	12	$28.00	$10.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	308	106	$177.61	$62.41
11042 Removal of skin and tissue, 20.0 sq cm or less	67	38	$303.00	$54.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	63	54	$105.00	$33.22
99213 Established patient office or other outpatient visit, typically 15 minutes	60	47	$207.17	$72.49
99231 Follow-up hospital inpatient care per day, typically 15 minutes	57	25	$97.00	$35.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$261.00	$99.69
99221 Initial hospital inpatient care per day, typically 30 minutes	32	30	$248.00	$91.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$400.00	$154.93
47562 Removal of gallbladder using an endoscope	20	20	$1623.75	$562.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$261.00	$77.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$105.00	$49.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$263.00	$120.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	156	86	$182.34	$64.06
11042 Removal of skin and tissue, 20.0 sq cm or less	76	47	$294.00	$56.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	64	47	$104.50	$33.88
99213 Established patient office or other outpatient visit, typically 15 minutes	42	33	$178.26	$84.25
99231 Follow-up hospital inpatient care per day, typically 15 minutes	42	23	$94.00	$36.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$254.94	$105.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$258.36	$78.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	19	$103.74	$53.10
99221 Initial hospital inpatient care per day, typically 30 minutes	21	21	$241.00	$94.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$394.53	$158.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	15	$259.63	$122.72
47562 Removal of gallbladder using an endoscope	16	16	$1658.44	$599.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	85	62	$166.34	$56.38
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	77	43	$102.00	$24.57
99213 Established patient office or other outpatient visit, typically 15 minutes	52	31	$171.00	$49.31
11042 Removal of skin and tissue, 20.0 sq cm or less	47	26	$293.30	$57.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$249.89	$98.92
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	38	36	$319.82	$128.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	29	$246.67	$84.37
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	32	13	$239.00	$99.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	22	$100.73	$36.29
99231 Follow-up hospital inpatient care per day, typically 15 minutes	22	13	$94.00	$37.83
11042 Removal of skin and tissue, 20.0 sq cm or less	20	12	$261.00	$56.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$253.00	$72.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$385.57	$153.45
47562 Removal of gallbladder using an endoscope	12	12	$1607.50	$610.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	262	129	$162.85	$48.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	117	67	$241.23	$74.76
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	69	28	$233.78	$99.42
99213 Established patient office or other outpatient visit, typically 15 minutes	68	49	$159.09	$48.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$239.49	$72.00
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	46	45	$306.70	$130.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	44	41	$97.91	$24.27
11042 Removal of skin and tissue, 20.0 sq cm or less	32	20	$256.31	$57.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$234.00	$72.06
49505 Repair of groin hernia (5 years or older)	14	14	$1131.43	$484.83
47562 Removal of gallbladder using an endoscope	12	12	$1333.73	$563.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$362.09	$122.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	373	164	$156.60	$48.27
11042 Removal of skin and tissue, 20.0 sq cm or less	91	54	$248.00	$58.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	74	56	$93.99	$23.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	68	68	$231.12	$71.38
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	64	26	$224.20	$98.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	55	$231.75	$74.16
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	43	41	$297.60	$128.50
97597 Removal of tissue from wound, 20.0 sq cm or less	43	28	$178.16	$23.06
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	24	15	$158.33	$68.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$353.25	$120.91
47562 Removal of gallbladder using an endoscope	12	12	$1301.63	$554.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	252	145	$154.00	$47.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	168	124	$92.00	$23.87
97597 Removal of tissue from wound, 20.0 sq cm or less	120	78	$177.00	$22.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	83	83	$227.00	$71.38
11042 Removal of skin and tissue, 20.0 sq cm or less	70	48	$244.00	$56.99
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	43	20	$155.00	$68.17
99202 New patient office or other outpatient visit, typically 20 minutes	23	23	$157.00	$47.48
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$293.00	$128.40
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	19	11	$223.00	$98.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	16	$228.00	$74.08
47562 Removal of gallbladder using an endoscope	15	15	$1358.00	$595.09

Medical Specialties & State Licenses

CMS Verified: 2021-09-03

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NE 18655

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Specialist

NUCC Taxonomy Code: 174400000X

State License NE 18655

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Hospital & Practice Group Affiliations

Physicians Clinic Inc

450 E 23rd St, Fremont, NE 680252303

Phone: 4029785656

Physicians Clinic Inc

2830 N Clarkson St, Fremont, NE 680257718

Physicians Clinic Inc

10060 Regency Cir, Omaha, NE 681143732

Phone: 4023541570

Physicians Clinic Inc

8303 Dodge St, Omaha, NE 681144108

Phone: 4023548163

Physicians Clinic Inc

450 E 23rd St, Fremont, NE 680252303

Phone: 4027211610

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Dr. Stephen Dreyer , MD

Specialist

NPI 1639177009

Doctor of Medicine (M.D.)

Dr. Christopher Gartin , MD

Surgery

NPI 1780948919

Doctor of Medicine (M.D.)

Dr. Jacob Wiesen , MD

General Practice

NPI 1831317346

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active March 15, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location March 15, 2011

Registered at 2830 N CLARKSON ST, FREMONT, NE 680257718 (Tel: 4027216333)

📍

Updated Business Mailing Address March 15, 2011

Registered at 2830 N CLARKSON ST, FREMONT, NE 680257718 (Tel: 4027216333)

👤

Provider Name / Credentials Updated March 15, 2011

Recorded as KEITH LEATHERBURY, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 15, 2011

Specialist (License #18655 in NE)

🟢

Initial NPI Registration & Enumeration July 11, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1780682153

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 11, 2005

Last Update: September 03, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2830 N Clarkson St

Fremont, NE 680257718

Phone: 4027216333

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.