Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Thomas Mark Leibold, MD

Individual provider Surgery Physician · NPI 1255362430

Dr. Thomas Mark Leibold, MD is a General Surgery in Lake St Louis, Missouri. Graduated from University of Florida College of Medicine in 2000, 26 years ago. Practices with SSM Medical Group Inc, a 560-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
26
Trained at
University of Florida College of Medicine
Licensed in
MO
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

300 Medical Plz Ste 310
Lake St Louis, MO 63367-1484
Phone: (636) 625-2662
Fax: (636) 625-6623
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 2006017165 (MO)

Record details

NPI number1255362430
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 5, 2006
Last updated in NPPESOctober 23, 2020
Certification dateOctober 23, 2020
Mailing addressPo Box 955534, Saint Louis, MO 63195-5534

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduated 2000 (26 years in practice)
Group practice Ssm Medical Group Inc — 560 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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