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

Jeffrey Mark Lebaron

Individual provider Surgical Physician Assistant · NPI 1548842610

Jeffrey Mark Lebaron is a Physician Assistant in Farmington, Connecticut. Qualified in 2021, 5 years ago. Practices with State of Connecticut, a 267-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
5
Licensed in
CT
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

263 Farmington Ave
Farmington, CT 06030-0001
Phone: (860) 679-2588
Fax: (860) 679-4015
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 80 Seymour St, Hartford, CT 06106-3300 — (860) 545-5000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5287 (CT)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 23.005287 (CT)

Record details

NPI number1548842610
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 27, 2021
Last updated in NPPESOctober 13, 2022
Certification dateOctober 13, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice State Of Connecticut — 267 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Farmington