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

Individual provider Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · NPI 1831152651

Martin Leboutillier III, MD is a Thoracic Surgery in Lebanon, Pennsylvania. Graduated from Columbia University College of Physicians and Surgeons in 1990, 36 years ago. Practices with Wellspan Medical Group, a 2,342-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
36
Trained at
Columbia University College of Physicians and Surgeons
Licensed in
PA
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 Partly verified

Some contact details are missing from the federal record.

Fourth & Walnut Sts 2nd Fl
Lebanon, PA 17042-1281
Phone: (717) 270-3751
Fax: (717) 270-3754
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X · Licence MD065743L (PA)

Record details

NPI number1831152651
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 11, 2006
Last updated in NPPESJuly 20, 2016

Medicare enrollment

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

Medicare specialtyTHORACIC SURGERY
Medical schoolCOLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduated 1990 (36 years in practice)
Group practice Wellspan Medical Group — 2342 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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