Caleb R. Ledford, ARNP
NPI 1831438472ActiveIndividual· Nurse Practitioner· Richland, WA
Nurse Practitioner (ARNP) with Apex Spine Institute, practicing in Richland, Washington. 405 Medicare patients in 2024, $177,217 paid; nearly all of their 113 Part D prescriptions were generic (96%). Boston Scientific Corporation was the largest of 3 companies reporting payments in 2025, $113.01 in all, mostly food and beverage. Lists Kadlec Regional Medical Center as a hospital affiliation.
Overview
| NPI | 1831438472 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | ARNP |
| Sole proprietor | No |
| NPI issued | Feb 1, 2013 |
| Last updated in NPPES | Apr 11, 2022 |
| Certified by provider | Apr 11, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | AP60330346 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 405 |
|---|---|
| Services billed | 18,839 across 37 procedure codes |
| Paid by Medicare | $177,217 |
Part D prescriptions in 2024
| Prescriptions (claims) | 113 · 138 30-day fills |
|---|---|
| Patients | 55 |
| Total drug cost | $2,948 |
| Generic share | 96% of claims |
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Apex Spine InstituteRichland, WA · 10 clinicians
Hospital affiliation
- Kadlec Regional Medical CenterRichland, WA
Industry payments (Open Payments)
- 2025$113.01 · 5 payments from 3 companies
- 2024$248.94 · 5 payments from 4 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Boston Scientific Corporation | $47.92 | 2 |
| Globus Medical, Inc. | $33.46 | 1 |
| Biotronik Nro, Inc. | $31.63 | 2 |
What the 2025 payments were for
- Food and Beverage$113.01 · 5 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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