DR. DAVID DRAKE LEONARD M.D. NPI 1013077148
Family Medicine in Fairfax, VA

About DR. DAVID DRAKE LEONARD M.D.

David Leonard is a primary care provider established in Fairfax, Virginia and his medical specialization is Family Medicine with more than 37 years of experience. He graduated from Virginia Commonwealth University, School Of Medicine in 1986. The NPI number of David Leonard is 1013077148 and was assigned on December 2006. The practitioner's primary taxonomy code is 207Q00000X with license number 0101043356 (VA). The provider is registered as an individual and his NPI record was last updated 3 years ago. David Leonard operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization.

NPI
1013077148
Provider NameDR. DAVID DRAKE LEONARD M.D.
Location Address3911 OLD LEE HWY SUITE #41C FAIRFAX, VA 22030
Location Phone(703) 352-7100
Mailing Address3911 OLD LEE HWY SUITE #41C FAIRFAX, VA 22030
GenderMale
NPI Entity TypeIndividual
Medical School NameVIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduation Year1986
Is Sole Proprietor?Yes
Enumeration Date12-11-2006
Last Update Date07-22-2019

A primary care provider (PCP) like Dr. David Drake Leonard M.d. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc David Leonard is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

David Leonard is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 100, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance. The provider also has detailed performance information the following quality measures: breast cancer screening, diabetes: medical attention for nephropathy, documentation of current medications in the medical record, pneumococcal vaccination status for older adults, provide 24/7 access to mips eligible clinicians or groups who have real-time access to patient's medical record and use of high-risk medications in the elderly.

The typical physician office visit costs for Medicare beneficiaries in this area are: $26.14 for a new patient copayment and $30.05 for an established patient copayment.

The CLIA number of Dr. David Drake Leonard M.d. is 49D0221842 registered as a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued to Dr. David Drake Leonard M.d. in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.0101043356
License StateVA
Taxonomy DescriptionFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Business Address

DR. DAVID DRAKE LEONARD M.D.
3911 OLD LEE HWY
SUITE #41C
FAIRFAX, VA
ZIP 22030
Phone: (703) 352-7100
Fax: (703) 591-7106

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Mailing Address

DR. DAVID DRAKE LEONARD M.D.
3911 OLD LEE HWY
SUITE #41C
FAIRFAX, VA
ZIP 22030
Phone: (703) 352-7100
Fax: (703) 539-8579


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID1850489832
PECOS Enrollment IDI20071109000201
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 22030 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99203
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$68.56 $204.56 $104.59
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$17.14 $51.14 $26.14
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99214
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$21.87 $167.24 $120.2
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$5.46 $41.81 $30.05

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% 100
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% N/A
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

MIPS Quality Measures

The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.

Quality Measure Performance Number of Patients
Breast Cancer Screening 95% 135
Percentage of women 50 - 74 years of age who had a mammogram to screen for breast cancer
Diabetes: Medical Attention for Nephropathy 93% 45
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
Documentation of Current Medications in the Medical Record 100% 2002
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration
Pneumococcal Vaccination Status for Older Adults 85% 332
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical RecordYesN/A
- Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following:- Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care);- Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/orProvision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management.
Use of High-Risk Medications in the Elderly 12% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
332
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted.1) Percentage of patients who were ordered at least one high-risk medication2) Percentage of patients who were ordered at least two of the same high-risk medication

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1013077148 is:

CLIA Number49D0221842
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate for Provider-Performed Microscopy Procedures (PPMP)

Group Taxonomy


193200000X MULTI-SPECIALTY GROUP - This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine0101043356VANo

Taxonomy Description: a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1013077148
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2023071418
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 7 + 1 + 4 + 1 + 8 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1013077148 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1609968874DR. LIDA MARIA VARGAS D.D.S
Individual
Dentist3911 OLD LEE HWY SUITE 42 C
FAIRFAX, VA 22030
(703) 385-3800
1366502429DR. DANIELE NUNEZ M.D.
Individual
Family Medicine3911 OLD LEE HWY #41C
FAIRFAX, VA 22030
(703) 352-7100
1598825655DR. ERIC SANTO VALLONE M.D.
Individual
Internal Medicine3911 OLD LEE HWY #41C
FAIRFAX, VA 22030
(703) 352-7100
11647665721ST CLASS SLEEP DIAGNOSTICS, INC
Organization
Clinical Medical Laboratory3911 OLD LEE HWY SUITE 42-B
FAIRFAX, VA 22030
(703) 385-9222
1639542160LOUDOUN MEDICAL GROUP PC
Organization
Family Medicine3911 OLD LEE HWY SUITE 41-C
FAIRFAX, VA 22030
(703) 317-9500
1194885277DR. KATHLEEN CRANE-LEE M.D.
Individual
Family Medicine3911 OLD LEE HWY #41C
FAIRFAX, VA 22030
(703) 352-7100
1366570400FAMILY PHYSICIANS OF OLD TOWN FAIRFAX PC.
Organization
Family Medicine3911 OLD LEE HWY #41C
FAIRFAX, VA 22030
(703) 352-7100
1457662660DR. MARGARET DOLAN ROCKWOOD M.D.
Individual
Family Medicine3911 OLD LEE HWY #41C
FAIRFAX, VA 22030
(703) 352-7100

Frequently Asked Questions

What is Dr. David Leonard M.D. NPI number?

The NPI number assigned to Dr. David Leonard M.D. is 1013077148, registered as an "individual" on December 11, 2006

Where is Dr. David Leonard M.D. located?

The provider is located at 3911 Old Lee Hwy Suite #41c Fairfax, Va 22030 and the phone number is (703) 352-7100

Which is Dr. David Leonard M.D. specialty?

The provider's speciality is Family Medicine

How many years of experience does Dr. David Leonard M.D. have?

The provider has more than 37 years of experience. He graduated from Virginia Commonwealth University, School Of Medicine in 1986.

Is Dr. David Leonard M.D. registered in PECOS?

Yes, as of November 14, 2022 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

How much is a visit to Dr. David Leonard M.D.?

Medicare beneficiaries should expect a typical cost of $104.59 with an average copayment of $26.14 for new patient appointments. Established patients should expect a typical charge of $120.2 and an average copayment of 30.05. Please review your insurance plan or contact the provider directly to determine your specific costs.

What is Dr. David Leonard M.D. CLIA number?

The provider's CLIA number is 49D0221842 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..

How do I update my NPI information?

The NPI record of Dr. David Leonard M.D. was last updated on December 11, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]