MR. MICAH JAMES LEESTMA D.O.
NPI 1013201623
Family Medicine in Demotte, IN

Active since June 01, 2011PECOS EnrolledAccepts Medicare Assignment
70.48/100
CMS Quality Rating
519 N HALLECK ST, DEMOTTE, IN 46310(219) 987-7750(219) 987-5750 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Micah James Leestma D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MICAH JAMES LEESTMA D.O. (NPI 1013201623) is an individual family medicine provider in Demotte, Indiana, licensed in Indiana (02004123A) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Central Dupage Hospital, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (2011).

NPPES Registry Identity

NPI1013201623
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMR. MICAH JAMES LEESTMACredential: D.O.
Location Address519 N HALLECK STDemotte, IN 46310-9553
Mailing Address519 N Halleck StDemotte, IN 46310-9553 · (219) 987-7750 · Fax (219) 987-5750
Fax(219) 987-5750
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2011
Enumeration DateJune 1, 2011
Last NPPES UpdateApril 23, 2025
NPPES CertifiedApril 23, 2025
NPI 1013201623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IN · 02004123A
Definition
Family 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.
519 N HALLECK ST, Demotte, IN 46310

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Micah James Leestma D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133342462
PECOS Enrollment IDI20140805001419
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 22

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
599 services209 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
355 services54 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
262 services48 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
237 services137 patients
Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458
This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.
168 services43 patients
Osteopathic manipulative treatment, 5-6 body regions 98927
Osteopathic Manipulative Treatment (OMT) is a hands-on method where doctors use their hands to diagnose, treat, and prevent illness or injury. In a 5-6 body regions OMT, the doctor applies techniques on those areas to enhance your body's natural healing process.
106 services21 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

St Mary Medical Center Inc

Acute Care Hospitals · Hobart, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150034
Location1500 S Lake Park AveHobart, IN 46342 · Lake County
Emergency services Birthing friendly

Franciscan Health Crown Point

Acute Care Hospitals · Crown Point, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150126
Location12750 Saint Francis DriveCrown Point, IN 46307 · Lake County
Emergency services Birthing friendly

Pinnacle Hospital

Acute Care Hospitals · Crown Point, IN
OwnershipPhysician
CMS Certification Number150166
Location9301 Connecticut DrCrown Point, IN 46307 · Lake County

Franciscan Health Rensselaer, Inc

Critical Access Hospitals · Rensselaer, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number151324
Location1104 E Grace StRensselaer, IN 47978 · Jasper County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46310 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

70.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality79.69
Promoting Interoperability96
Improvement Activities40
Cost25.27

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
0%82 patients
Appropriate Treatment for Upper Respiratory Infection (URI)
22%49 patients1/55-star benchmark: 100%
Breast Cancer Screening
36%284 patients2/55-star benchmark: 93%
Cervical Cancer Screening
15%359 patients1/55-star benchmark: 98%
Chlamydia Screening for Women
13%48 patients
Closing the Referral Loop: Receipt of Specialist Report
23%371 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
16%852 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
78%564 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
12%243 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
37%243 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
95%3,678 patients4/55-star benchmark: 100%
e-Prescribing
98%3,700 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
25%496 patients2/55-star benchmark: 100%
HIV Screening
4%1,145 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
18%1,509 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
9%1,352 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
23%1,810 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 11% · 1,327 patients
Patients screened: 13% · 1,327 patients
66%56 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
65%1,010 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
71%355 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 3% · 473 patients
Patients totalRate: 13% · 529 patients
15%529 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers28 claims88 services$5.38 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers12 claims16 services$0.99 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers16 claims16 services$68.65 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers16 claims16 services$32.24 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers14 claims14 services$189.43 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
519 N HALLECK ST
DEMOTTE, IN 46310
Family Medicine
519 N HALLECK ST
DEMOTTE, IN 46310
Nurse Practitioner (Family)
519 N HALLECK ST
DEMOTTE, IN 46310
Family Medicine
519 N HALLECK ST
DEMOTTE, IN 46310

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Micah Leestma's NPI number?

The NPI number for Micah Leestma is 1013201623. It was assigned to this individual provider in the NPPES registry on June 1, 2011.

Where is Micah Leestma located?

Micah Leestma practices at 519 N Halleck St, Demotte, IN 46310. The listed phone number is (219) 987-7750.

What is Micah Leestma's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Micah Leestma enrolled in Medicare?

Yes. Micah Leestma is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Micah Leestma accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and UnitedHealthcare list Micah Leestma as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Micah Leestma affiliated with any hospitals?

According to CMS data, Micah Leestma is affiliated with Northwestern Medicine Central Dupage Hospital, St Mary Medical Center Inc, Franciscan Health Crown Point, Pinnacle Hospital and Franciscan Health Rensselaer, Inc.

When was this NPI record last updated?

The NPPES record for Micah Leestma was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.