DR. TIMOTHY ADAM LEONE DO
NPI 1043411259
Surgery in Statesville, NC

Active since May 29, 2007PECOS EnrolledAccepts Medicare Assignment
96.56/100
CMS Quality Rating
1414 FERN CREEK DR, STATESVILLE, NC 28625(704) 660-4968(704) 660-4969 Get Directions Write a Review

NPPES record last updated: November 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 2, 2021, Sep 29, 2021, May 13, 2019 and 1 more (4 updates tracked since 2017).

About Dr. Timothy Adam Leone Do NPPES

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

DR. TIMOTHY ADAM LEONE DO (NPI 1043411259) is an individual surgery provider in Statesville, North Carolina, licensed in North Carolina (2021-02421) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Penn Highlands Dubois, and is a graduate of Philadelphia College Of Osteopathic Medicine (2002).

NPPES Registry Identity

NPI1043411259
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. TIMOTHY ADAM LEONECredential: DO
Location Address1414 FERN CREEK DRStatesville, NC 28625-9376
Mailing Address1414 Fern Creek DrStatesville, NC 28625-9376 · (704) 660-4968 · Fax (704) 660-4969
Fax(704) 660-4969
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2002
Enumeration DateMay 29, 2007
Last NPPES UpdateNovember 2, 20214 updates tracked since enumeration
NPPES CertifiedNovember 2, 2021
NPI 1043411259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses Licensed in NC · 2021-02421 Licensed in PA · OS012891
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1414 FERN CREEK DR, Statesville, NC 28625

Other Identifiers 1

Medicaid101972098PA

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

Dr. Timothy Adam Leone Do 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 ID9739288994
PECOS Enrollment IDI20070628000490
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 2

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
29 services28 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Penn Highlands Dubois

Acute Care Hospitals · Dubois, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390086
Location100 Hospital AvenueDubois, PA 15801 · Clearfield County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28625 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
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.

96.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability95.96
Improvement Activities40

Other Providers at the Same Location NPPES 8

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

Orthopaedic Surgery (Sports Medicine)
1414 FERN CREEK DR
STATESVILLE, NC 28625
Physical Therapist
1414 FERN CREEK DR
STATESVILLE, NC 28625
Physician Assistant
1414 FERN CREEK DR
STATESVILLE, NC 28625
Orthopaedic Surgery
1414 FERN CREEK DR
STATESVILLE, NC 28625
Allergy & Immunology
1414 FERN CREEK DR
STATESVILLE, NC 28625
Allergy & Immunology
1414 FERN CREEK DR
STATESVILLE, NC 28625
Family Medicine
1414 FERN CREEK DR
STATESVILLE, NC 28625
Family Medicine
1414 FERN CREEK DR
STATESVILLE, NC 28625

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 Timothy Leone's NPI number?

The NPI number for Timothy Leone is 1043411259. It was assigned to this individual provider in the NPPES registry on May 29, 2007.

Where is Timothy Leone located?

Timothy Leone practices at 1414 Fern Creek Dr, Statesville, NC 28625. The listed phone number is (704) 660-4968.

What is Timothy Leone's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Timothy Leone enrolled in Medicare?

Yes. Timothy Leone 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.

Is Timothy Leone affiliated with any hospitals?

According to CMS data, Timothy Leone is affiliated with Penn Highlands Dubois.

When was this NPI record last updated?

The NPPES record for Timothy Leone was last updated on November 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.