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EMMA LEATHAM PA-C
NPI 1043769326
Physician Assistant - Medical in Brockport, NY

Active since September 27, 2016PECOS EnrolledAccepts Medicare Assignment
156 WEST AVE, BROCKPORT, NY 14420(585) 758-7557(525) 637-5626 Get Directions Write a Review

NPPES record last updated: February 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 17, 2025, Jun 23, 2020, Sep 27, 2016 (3 updates tracked since 2016).

About Emma Leatham Pa-c NPPES

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

EMMA LEATHAM PA-C (NPI 1043769326) is an individual medical provider in Brockport, New York, licensed in New York (020181) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Spring, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1043769326
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameEMMA LEATHAMCredential: PA-C
Location Address156 WEST AVEBrockport, NY 14420-1229
Mailing Address11511 Shadow Creek PkwyPearland, TX 77584-7298 · (713) 442-0000
Phone(585) 758-7557
Fax(525) 637-5626
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 27, 2016
Last NPPES UpdateFebruary 17, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2025
✔ NPI 1043769326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NY · 020181
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA15983 (TX)
156 WEST AVE, Brockport, NY 14420
Open in Google Maps ↗

Secondary Practice Location 1

Location 122407 Holzwarth RdSpring, TX 77389-1933 · Phone (346) 674-4000

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

Emma Leatham Pa-c 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 ID8325327356
PECOS Enrollment IDI20250225003986
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier14 claims16 services$42.27 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 20

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

LAKESIDE IMAGING, LLC
Radiology (Diagnostic Radiology)
156 WEST AVE
BROCKPORT, NY 14420
Monroe County (716) 859-2954
DR. TIMOTHY VERNON HAGY M.D.
Emergency Medicine (Emergency Medical Services)
156 WEST AVE
BROCKPORT, NY 14420
Monroe County (585) 395-6095
UNIVERSITY OF ROCHESTER
Pharmacy (Community/Retail Pharmacy)
156 WEST AVE, PHARMACY
BROCKPORT, NY 14420
Monroe County (585) 758-7562
ERIK PETERSON D.O.
Emergency Medicine
156 WEST AVE, EMERGENCY DEPARTMENT
BROCKPORT, NY 14420
Monroe County (585) 395-6095
AMY LORRAINE STACY MS, RD, CDN
Dietitian, Registered
156 WEST AVE
BROCKPORT, NY 14420
Monroe County (585) 395-6095
INTERNAL MEDICINE AT LAKESIDE
Internal Medicine
156 WEST AVE, SUITE 106
BROCKPORT, NY 14420
Monroe County (585) 395-6095
JORDAN BLOCK
Physical Therapist (Orthopedic)
156 WEST AVE
BROCKPORT, NY 14420
Monroe County (585) 275-5321
ISABELLE JOY KARPOVICH
Physical Therapist (Orthopedic)
156 WEST AVE
BROCKPORT, NY 14420
Monroe County (585) 341-9200

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 Emma Leatham's NPI number?

The NPI number for Emma Leatham is 1043769326. It was assigned to this individual provider in the NPPES registry on September 27, 2016.

Where is Emma Leatham located?

Emma Leatham practices at 156 West Ave, Brockport, NY 14420. The listed phone number is (585) 758-7557.

What is Emma Leatham's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Emma Leatham enrolled in Medicare?

Yes. Emma Leatham 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.

When was this NPI record last updated?

The NPPES record for Emma Leatham was last updated on February 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.