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RAPHAEL JEROME LEO MD
NPI 1063488062
Specialist in Buffalo, NY

Active since February 28, 2006PECOS EnrolledAccepts Medicare Assignment
90.03/100
CMS Quality Rating
462 GRIDER ST, BUFFALO, NY 14215(716) 898-4857(716) 898-3986 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Raphael Jerome Leo Md NPPES

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

RAPHAEL JEROME LEO MD (NPI 1063488062) is an individual specialist in Buffalo, New York, licensed in New York (185977) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Kaleida Health, and is a graduate of State University Of New York At Buffalo School Of Medicine (1990).

NPPES Registry Identity

NPI1063488062
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameRAPHAEL JEROME LEOCredential: MD
Location Address462 GRIDER STBuffalo, NY 14215-3021
Mailing Address462 Grider StBuffalo, NY 14215-3021 · (716) 898-4857 · Fax (716) 898-3986
Phone(716) 898-4857
Fax(716) 898-3986
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 1990
Enumeration DateFebruary 28, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1063488062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 185977
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
462 GRIDER ST, Buffalo, NY 14215
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Other Identifiers 3

Medicare UPINF17900NY
Medicaid01604737NY
Medicare ID-Type UnspecifiedCC8224NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Raphael Jerome Leo Md 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 ID7012043102
PECOS Enrollment IDI20100329000036
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.

Medicare Billing Reassignments

7

Medicare enrollment records show Raphael Leo reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Psychiatric Practice, Inc
Same address
Psychiatry
462 GRIDER ST, ECMC, ROOM 1168
Buffalo, NY 14215
  • Reassigned Medicare billing, New York enrollment
  • 40 clinicians in this Medicare group
NPI 1588743702 (716) 898-4884
Erie County Medical Center Corporation
0.1 mi
Clinic/Center
462 GRIDER ST
Buffalo, NY 14215
  • Reassigned Medicare billing, New York enrollment
  • 302 clinicians in this Medicare group
NPI 1528233616 (716) 898-3000
Kaleida Health
2.0 mi
General Acute Care Hospital
3 GATES CIR
Buffalo, NY 14209
  • Reassigned Medicare billing, New York enrollment
  • 676 clinicians in this Medicare group
NPI 1831229780 (716) 887-4600
Garden Gate Health Care Facility LLC
5.3 mi
Skilled Nursing Facility
2365 UNION RD
Cheektowaga, NY 14227
  • Reassigned Medicare billing, New York enrollment
  • 2 clinicians in this Medicare group
NPI 1295722460 (716) 668-8100
Seneca Health Care Center LLC
6.7 mi
Skilled Nursing Facility
2987 SENECA ST
West Seneca, NY 14224
  • Reassigned Medicare billing, New York enrollment
  • 2 clinicians in this Medicare group
NPI 1003803271 (716) 828-0500
Harris Hill Nursing Facility, LLC
7.4 mi
Skilled Nursing Facility
2699 WEHRLE DR
Williamsville, NY 14221
  • Reassigned Medicare billing, New York enrollment
  • 2 clinicians in this Medicare group
NPI 1013904283 (716) 632-3700
North Gate Health Care Facility LLC
10 mi
Skilled Nursing Facility
7264 NASH RD
North Tonawanda, NY 14120
  • Reassigned Medicare billing, New York enrollment
  • 2 clinicians in this Medicare group
NPI 1659368827 (716) 694-7700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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 moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
122 services72 patients

Hospital Affiliations CMS Care Compare 2

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

Kaleida Health

Acute Care Hospitals · Buffalo, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330005
Location100 High StreetBuffalo, NY 14210 · Erie County
Emergency services Birthing friendly

Erie County Medical Center

Acute Care Hospitals · Buffalo, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330219
Location462 Grider StreetBuffalo, NY 14215 · Erie County
Emergency services

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.

90.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.88
Improvement Activities40
Cost63.01

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.

MR. V. THOMAS CHAPIN PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
462 GRIDER ST
BUFFALO, NY 14215
Erie County (716) 898-3000
DR. JOHN JACOB HANNIBAL IV M.D.
Student in an Organized Health Care Education/Training Program
462 GRIDER ST
BUFFALO, NY 14215
Erie County (716) 898-4226
HMB PHARMACY MANAGEMENT LLC
Pharmacy (Community/Retail Pharmacy)
462 GRIDER ST, DRIVEWAY 3
BUFFALO, NY 14215
Erie County (716) 332-2866
SARAH MARIE THOMPSON PA-C
Physician Assistant
462 GRIDER ST
BUFFALO, NY 14215
Erie County (716) 698-5375
MATTHEW GARRETT ALBEN DO
Student in an Organized Health Care Education/Training Program
462 GRIDER ST
BUFFALO, NY 14215
Erie County (716) 898-5053
DANNY ISSAM BELMONA MD
Student in an Organized Health Care Education/Training Program
462 GRIDER ST
BUFFALO, NY 14215
Erie County (716) 898-3000
MR. KENNETH L DZIALAK COTA
Occupational Therapy Assistant
462 GRIDER ST
BUFFALO, NY 14215
Erie County (716) 898-3575
MS. ZENA SONDRA HYMAN NP
Nurse Practitioner (Adult Health)
462 GRIDER ST
BUFFALO, NY 14215
Erie County (716) 898-3000

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 Raphael Leo's NPI number?

The NPI number for Raphael Leo is 1063488062. It was assigned to this individual provider in the NPPES registry on February 28, 2006.

Where is Raphael Leo located?

Raphael Leo practices at 462 Grider St, Buffalo, NY 14215. The listed phone number is (716) 898-4857.

What is Raphael Leo's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Raphael Leo enrolled in Medicare?

Yes. Raphael Leo 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.

Which organizations bill Medicare for Raphael Leo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raphael Leo reassigns Medicare benefits to 7 organizations: University Psychiatric Practice, Inc (Buffalo, NY), Erie County Medical Center Corporation (Buffalo, NY), Kaleida Health (Buffalo, NY), Garden Gate Health Care Facility LLC (Cheektowaga, NY), Seneca Health Care Center LLC (West Seneca, NY) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Raphael Leo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Raphael Leo affiliated with any hospitals?

According to CMS data, Raphael Leo is affiliated with Kaleida Health and Erie County Medical Center.

When was this NPI record last updated?

The NPPES record for Raphael Leo was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.