MR. JOHN WILLIAM LEROUX PA
NPI 1063746949
Physician Assistant in Midland, MI

Active since September 25, 2009PECOS EnrolledAccepts Medicare Assignment
4201 CAMPUS RIDGE DRIVE, MIDLAND, MI 48640(989) 839-1795(989) 839-1785 Get Directions Write a Review

NPPES record last updated: November 3, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. John William Leroux Pa NPPES

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

MR. JOHN WILLIAM LEROUX PA (NPI 1063746949) is an individual physician assistant in Midland, Michigan, licensed in Michigan (5601003000) and active in the NPI registry since September 2009. He is enrolled in Medicare PECOS, is affiliated with Mymichigan Medical Center Midland, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1063746949
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. JOHN WILLIAM LEROUXCredential: PA
Location Address4201 CAMPUS RIDGE DRIVEMidland, MI 48640
Mailing Address4201 Campus Ridge DriveMidland, MI 48640 · (989) 839-1795 · Fax (989) 839-1785
Fax(989) 839-1785
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateSeptember 25, 2009
Last NPPES UpdateNovember 3, 2016
NPI 1063746949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MI · 5601003000
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4201 CAMPUS RIDGE DRIVE, Midland, MI 48640

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. John William Leroux Pa 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 ID4880842665
PECOS Enrollment IDI20120920000224
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 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.
78 services47 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Mymichigan Medical Center Midland

Acute Care Hospitals · Midland, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230222
Location4000 Wellness DriveMidland, MI 48670 · Midland County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48640 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers15 claims15 services$21.30 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 suppliers15 claims15 services$119.55 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.

Internal Medicine (Pulmonary Disease)
4201 CAMPUS RIDGE DRIVE
MIDLAND, MI 48640
Surgery (Vascular Surgery)
4201 CAMPUS RIDGE DRIVE
MIDLAND, MI 48640
Internal Medicine (Pulmonary Disease)
4201 CAMPUS RIDGE DRIVE
MIDLAND, MI 48640
Internal Medicine (Pulmonary Disease)
4201 CAMPUS RIDGE DRIVE
MIDLAND, MI 48640
Physician Assistant (Medical)
4201 CAMPUS RIDGE DRIVE
MIDLAND, MI 48640
Surgery
4201 CAMPUS RIDGE DRIVE
MIDLAND, MI 48640
Internal Medicine (Clinical Cardiac Electrophysiology)
4201 CAMPUS RIDGE DRIVE
MIDLAND, MI 48640
Physician Assistant
4201 CAMPUS RIDGE DRIVE
MIDLAND, MI 48640

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 John Leroux's NPI number?

The NPI number for John Leroux is 1063746949. It was assigned to this individual provider in the NPPES registry on September 25, 2009.

Where is John Leroux located?

John Leroux practices at 4201 Campus Ridge Drive, Midland, MI 48640. The listed phone number is (989) 839-1795.

What is John Leroux's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is John Leroux enrolled in Medicare?

Yes. John Leroux 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 John Leroux accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list John Leroux 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 John Leroux affiliated with any hospitals?

According to CMS data, John Leroux is affiliated with Mymichigan Medical Center Midland.

When was this NPI record last updated?

The NPPES record for John Leroux was last updated on November 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.