BENJAMIN LEISHMAN D.O.
NPI 1063862977
Family Medicine in Idaho Falls, ID
About Benjamin Leishman D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BENJAMIN LEISHMAN D.O. (NPI 1063862977) is an individual family medicine provider in Idaho Falls, Idaho, licensed in Idaho (O-1351) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (2016).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
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
Benjamin Leishman 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.
Medicare Billing Reassignments
4Medicare enrollment records show Benjamin Leishman reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Idaho Falls, ID 83404
- Reassigned Medicare billing, Idaho enrollment
- 2 clinicians in this Medicare group
Idaho Falls, ID 83404
- Reassigned Medicare billing, Idaho enrollment
- 298 clinicians in this Medicare group
Idaho Falls, ID 83402
- Reassigned Medicare billing, Idaho enrollment
- 38 clinicians in this Medicare group
Pocatello, ID 83201
- Reassigned Medicare billing, Idaho enrollment
- 31 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 83404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
IDAHO FALLS, ID 83404
IDAHO FALLS, ID 83404
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 Benjamin Leishman's NPI number?
The NPI number for Benjamin Leishman is 1063862977. It was assigned to this individual provider in the NPPES registry on June 21, 2016.
Where is Benjamin Leishman located?
Benjamin Leishman practices at 1582 Elk Creek Dr, Idaho Falls, ID 83404. The listed phone number is (208) 881-0227.
What is Benjamin Leishman's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Benjamin Leishman enrolled in Medicare?
Yes. Benjamin Leishman 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 Benjamin Leishman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Leishman reassigns Medicare benefits to 4 organizations: Altitude Sport & Spine PLLC (Idaho Falls, ID), Mountain View Hospital LLC (Idaho Falls, ID), Community Care West Side LLC (Idaho Falls, ID) and Cc Pocatello LLC (Pocatello, ID). 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 Benjamin Leishman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Benjamin Leishman accept?
Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan, Select Health and University of Utah Health Plans list Benjamin Leishman 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.
When was this NPI record last updated?
The NPPES record for Benjamin Leishman was last updated on April 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Benjamin Leishman, D.O. · NPI 1063862977
Family Medicine physician in Idaho Falls, Idaho. Individual provider, active in the CMS NPPES registry since June 21, 2016.
## Identity
- **NPI:** 1063862977 (Entity type: Individual)
- **Enumerated:** June 21, 2016
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** O-1351 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 1582 ELK CREEK DR, Idaho Falls, ID 83404-8322
- **Phone:** (208) 881-0227
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Altitude Sport & Spine PLLC (NPI 1992663595, Idaho Falls, ID); Mountain View Hospital LLC (NPI 1669462362, Idaho Falls, ID); Community Care West Side LLC (NPI 1295009785, Idaho Falls, ID); Cc Pocatello LLC (NPI 1538517156, Pocatello, ID) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** At Still University Of Health Sciences, College Of Osteo Med, Kirksville, class of 2016
## Record status
- **NPPES last updated:** April 1, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1063862977) · Data from the CMS NPPES public registry.