BENJAMIN LEISHMAN D.O. - NPI 1063862977 - Family Medicine in Idaho Falls, ID

Q: 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.

Q: What is Benjamin Leishman's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Benjamin Leishman was last updated on April 1, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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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.

NPPES Registry Identity

NPI1063862977

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameBENJAMIN LEISHMANCredential: D.O.

Location Address1582 ELK CREEK DRIdaho Falls, ID 83404-8322

Mailing Address1582 Elk Creek DrIdaho Falls, ID 83404-8322 · (208) 881-0227 · Fax (877) 682-5081

Phone(208) 881-0227

Sole ProprietorNo

Enumeration DateJune 21, 2016

Last NPPES UpdateApril 1, 20264 updates tracked since enumeration

NPPES CertifiedApril 1, 2026

✔ NPI 1063862977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in ID · O-1351

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X · License O-1351 (ID)

1582 ELK CREEK DR, Idaho Falls, ID 83404

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan, Select Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Benjamin Leishman D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

New Patient

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

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