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LEAH MICHELLE ARLEQUIN MD
NPI 1063868958
Family Medicine in Tobyhanna, PA

Active since May 10, 2016PECOS EnrolledAccepts Medicare Assignment
100 COMMUNITY DR, TOBYHANNA, PA 18466(570) 895-2300(570) 895-4270 Get Directions Write a Review

NPPES record last updated: May 3, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 3, 2023, Oct 22, 2019, Jul 1, 2019 and 2 more (5 updates tracked since 2016).

About Leah Michelle Arlequin Md NPPES

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

LEAH MICHELLE ARLEQUIN MD (NPI 1063868958) is an individual family medicine provider in Tobyhanna, Pennsylvania, licensed in Pennsylvania (MD468982) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, is affiliated with Lehigh Valley Hospital - Pocono, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1063868958
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameLEAH MICHELLE ARLEQUINCredential: MD
Location Address100 COMMUNITY DRTobyhanna, PA 18466
Mailing AddressPo Box 783311Philadelphia, PA 19178-3311 · (484) 884-4500 · Fax (484) 884-0699
Phone(570) 895-2300
Fax(570) 895-4270
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateMay 10, 2016
Last NPPES UpdateMay 3, 20235 updates tracked since enumeration
NPPES CertifiedMay 3, 2023
✔ NPI 1063868958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in PA · MD468982✔ Licensed in PA · MT212216
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.
100 COMMUNITY DR, Tobyhanna, PA 18466
Open in Google Maps ↗

Other Names 1

Former Name (1)Leah Michelle Miller Md

Secondary Practice Locations 2

Location 1100 North Academy AvenueDanville, PA 17822 · Phone (870) 530-0438
Location 22649 Schoenersville Rd Ste 100Bethlehem, PA 18017-7326 · Phone (484) 884-8110

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Leah Michelle Arlequin 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 ID2062707631
PECOS Enrollment IDI20200401001890
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

3

Medicare enrollment records show Leah Arlequin reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lehigh Valley Physician Group
Same address
Family Medicine
100 COMMUNITY DR STE 102
Tobyhanna, PA 18466
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,895 clinicians in this Medicare group
NPI 1336902469 (570) 839-1400
Family Care Centers Inc
15 mi
Family Medicine
200 E BROWN ST
East Stroudsburg, PA 18301
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 500 clinicians in this Medicare group
NPI 1316409626 (570) 476-3700
Schuylkill Health System Medical Group, Inc.
53 mi
Emergency Medicine
200 SCHUYLKILL MEDICAL PLZ
Pottsville, PA 17901
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 399 clinicians in this Medicare group
NPI 1063073823 (570) 621-9200

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 8

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
245 services134 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
85 services85 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
47 services42 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
26 services25 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
26 services25 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
20 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Lehigh Valley Hospital - Pocono

Acute Care Hospitals · East Stroudsburg, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390201
Location206 East Brown StreetEast Stroudsburg, PA 18301 · Monroe County
Emergency services Birthing friendly

St Luke's Hospital - Monroe Campus

Acute Care Hospitals · Stroudsburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390330
Location100 St Luke's LaneStroudsburg, PA 18360 · Monroe County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18466 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers22 claims46 services$5.81 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers11 claims13 services$0.99 avg. paid by Medicare
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims320 services$3.28 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims6,710 services$0.38 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$27.81 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$4.82 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.

JONATHAN BROWN DPT
Physical Therapist
100 COMMUNITY DR, SUITE 105
TOBYHANNA, PA 18466
Monroe County (570) 839-9975
RENAL TREATMENT CENTERS NORTHEAST INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
100 COMMUNITY DR, STE 106
TOBYHANNA, PA 18466
Monroe County (570) 839-0900
PATRICIA C ORWIG LPT
Physical Therapist
100 COMMUNITY DR, 105
TOBYHANNA, PA 18466
Monroe County (570) 839-9975
MICHAEL TURSO MS,CCC SLP
Speech-Language Pathologist
100 COMMUNITY DR, SUITE 105
TOBYHANNA, PA 18466
Monroe County (570) 839-9975
RACHAEL SEESE CRNP
Nurse Practitioner (Family)
100 COMMUNITY DR, STE 102
TOBYHANNA, PA 18466
Monroe County (570) 839-8754
JAMES T KINCEL JR. PA-C
Physician Assistant
100 COMMUNITY DR, SUITE 203
TOBYHANNA, PA 18466
Monroe County (570) 839-8754
ANN MARIE ELIZABETH DEANTONIO PTA
Physical Medicine & Rehabilitation
100 COMMUNITY DR
TOBYHANNA, PA 18466
Monroe County (570) 839-9975
VERONICA LYNN WILKINSON MSPT
Physical Therapist
100 COMMUNITY DR, SUITE 105
TOBYHANNA, PA 18466
Monroe County (570) 839-9975

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 Leah Arlequin's NPI number?

The NPI number for Leah Arlequin is 1063868958. It was assigned to this individual provider in the NPPES registry on May 10, 2016. The provider is also known as Leah Michelle Miller MD.

Where is Leah Arlequin located?

Leah Arlequin practices at 100 Community Dr, Tobyhanna, PA 18466. The listed phone number is (570) 895-2300.

What is Leah Arlequin's specialty?

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

Is Leah Arlequin enrolled in Medicare?

Yes. Leah Arlequin 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 Leah Arlequin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Leah Arlequin reassigns Medicare benefits to 3 organizations: Lehigh Valley Physician Group (Tobyhanna, PA), Family Care Centers Inc (East Stroudsburg, PA) and Schuylkill Health System Medical Group, Inc. (Pottsville, PA). 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 Leah Arlequin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Leah Arlequin accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Leah Arlequin 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 Leah Arlequin affiliated with any hospitals?

According to CMS data, Leah Arlequin is affiliated with Lehigh Valley Hospital - Pocono and St Luke's Hospital - Monroe Campus.

When was this NPI record last updated?

The NPPES record for Leah Arlequin was last updated on May 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.