VINCENT M LEONE M.D.
NPI 1073532339
Internal Medicine in Southington, CT

Active since July 18, 2006PECOS EnrolledAccepts Medicare Assignment
79.34/100
CMS Quality Rating
1115 WEST ST, SOUTHINGTON, CT 06489(860) 276-6000 Get Directions Write a Review

NPPES record last updated: July 11, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 11, 2022, Apr 30, 2019 (2 updates tracked since 2019).

About Vincent M Leone M.d. NPPES

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

VINCENT M LEONE M.D. (NPI 1073532339) is an individual internal medicine provider in Southington, Connecticut, licensed in Connecticut (035801) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in West Hartford, and is a graduate of State University Of New York Downstate Medical Center (1988).

NPPES Registry Identity

NPI1073532339
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameVINCENT M LEONECredential: M.D.
Location Address1115 WEST STSouthington, CT 06489-6025
Mailing Address263 Farmington AveFarmington, CT 06030-0001 · (860) 679-4477 · Fax (860) 679-4474
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 1988
Enumeration DateJuly 18, 2006
Last NPPES UpdateJuly 11, 20222 updates tracked since enumeration
NPI 1073532339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CT · 035801
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1115 WEST ST, Southington, CT 06489

Secondary Practice Location 1

Location 165 Kane St, Internal MedicineWest Hartford, CT 06119-2110 · Phone (860) 523-6436 · Fax (860) 523-3775

Other Identifiers 10

Other035801CT · Connecticare
Other110201458CT · Railroad Medicare
Other010035801CT03CT · Anthem Bc/bs
Other061571622CT · Cigna
OtherP490553CT · Oxford
OtherOV6502CT · Healthnet
Other00135801002CT · Blue Care Family Plan
Medicaid001358010CT
Other061571622CT · United Healthcare
Other2286124CT · Aetna

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

Vincent M Leone M.d. 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 ID5496852923
PECOS Enrollment IDI20110411000453
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 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.
237 services139 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.
122 services122 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.
43 services38 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.
34 services34 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
29 services29 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06489 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

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.

79.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.22
Promoting Interoperability100
Improvement Activities40
Cost48.08

Referred Medical Equipment & Supplies CMS DME claims 3

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
8 suppliers26 claims107 services$6.10 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers11 claims22 services$1.07 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
1 supplier11 claims11 services$60.34 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 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
1115 WEST ST, UCONN MEDICAL GROUP
SOUTHINGTON, CT 06489
Nurse Practitioner (Family)
1115 WEST ST
SOUTHINGTON, CT 06489
Internal Medicine (Geriatric Medicine)
1115 WEST ST
SOUTHINGTON, CT 06489
Internal Medicine
1115 WEST ST
SOUTHINGTON, CT 06489
Obstetrics & Gynecology (Gynecology)
1115 WEST ST, 2ND FLOOR
SOUTHINGTON, CT 06489
Obstetrics & Gynecology (Reproductive Endocrinology)
1115 WEST ST, 2ND FLOOR
SOUTHINGTON, CT 06489
Psychiatry & Neurology (Psychiatry)
1115 WEST ST
SOUTHINGTON, CT 06489
Nurse Practitioner (Family)
1115 WEST ST
SOUTHINGTON, CT 06489

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 Vincent Leone's NPI number?

The NPI number for Vincent Leone is 1073532339. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Vincent Leone located?

Vincent Leone practices at 1115 West St, Southington, CT 06489. The listed phone number is (860) 276-6000.

What is Vincent Leone's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Vincent Leone enrolled in Medicare?

Yes. Vincent Leone 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.

When was this NPI record last updated?

The NPPES record for Vincent Leone was last updated on July 11, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.