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DR. GARY WAYNE DE LEON II DO
NPI 1093452468
Family Medicine in Miami Gardens, FL

Active since May 17, 2022PECOS Enrolled
1825 NW 167TH ST STE 108, MIAMI GARDENS, FL 33056(305) 624-7450 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 9, 2026, May 17, 2022 (2 updates tracked since 2022).

About Dr. Gary Wayne De Leon Ii Do NPPES

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

DR. GARY WAYNE DE LEON II DO (NPI 1093452468) is an individual family medicine provider in Miami Gardens, Florida, licensed in Florida (OS21806) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Lubbock, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1093452468
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. GARY WAYNE DE LEON IICredential: DO
Location Address1825 NW 167TH ST STE 108Miami Gardens, FL 33056-4838
Mailing Address1825 Nw 167th StMiami Gardens, FL 33056-4838 · (305) 624-7450
Phone(305) 624-7450
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 17, 2022
Last NPPES UpdateMarch 9, 20262 updates tracked since enumeration
NPPES CertifiedMarch 9, 2026
✔ NPI 1093452468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in FL · OS21806✔ Licensed in TX · U7411
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License BP10080329 (TX)
1825 NW 167TH ST STE 108, Miami Gardens, FL 33056
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Secondary Practice Location 1

Location 13601 4th Street Mail Stop 8143Lubbock, TX 79430 · Phone (806) 743-6130

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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)

Dr. Gary Wayne De Leon Ii Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID143600957
PECOS Enrollment IDI20250701004121
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 33056 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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 2

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

ANNIA GONZALEZ MARULL APRN
Nurse Practitioner (Family)
1825 NW 167TH ST STE 108
MIAMI GARDENS, FL 33056
Miami-Dade County (305) 474-1803
MICHELINE SAM ARNP
Nurse Practitioner
1825 NW 167TH ST STE 108
MIAMI GARDENS, FL 33056
Miami-Dade County (305) 474-1803

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 Gary De Leon's NPI number?

The NPI number for Gary De Leon is 1093452468. It was assigned to this individual provider in the NPPES registry on May 17, 2022.

Where is Gary De Leon located?

Gary De Leon practices at 1825 NW 167th St Ste 108, Miami Gardens, FL 33056. The listed phone number is (305) 624-7450.

What is Gary De Leon's specialty?

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

Is Gary De Leon enrolled in Medicare?

Yes. Gary De Leon is registered in the Medicare PECOS enrollment system.

What insurance does Gary De Leon accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Gary De Leon 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 Gary De Leon was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.