DR. JAMES R LEONARD M.D.
NPI 1093714032
Orthopaedic Surgery in West Chester, OH
NPI Status: Active since July 20, 2005
Contact Information
8737 UNION CENTRE BLVD
WEST CHESTER, OH
ZIP 45069
Phone: (513) 645-2220
Fax: (513) 645-2231
- Individual
- Male
- Orthopaedic Surgery
- Medicare Quality Reporting
About JAMES LEONARD
This page provides the complete NPI Profile along with additional information for James Leonard, a provider established in West Chester, Ohio with a medical specialization in Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1093714032 assigned on July 2005. The practitioner's primary taxonomy code is 207X00000X with license number 35048425 (OH). The provider is registered as an individual and his NPI record was last updated 13 years ago.
- NPI
- 1093714032
- Provider Name
- DR. JAMES R LEONARD M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 8737 UNION CENTRE BLVD WEST CHESTER, OH 45069
- Location Phone
- (513) 645-2220
- Location Fax
- (513) 645-2231
- Mailing Address
- 4701 CREEK RD STE 110 CINCINNATI, OH 45242
- Mailing Phone
- (513) 618-9011
- Mailing Fax
- (513) 645-2231
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-20-2005
- Last Update Date
- 02-13-2013
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Orthopaedic Surgery
- Taxonomy Code
- 207X00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 35048425
- License State
- OH
- Taxonomy Description
- An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000000325345 | OTHER (01) | OH | ANTHEM |
| 0903171 | OTHER (01) | OH | UNITED HEALTHCARE |
| LE0582667 | MEDICARE PIN (08) | OH | |
| 0634979 | MEDICAID (05) | OH | |
| 0225920002 | MEDICARE NSC (07) | OH | |
| P00159537 | OTHER (01) | OH | MEDICARE RAILROAD |
| LE0582663 | MEDICARE PIN (08) | OH | |
| 1913212 | OTHER (01) | OH | CIGNA |
| A16418 | MEDICARE UPIN (02) |
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Care Plan | 4% | 134 |
| Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan | ||
| Colorectal Cancer Screening | 54% | 89 |
| Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer | ||
| Pneumococcal Vaccination Status for Older Adults | 43% | 134 |
| Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine | ||
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 24% | 142 |
| Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1093714032, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 58 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
WEST CHESTER, OH 45069
WEST CHESTER, OH 45069
WEST CHESTER, OH 45069
WEST CHESTER, OH 45069
WEST CHESTER, OH 45069
WEST CHESTER, OH 45069
WEST CHESTER, OH 45069
WEST CHESTER, OH 45069
WEST CHESTER, OH 45069
WEST CHESTER, OH 45069
WEST CHESTER, OH 45069
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093714032, enumerated as an "individual" on July 20, 2005.
The provider is located at 8737 UNION CENTRE BLVD WEST CHESTER, OH 45069 and the phone number is (513) 645-2220.
Orthopaedic Surgery with taxonomy code 207X00000X.
The provider might be accepting Accepts: Anthem Blue Cross, Medicare, Medicaid, Railroad. Please consult your insurance carrier or call the provider to verify.
