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LEROY ESSIG II MD
NPI 1093765653
Internal Medicine - Pulmonary Disease in Reynoldsburg, OH

Active since May 12, 2006PECOS EnrolledAccepts Medicare Assignment
81.3/100
CMS Quality Rating
1450 DAVIDSON DR STE 200, REYNOLDSBURG, OH 43068(614) 533-6175(614) 533-0328 Get Directions Write a Review

NPPES record last updated: January 18, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 18, 2023, Nov 15, 2022, Dec 22, 2021 (3 updates tracked since 2021).

About Leroy Essig Ii Md NPPES

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

LEROY ESSIG II MD (NPI 1093765653) is an individual pulmonary disease provider in Reynoldsburg, Ohio, licensed in Ohio (35081234) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Grant Medical Center, and is a graduate of Ohio State University College Of Medicine (1999).

NPPES Registry Identity

NPI1093765653
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameLEROY ESSIG IICredential: MD
Location Address1450 DAVIDSON DR STE 200Reynoldsburg, OH 43068-2538
Mailing AddressPo Box 7527Dublin, OH 43017-0727
Phone(614) 533-6175
Fax(614) 533-0328
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1999
Enumeration DateMay 12, 2006
Last NPPES UpdateJanuary 18, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2023
✔ NPI 1093765653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in OH · 35081234
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 35081234 (OH)
1450 DAVIDSON DR STE 200, Reynoldsburg, OH 43068
Open in Google Maps ↗

Other Identifiers 1

Medicaid2329895OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, MedMutual.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

Leroy Essig Ii 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 ID1052496254
PECOS Enrollment IDI20080312000379
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 Reassignment

Medicare enrollment records show Leroy Essig reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ohiohealth Corporation
2.4 mi
Thoracic Surgery (Cardiothoracic Vascular Surgery)
85 MCNAUGHTEN RD STE 110
Columbus, OH 43213
  • Reassigned Medicare billing, Ohio enrollment
  • 3,314 clinicians in this Medicare group
NPI 1265627301 (614) 856-9100

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 4

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 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.
54 services41 patients
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.
53 services37 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
44 services37 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
42 services42 patients

Hospital Affiliations CMS Care Compare

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

Grant Medical Center

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360017
Location111 South Grant AvenueColumbus, OH 43215 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43068 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

81.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.58
Promoting Interoperability98
Improvement Activities40
Cost65.77

Referred Medical Equipment & Supplies CMS DME claims 20

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
8 suppliers28 claims28 services$35.29 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
10 suppliers39 claims39 services$70.10 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
10 suppliers43 claims78 services$27.60 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
10 suppliers31 claims144 services$15.40 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
6 suppliers18 claims99 services$12.85 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
13 suppliers49 claims49 services$47.70 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Leroy Essig's NPI number?

The NPI number for Leroy Essig is 1093765653. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Leroy Essig located?

Leroy Essig practices at 1450 Davidson Dr Ste 200, Reynoldsburg, OH 43068. The listed phone number is (614) 533-6175.

What is Leroy Essig's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Leroy Essig enrolled in Medicare?

Yes. Leroy Essig 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 organization bills Medicare for Leroy Essig's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Leroy Essig reassigns Medicare benefits to Ohiohealth Corporation (Columbus, OH). The 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 Leroy Essig's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Leroy Essig accept?

Health plans from Anthem Blue Cross and Blue Shield and MedMutual list Leroy Essig 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 Leroy Essig affiliated with any hospitals?

According to CMS data, Leroy Essig is affiliated with Grant Medical Center.

When was this NPI record last updated?

The NPPES record for Leroy Essig was last updated on January 18, 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.