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DR. TOFEY JAMES LEON IV MD
NPI 1104480425
Internal Medicine in Birmingham, AL

Active since April 23, 2019PECOS EnrolledAccepts Medicare Assignment
96.24/100
CMS Quality Rating
1521 11TH AVE S, BIRMINGHAM, AL 35205(205) 996-0741(205) 996-6830 Get Directions Write a Review

NPPES record last updated: October 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 9, 2023, Apr 23, 2019 (2 updates tracked since 2019).

About Dr. Tofey James Leon Iv Md NPPES

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

DR. TOFEY JAMES LEON IV MD (NPI 1104480425) is an individual internal medicine provider in Birmingham, Alabama, licensed in Alabama (MD.41867) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (2019).

NPPES Registry Identity

NPI1104480425
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. TOFEY JAMES LEON IVCredential: MD
Location Address1521 11TH AVE SBirmingham, AL 35205-3503
Mailing Address1521 11th Ave SBirmingham, AL 35205-3503
Phone(205) 996-0741
Fax(205) 996-6830
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2019
Enumeration DateApril 23, 2019
Last NPPES UpdateOctober 22, 20242 updates tracked since enumeration
NPPES CertifiedOctober 22, 2024
✔ NPI 1104480425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AL · MD.41867
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.
1521 11TH AVE S, Birmingham, AL 35205
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.Insurance ›

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

Dr. Tofey James Leon Iv 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 ID7315270493
PECOS Enrollment IDI20220822000487
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 3

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.
52 services41 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
26 services21 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.
17 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35205 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

96.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.02
Promoting Interoperability100
Improvement Activities40

Patient Reviews User submitted

Reviews are submitted by site visitors and approved by a human moderator before publication.

Review by Velma ***** February 9, 2025

5/5
Our experiences with Dr. Leon were excellent. He was listening to us, he was kind, concerned and patient. He gave us a diagnosis and treated it accordingly. To make it short, we liked Dr. Leon very much and were disappointed when he closed the Cahaba Heights office. His office staff could not have been any nicer or any more competent.
Provider 5/5 Office Staff 5/5
Visited this provider? Share your experience.

Other Providers at the Same Location NPPES 3

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

JORDAN HARPER CROCKER M.D.
Internal Medicine
1521 11TH AVE S
BIRMINGHAM, AL 35205
Jefferson County (205) 996-7346
CHRISTOPHER BARRETT BOWLING MD
Internal Medicine (Geriatric Medicine)
1521 11TH AVE S
BIRMINGHAM, AL 35205
Jefferson County (205) 996-2770
DOUGLAS C TILT MD
Internal Medicine
1521 11TH AVE S
BIRMINGHAM, AL 35205
Jefferson County (205) 996-2760

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 Tofey Leon's NPI number?

The NPI number for Tofey Leon is 1104480425. It was assigned to this individual provider in the NPPES registry on April 23, 2019.

Where is Tofey Leon located?

Tofey Leon practices at 1521 11th Ave S, Birmingham, AL 35205. The listed phone number is (205) 996-0741.

What is Tofey Leon's specialty?

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

Is Tofey Leon enrolled in Medicare?

Yes. Tofey Leon 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.

What insurance does Tofey Leon accept?

Health plans from Blue Cross and Blue Shield of Alabama list Tofey 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 Tofey Leon was last updated on October 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.