DR. JERRY LEE LEONARD D.D.S.
NPI 1104910694
Dentist - Oral and Maxillofacial Surgery in Gaithersburg, MD

Active since October 02, 2006PECOS Enrolled
985 RUSSELL AVE, GAITHERSBURG, MD 20879(301) 926-2928 Get Directions Write a Review

NPPES record last updated: October 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 22, 2021, Apr 11, 2018 (2 updates tracked since 2018).

About Dr. Jerry Lee Leonard D.d.s. NPPES

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

DR. JERRY LEE LEONARD D.D.S. (NPI 1104910694) is an individual oral and maxillofacial surgery provider in Gaithersburg, Maryland, licensed in Maryland (17407) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104910694
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. JERRY LEE LEONARDCredential: D.D.S.
Location Address985 RUSSELL AVEGaithersburg, MD 20879-6211
Mailing Address985 Russell AveGaithersburg, MD 20879-6211 · (301) 926-2928
Sole ProprietorYes
Enumeration DateOctober 2, 2006
Last NPPES UpdateOctober 22, 20212 updates tracked since enumeration
NPPES CertifiedOctober 22, 2021
NPI 1104910694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses Licensed in MD · 17407 Licensed in OK · 5488
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
985 RUSSELL AVE, Gaithersburg, MD 20879

Accepted 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. Jerry Lee Leonard D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 20879 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
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 5

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

Dentist (Oral and Maxillofacial Surgery)
985 RUSSELL AVE
GAITHERSBURG, MD 20879
Dentist (Oral and Maxillofacial Surgery)
985 RUSSELL AVE
GAITHERSBURG, MD 20879
Dentist (Oral and Maxillofacial Surgery)
985 RUSSELL AVE
GAITHERSBURG, MD 20879
Dentist (Oral and Maxillofacial Surgery)
985 RUSSELL AVE
GAITHERSBURG, MD 20879
Dentist (Oral and Maxillofacial Surgery)
985 RUSSELL AVE
GAITHERSBURG, MD 20879

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 Jerry Leonard's NPI number?

The NPI number for Jerry Leonard is 1104910694. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Jerry Leonard located?

Jerry Leonard practices at 985 Russell Ave, Gaithersburg, MD 20879. The listed phone number is (301) 926-2928.

What is Jerry Leonard's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Jerry Leonard enrolled in Medicare?

Yes. Jerry Leonard is registered in the Medicare PECOS enrollment system.

What insurance does Jerry Leonard accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Jerry Leonard 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 Jerry Leonard was last updated on October 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.