DR. MAURRY LEAS DDS
NPI 1104963651
Dentist - Periodontics in Philadelphia, PA

Active since January 31, 2007Opted out of Medicare · through Dec 20, 2026
1818 MARKET ST, SUITE 100, PHILADELPHIA, PA 19103(215) 567-2666 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Maurry Leas Dds NPPES

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

DR. MAURRY LEAS DDS (NPI 1104963651) is an individual periodontics provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (DS02736L) and active in the NPI registry since January 2007. He has opted out of Medicare through December 20, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1104963651
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. MAURRY LEASCredential: DDS
Location Address1818 MARKET ST, SUITE 100Philadelphia, PA 19103-3638
Mailing Address1818 Market Street, Suite 100Philadelphia, PA 19103 · (215) 567-2666
Sole ProprietorNo
Enumeration DateJanuary 31, 2007
Last NPPES UpdateSeptember 11, 2025
NPI 1104963651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in PA · DS02736L
Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License DS017950 (PA), DS035637 (PA)
1818 MARKET ST, Philadelphia, PA 19103

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Maurry Leas Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 20, 2018 through December 20, 2026.

Opt-Out Effective DateDecember 20, 2018
Opt-Out In Effect ThroughDecember 20, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19103 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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 3

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

Dentist
1818 MARKET ST, SUITE 100
PHILADELPHIA, PA 19103
Advanced Practice Dental Therapist
1818 MARKET ST, SUITE 100
PHILADELPHIA, PA 19103
Dentist (General Practice)
1818 MARKET ST, SUITE 100
PHILADELPHIA, PA 19103

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 Maurry Leas's NPI number?

The NPI number for Maurry Leas is 1104963651. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Where is Maurry Leas located?

Maurry Leas practices at 1818 Market St Suite 100, Philadelphia, PA 19103. The listed phone number is (215) 567-2666.

What is Maurry Leas's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Maurry Leas enrolled in Medicare?

No. Maurry Leas has opted out of Medicare through December 20, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Maurry Leas accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Maurry Leas 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 Maurry Leas was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.