GABRIELLA LEARY PA-C
NPI 1124740865
Physician Assistant - Medical in Surfside Beach, SC

Q: What is Gabriella Leary's NPI number?

The NPI number for Gabriella Leary is 1124740865. It was assigned to this individual provider in the NPPES registry on September 19, 2022.

Q: What is Gabriella Leary's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Gabriella Leary was last updated on March 20, 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.

Active since September 19, 2022PECOS EnrolledAccepts Medicare Assignment

72.72/100

CMS Quality Rating

1413 HIGHWAY 17 N, SURFSIDE BEACH, SC 29575(843) 238-5654(843) 238-1624 Get Directions Write a Review

NPPES record last updated: March 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 20, 2023, Nov 18, 2022, Sep 19, 2022 (3 updates tracked since 2022).

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About Gabriella Leary Pa-c NPPES

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

GABRIELLA LEARY PA-C (NPI 1124740865) is an individual medical provider in Surfside Beach, South Carolina, licensed in South Carolina (4618PA) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, is affiliated with Conway Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1124740865

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameGABRIELLA LEARYCredential: PA-C

Location Address1413 HIGHWAY 17 NSurfside Beach, SC 29575-6012

Mailing Address300 Singleton Ridge Rd, Attention Pns CredentialingConway, SC 29526-9142 · (843) 234-6946

Phone(843) 238-5654

Fax(843) 238-1624

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateSeptember 19, 2022

Last NPPES UpdateMarch 20, 20233 updates tracked since enumeration

NPPES CertifiedMarch 20, 2023

✔ NPI 1124740865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in SC · 4618PA

1413 HIGHWAY 17 N, Surfside Beach, SC 29575

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Other Identifiers 1

Medicaid5986PASC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.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

Gabriella Leary Pa-c 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 ID2668840380

PECOS Enrollment IDI20221130000330

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 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.

604 services345 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.

26 services26 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

23 services23 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.

15 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Conway Medical Center

Acute Care Hospitals · Conway, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420049

Location300 Singleton Ridge RoadConway, SC 29526 · Horry County

Emergency services Birthing friendly

Grand Strand Regional Medical Center

Acute Care Hospitals · Myrtle Beach, SC

3/5 CMS rating

OwnershipProprietary

CMS Certification Number420085

Location809 82nd ParkwayMyrtle Beach, SC 29572 · Horry County

Emergency services Birthing friendly

Mcleod Loris Hospital

Acute Care Hospitals · Loris, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420105

Location3655 Mitchell StreetLoris, SC 29569 · Horry County

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.

72.72/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

60.98

Promoting Interoperability

100

Improvement Activities

Cost

48.1

Other Providers at the Same Location NPPES 9

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

MR. BRENDEN M BLASCHKE DPT

Physical Therapist

1413 HIGHWAY 17 N, SUITE A
SURFSIDE BEACH, SC 29575

Horry County (843) 238-9542

LINDSEY THOMAS BUDHOO NP

Nurse Practitioner (Family)