LEON DEWAYNE CULVERSON
NPI 1164170213
Nurse Practitioner - Family in Bainbridge, GA

Active since March 16, 2022PECOS EnrolledAccepts Medicare Assignment
90.92/100
CMS Quality Rating
406 S WEST ST, BAINBRIDGE, GA 39819(229) 246-6417 Get Directions Write a Review

NPPES record last updated: March 16, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Leon Dewayne Culverson NPPES

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

LEON DEWAYNE CULVERSON (NPI 1164170213) is an individual family provider in Bainbridge, Georgia, licensed in Georgia (RN250233) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital And Manor, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1164170213
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameLEON DEWAYNE CULVERSON
Location Address406 S WEST STBainbridge, GA 39819-3918
Mailing Address701 N Slappey BlvdAlbany, GA 31701-1413 · (229) 439-1950
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 16, 2022
NPPES CertifiedMarch 16, 2022
NPI 1164170213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · RN250233
406 S WEST ST, Bainbridge, GA 39819

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

Leon Dewayne Culverson 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 ID1254728553
PECOS Enrollment IDI20220504001755
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 12

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
192 services22 patients
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.
110 services73 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.
96 services68 patients
Injection, ketorolac tromethamine, per 15 mg J1885
Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.
72 services18 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
62 services30 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
43 services39 patients

Hospital Affiliations CMS Care Compare

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

Memorial Hospital And Manor

Acute Care Hospitals · Bainbridge, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110132
Location1500 E Shotwell StreetBainbridge, GA 39819 · Decatur County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39819 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

90.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.84
Promoting Interoperability99
Improvement Activities40
Cost87.72

Other Providers at the Same Location NPPES 4

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

Physician Assistant
406 S WEST ST
BAINBRIDGE, GA 39819
Chiropractor
406 S WEST ST
BAINBRIDGE, GA 39819
Durable Medical Equipment & Medical Supplies
406 S WEST ST
BAINBRIDGE, GA 39819
Clinic/Center (Medical Specialty)
406 S WEST ST
BAINBRIDGE, GA 39819

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 Leon Culverson's NPI number?

The NPI number for Leon Culverson is 1164170213. It was assigned to this individual provider in the NPPES registry on March 16, 2022.

Where is Leon Culverson located?

Leon Culverson practices at 406 S West St, Bainbridge, GA 39819. The listed phone number is (229) 246-6417.

What is Leon Culverson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Leon Culverson enrolled in Medicare?

Yes. Leon Culverson 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.

Is Leon Culverson affiliated with any hospitals?

According to CMS data, Leon Culverson is affiliated with Memorial Hospital And Manor.

When was this NPI record last updated?

The NPPES record for Leon Culverson was last updated on March 16, 2022. 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.