DR. EDWARD LEON MD
NPI 1164496865
Emergency Medicine in Decatur, IL
About Dr. Edward Leon Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. EDWARD LEON MD (NPI 1164496865) is an individual emergency medicine provider in Decatur, Illinois, licensed in Illinois (0361409383) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Osf Sacred Heart Medical Center, and is a graduate of Other (1999).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 10
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Edward Leon 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.
Medicare Billing Reassignments
9Medicare enrollment records show Edward Leon reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Decatur, IL 62521
- Reassigned Medicare billing, Illinois enrollment
- 982 clinicians in this Medicare group
Springfield, IL 62781
- Reassigned Medicare billing, Illinois enrollment
- 141 clinicians in this Medicare group
Urbana, IL 61801
- Reassigned Medicare billing, Illinois enrollment
- 83 clinicians in this Medicare group
Urbana, IL 61801
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Carle Health Care Incorporated
- 2,516 clinicians in this Medicare group
Pekin, IL 61554
- Reassigned Medicare billing, Illinois enrollment
- 92 clinicians in this Medicare group
Peoria, IL 61603
- Reassigned Medicare billing, Illinois enrollment
- Also billed through NPI 1265966048 (Illinois)
- 693 clinicians in this Medicare group
Peoria, IL 61614
- Reassigned Medicare billing, Illinois enrollment
- 90 clinicians in this Medicare group
Corydon, IN 47112
- Reassigned Medicare billing, Indiana enrollment
- 214 clinicians in this Medicare group
Fort Wayne, IN 46804
- Reassigned Medicare billing, Indiana enrollment
- Medicare enrollment name: Emergency Professionals Of Indiana PC
- 404 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Osf Sacred Heart Medical Center
Acute Care Hospitals · Danville, ILOsf Heart Of Mary Medical Center
Acute Care Hospitals · Urbana, ILPekin Memorial Hospital
Acute Care Hospitals · Pekin, ILDecatur Memorial Hospital
Acute Care Hospitals · Decatur, ILSt Marys Hospital
Acute Care Hospitals · Decatur, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62526 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Edward Leon's NPI number?
The NPI number for Edward Leon is 1164496865. It was assigned to this individual provider in the NPPES registry on February 17, 2006.
Where is Edward Leon located?
Edward Leon practices at 2300 N Edward St Emergency Dept, Decatur, IL 62526. The listed phone number is (217) 876-3000.
What is Edward Leon's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Edward Leon enrolled in Medicare?
Yes. Edward 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.
Which organizations bill Medicare for Edward Leon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Edward Leon reassigns Medicare benefits to 9 organizations: Cepamerica Illinois LLP (Decatur, IL), Midwest Emergency Department Specialists Ltd (Springfield, IL), Iems Physician Services PLLC (Urbana, IL), Carle Health Medical Group (Urbana, IL), Epss LLC - Central Series (Pekin, IL) and 4 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Edward Leon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Edward Leon affiliated with any hospitals?
According to CMS data, Edward Leon is affiliated with Osf Sacred Heart Medical Center, Osf Heart Of Mary Medical Center, Pekin Memorial Hospital, Decatur Memorial Hospital and St Marys Hospital.
When was this NPI record last updated?
The NPPES record for Edward Leon was last updated on November 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Dr. Edward Leon, MD · NPI 1164496865
Emergency Medicine physician in Decatur, Illinois. Individual provider, active in the CMS NPPES registry since February 17, 2006.
## Identity
- **NPI:** 1164496865 (Entity type: Individual)
- **Enumerated:** February 17, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 0361409383 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 2300 N EDWARD ST, EMERGENCY DEPT, Decatur, IL 62526-4163
- **Phone:** (217) 876-3000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 9 organizations under Medicare reassignment (form CMS-855R): Cepamerica Illinois LLP (NPI 1962279380, Decatur, IL); Midwest Emergency Department Specialists Ltd (NPI 1245263367, Springfield, IL); Iems Physician Services PLLC (NPI 1790544047, Urbana, IL); Carle Health Medical Group (NPI 1154653947, Urbana, IL); Epss LLC - Central Series (NPI 1538680467, Pekin, IL); and 4 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1999
## Record status
- **NPPES last updated:** November 17, 2012
- **Other identifiers:** Other IL0181; Medicaid 1582965 (IA); Other P00053389; and 7 more
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Source: [NPI Profile](https://npiprofile.com/npi/1164496865) · Data from the CMS NPPES public registry.