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PHILIP LEO MD
NPI 1184619371
Family Medicine in Staten Island, NY

Active since September 14, 2005PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
11 RALPH PL, SUITE 213, STATEN ISLAND, NY 10304(718) 556-9400 Get Directions Write a Review

NPPES record last updated: December 23, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Philip Leo Md NPPES

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

PHILIP LEO MD (NPI 1184619371) is an individual family medicine provider in Staten Island, New York, licensed in New York (146569) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Staten Island University Hospital, and is a graduate of George Washington University School Of Medicine (1976).

NPPES Registry Identity

NPI1184619371
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePHILIP LEOCredential: MD
Location Address11 RALPH PL, SUITE 213Staten Island, NY 10304-4419
Mailing Address11 Ralph Pl, Suite 213Staten Island, NY 10304-4419 · (718) 556-9400
Phone(718) 556-9400
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 1976
Enumeration DateSeptember 14, 2005
Last NPPES UpdateDecember 23, 2012
✔ NPI 1184619371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 146569
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
11 RALPH PL, Staten Island, NY 10304
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Other Identifiers 2

Medicare ID-Type Unspecified59A141NY
Medicare UPINC11485NY

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

Philip Leo 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.

PECOS PAC ID5294706933
PECOS Enrollment IDI20040804001754
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.

Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
204 services204 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
189 services189 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.
171 services134 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
166 services20 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
165 services165 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.
150 services102 patients

Hospital Affiliations CMS Care Compare

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

Staten Island University Hospital

Acute Care Hospitals · Staten Island, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330160
Location475 Seaview AvenueStaten Island, NY 10305 · Richmond County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10304 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
84%413 patients4/55-star benchmark: 93%
Controlling High Blood Pressure
92%665 patients5/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
22%238 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%2,350 patients5/55-star benchmark: 100%
e-Prescribing
99%6,054 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
100%528 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
74%1,292 patients4/55-star benchmark: 97%
Provide Patients Electronic Access to Their Health Information
99%1,524 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers18 claims40 services$4.99 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier20 claims20 services$41.47 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers14 claims14 services$174.61 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. NADUBEETHI JAYARAM MD
Orthopaedic Surgery
11 RALPH PL, SUITE 102 RICHMOND ORTHOPAEDICS
STATEN ISLAND, NY 10304
Richmond County (718) 447-6545
DR. CORALIA TONE D.D.S.
Dentist (General Practice)
11 RALPH PL, SUITE 205
STATEN ISLAND, NY 10304
Richmond County (718) 447-4113
EMPIRE VISION CARE LLC
Optometrist
11 RALPH PL
STATEN ISLAND, NY 10304
Richmond County (732) 443-7638
GEORGE J RETTAGLIATA MD
Internal Medicine
11 RALPH PL, STE 308
STATEN ISLAND, NY 10304
Richmond County (718) 442-2882
SUO-MAW CHOU MD
Internal Medicine
11 RALPH PL
STATEN ISLAND, NY 10304
Richmond County (718) 567-1006
MR. CHINAGANDHAM SRINIVISA BHUPATHI
Orthopaedic Surgery
11 RALPH PL, SUITE 102
STATEN ISLAND, NY 10304
Richmond County (718) 447-6545
DR. KEITH RYAN JACKSON M.D.
Dermatology
11 RALPH PL, SUITE 209
STATEN ISLAND, NY 10304
Richmond County (718) 727-1331
FANNY B KASHER MD LLC
Surgery
11 RALPH PL, SUITE 102
STATEN ISLAND, NY 10304
Richmond County (718) 273-5974

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 Philip Leo's NPI number?

The NPI number for Philip Leo is 1184619371. It was assigned to this individual provider in the NPPES registry on September 14, 2005.

Where is Philip Leo located?

Philip Leo practices at 11 Ralph Pl Suite 213, Staten Island, NY 10304. The listed phone number is (718) 556-9400.

What is Philip Leo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Philip Leo enrolled in Medicare?

Yes. Philip Leo 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 Philip Leo affiliated with any hospitals?

According to CMS data, Philip Leo is affiliated with Staten Island University Hospital.

When was this NPI record last updated?

The NPPES record for Philip Leo was last updated on December 23, 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.