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JULIANE LEIGHTON MD
NPI 1194731703
Internal Medicine in Brookings, OR

Active since August 01, 2006PECOS Enrolled
83.23/100
CMS Quality Rating
555 5TH ST, SUITE 2, BROOKINGS, OR 97415(541) 469-9205(541) 469-9204 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Juliane Leighton Md NPPES

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

JULIANE LEIGHTON MD (NPI 1194731703) is an individual internal medicine provider in Brookings, Oregon, licensed in Oregon (MDZ3296) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Asante Rogue Regional Medical Center, and is a graduate of University Of Texas Medical School At Houston (1998).

NPPES Registry Identity

NPI1194731703
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameJULIANE LEIGHTONCredential: MD
Location Address555 5TH ST, SUITE 2Brookings, OR 97415-9702
Mailing Address555 5th St, Suite 2Brookings, OR 97415-9702 · (541) 469-9205 · Fax (541) 469-9204
Phone(541) 469-9205
Fax(541) 469-9204
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 1998
Enumeration DateAugust 1, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1194731703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in OR · MDZ3296✔ Licensed in CA · A85512
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
555 5TH ST, Brookings, OR 97415
Open in Google Maps ↗

Other Identifiers 4

Medicare ID-Type UnspecifiedR118290
Medicare UPINH46541
OtherP00224676Railroad
Medicaid262305OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Juliane Leighton Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315832508
PECOS Enrollment IDI20040508000207, I20251201001609
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 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.
322 services130 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
155 services79 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.
50 services41 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.
34 services34 patients

Hospital Affiliations CMS Care Compare 2

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

Asante Rogue Regional Medical Center

Acute Care Hospitals · Medford, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380018
Location2825 E Barnett RoadMedford, OR 97504 · Jackson County
Emergency services Birthing friendly

Curry General Hospital

Critical Access Hospitals · Gold Beach, OR
OwnershipGovernment - Hospital District or Authority
CMS Certification Number381322
Location94220 Fourth StreetGold Beach, OR 97444 · Curry County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97415 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
$126.25 typical visit price
range $54.96 – $166.64
Typical copayment $31.56 (range $13.74 – $41.66)
Most-billed visit code 99204
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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.

83.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.37
Promoting Interoperability100
Improvement Activities40
Cost71.36

Referred Medical Equipment & Supplies CMS DME claims 12

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
4 suppliers15 claims52 services$6.35 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers27 claims27 services$42.51 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
2 suppliers20 claims118 services$24.19 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers30 claims30 services$71.68 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers23 claims23 services$22.66 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers27 claims150 services$3.19 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 4

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

DR. MICHAEL EDWARD BISGROVE M.D.
Family Medicine
555 5TH ST, SUITE #1
BROOKINGS, OR 97415
Curry County (541) 412-1152
MEDFORD OPEN MRI, LLC
Clinic/Center (Magnetic Resonance Imaging (MRI))
555 5TH ST, SUITE 3
BROOKINGS, OR 97415
Curry County (541) 469-2170
SUTTER COAST HOSPITAL
Clinic/Center (Primary Care)
555 5TH ST
BROOKINGS, OR 97415
Curry County (541) 469-9205
DR. MICHAEL KENNETH SHAW DO
Internal Medicine
555 5TH ST, SUITE #1
BROOKINGS, OR 97415
Curry County (541) 412-1152

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 Juliane Leighton's NPI number?

The NPI number for Juliane Leighton is 1194731703. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Juliane Leighton located?

Juliane Leighton practices at 555 5th St Suite 2, Brookings, OR 97415. The listed phone number is (541) 469-9205.

What is Juliane Leighton's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Juliane Leighton enrolled in Medicare?

Yes. Juliane Leighton is registered in the Medicare PECOS enrollment system.

What insurance does Juliane Leighton accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Juliane Leighton 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.

Is Juliane Leighton affiliated with any hospitals?

According to CMS data, Juliane Leighton is affiliated with Asante Rogue Regional Medical Center and Curry General Hospital.

When was this NPI record last updated?

The NPPES record for Juliane Leighton was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.