DR. LEIGH MARK ETTINGER MD, MS
NPI 1194765859
Pediatrics in Poughkeepsie, NY
About Dr. Leigh Mark Ettinger Md, Ms NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. LEIGH MARK ETTINGER MD, MS (NPI 1194765859) is an individual pediatrics provider in Poughkeepsie, New York, licensed in New York (221725-01) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Leigh Mark Ettinger Md, Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Leigh Ettinger reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Red Bank, NJ 07701
- Reassigned Medicare billing, New Jersey enrollment
- 2,844 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 12603 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
POUGHKEEPSIE, NY 12603
POUGHKEEPSIE, NY 12603
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 Leigh Ettinger's NPI number?
The NPI number for Leigh Ettinger is 1194765859. It was assigned to this individual provider in the NPPES registry on June 8, 2006.
Where is Leigh Ettinger located?
Leigh Ettinger practices at 301 Manchester Rd Ste 105, Poughkeepsie, NY 12603. The listed phone number is (845) 452-1700.
What is Leigh Ettinger's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Leigh Ettinger enrolled in Medicare?
Yes. Leigh Ettinger is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Leigh Ettinger's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Leigh Ettinger reassigns Medicare benefits to Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ). The 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 Leigh Ettinger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Leigh Ettinger was last updated on January 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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. Leigh Mark Ettinger, MD, MS · NPI 1194765859
Pediatrics physician in Poughkeepsie, New York. Individual provider, active in the CMS NPPES registry since June 8, 2006.
## Identity
- **NPI:** 1194765859 (Entity type: Individual)
- **Enumerated:** June 8, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 221725-01 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 301 MANCHESTER RD STE 105, Poughkeepsie, NY 12603-2895
- **Phone:** (845) 452-1700
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Hackensack Meridian Health Medical Group - Specialty Care PC (NPI 1215989249, Red Bank, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 23, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1194765859) · Data from the CMS NPPES public registry.