LEO L. FONG MD
NPI 1215047659
Surgery - Vascular Surgery in Clovis, CA

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
85/100
CMS Quality Rating
3120 WILLOW AVE STE 101, CLOVIS, CA 93612(559) 721-4910(559) 721-4920 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2025, Nov 6, 2019 (2 updates tracked since 2019).

About Leo L. Fong Md NPPES

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

LEO L. FONG MD (NPI 1215047659) is an individual vascular surgery provider in Clovis, California, licensed in California (G79576) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Tufts University School Of Medicine (1992).

NPPES Registry Identity

NPI1215047659
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameLEO L. FONGCredential: MD
Location Address3120 WILLOW AVE STE 101Clovis, CA 93612-4714
Mailing Address3120 Willow Ave Ste 101Clovis, CA 93612-4714 · (209) 613-2927 · Fax (209) 538-6010
Fax(559) 721-4920
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 1992
Enumeration DateAugust 30, 2006
Last NPPES UpdateMarch 17, 20252 updates tracked since enumeration
NPPES CertifiedMarch 17, 2025
NPI 1215047659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License Licensed in CA · G79576
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
3120 WILLOW AVE STE 101, Clovis, CA 93612

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

Leo L. Fong 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 ID7911955406
PECOS Enrollment IDI20050111000942
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 24

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.

Epifix, per square centimeter Q4186
Epifix is an advanced wound care treatment, derived from human placental tissue. It helps to promote healing by providing a protective barrier and supplying growth factors. Each square centimeter refers to the size of the Epifix graft needed for your specific wound.
6,845 services40 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.
1,344 services353 patients
Application of vein wound compression bandages on lower leg, ankle, and foot 29581
Compression bandages are applied to your lower leg, ankle, and foot to promote healing of vein wounds. The bandages apply pressure to improve blood flow, reduce swelling, and accelerate wound healing. It's a safe, non-invasive treatment.
476 services75 patients
Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less 15271
This procedure involves applying a skin substitute graft to a wound on the trunk, arms, or legs. The graft, a lab-grown skin, is used to cover a wound area of 25.0 sq cm or less, within a total wound area of 100.0 sq cm or less. It aids in healing and regeneration.
410 services44 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
314 services68 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.
264 services146 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93612 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
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.

85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.33
Promoting Interoperability100
Improvement Activities40
Cost45.02

Referred Medical Equipment & Supplies CMS DME claims

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

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers15 claims15 services$11.71 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 2

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

Surgery (Vascular Surgery)
3120 WILLOW AVE STE 101
CLOVIS, CA 93612
Surgery (Vascular Surgery)
3120 WILLOW AVE STE 101
CLOVIS, CA 93612

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 Leo Fong's NPI number?

The NPI number for Leo Fong is 1215047659. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Leo Fong located?

Leo Fong practices at 3120 Willow Ave Ste 101, Clovis, CA 93612. The listed phone number is (559) 721-4910.

What is Leo Fong's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Leo Fong enrolled in Medicare?

Yes. Leo Fong 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.

When was this NPI record last updated?

The NPPES record for Leo Fong was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.