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DR. JULIE K LEVERTON MD
NPI 1215901541
Colon & Rectal Surgery in Plano, TX

Active since February 14, 2006PECOS EnrolledAccepts Medicare Assignment
89.46/100
CMS Quality Rating
1705 OHIO DR, SUITE 100, PLANO, TX 75093(972) 612-0430 Get Directions Write a Review

NPPES record last updated: August 21, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Julie K Leverton Md NPPES

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

DR. JULIE K LEVERTON MD (NPI 1215901541) is an individual colon & rectal surgery provider in Plano, Texas, licensed in Texas (K6071) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS and is a graduate of Washington University School Of Medicine (1992).

NPPES Registry Identity

NPI1215901541
Entity TypeIndividualFemale
Primary Taxonomy208C00000X
Provider Legal NameDR. JULIE K LEVERTONCredential: MD
Location Address1705 OHIO DR, SUITE 100Plano, TX 75093-5255
Mailing AddressPo Box 260249Plano, TX 75026-0249 · (214) 501-1138 · Fax (972) 612-8629
Phone(972) 612-0430
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 1992
Enumeration DateFebruary 14, 2006
Last NPPES UpdateAugust 21, 2013
✔ NPI 1215901541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License✔ Licensed in TX · K6071
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
1705 OHIO DR, Plano, TX 75093
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Other Identifiers 5

Medicaid163765401TX
Medicare UPING78817TX
Other8K5120TX · Bcbs
OtherP00174415TN · Medicare Railroad
Medicare ID-Type Unspecified8B4132TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Oscar Insurance Company.Insurance ›

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

Dr. Julie K Leverton 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 ID8729070362
PECOS Enrollment IDI20040401001427
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 9

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 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.
109 services81 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
103 services101 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.
53 services44 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
46 services46 patients
Removal of external hemorrhoids by rubber banding 46221
Rubber band ligation is a procedure used to treat external hemorrhoids. A doctor places small rubber bands around the base of the hemorrhoids. This cuts off blood supply, causing them to shrink and fall off, typically within a week.
44 services28 patients
Diagnostic exam of anus using an endoscope 46600
This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.
41 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75093 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

89.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.13
Promoting Interoperability100
Improvement Activities40
Cost96.75

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
68%455 patients4/55-star benchmark: 85%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%2,522 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%498 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
75%960 patients4/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
38%908 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
81%960 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
4%960 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
48%960 patients
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.

Other Providers at the Same Location NPPES 10

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

NORTH DALLAS ADVANCED DIAGNOSTIC PA
Chiropractor
1705 OHIO DR, SUITE 200 A
PLANO, TX 75093
Collin County (866) 620-5987
PLANO AMI LP
Clinic/Center (Radiology)
1705 OHIO DR, SUITE 300
PLANO, TX 75093
Collin County (972) 596-1000
MICHAEL TABA MD PA
Orthopaedic Surgery
1705 OHIO DR, SUITE 200
PLANO, TX 75093
Collin County (972) 758-3598
DR. SALIM H JABBOUR MD
Colon & Rectal Surgery
1705 OHIO DR, SUITE 100
PLANO, TX 75093
Collin County (972) 612-0430
MICHAEL TABA MD PA
Orthopaedic Surgery
1705 OHIO DR, SUITE 200
PLANO, TX 75093
Collin County (972) 964-2626
PLANO AMI, LP
Clinic/Center (Magnetic Resonance Imaging (MRI))
1705 OHIO DR, STE 300
PLANO, TX 75093
Collin County (972) 596-1000
DR. MICHAEL M TABA MD
Orthopaedic Surgery
1705 OHIO DR, SUITE 200
PLANO, TX 75093
Collin County (972) 758-3598
ADVANCED NEURODIAGNOSTIC CENTER PA
Electrodiagnostic Medicine
1705 OHIO DR, SUITE 200
PLANO, TX 75093
Collin County (866) 620-5987

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 Julie Leverton's NPI number?

The NPI number for Julie Leverton is 1215901541. It was assigned to this individual provider in the NPPES registry on February 14, 2006.

Where is Julie Leverton located?

Julie Leverton practices at 1705 Ohio Dr Suite 100, Plano, TX 75093. The listed phone number is (972) 612-0430.

What is Julie Leverton's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Julie Leverton enrolled in Medicare?

Yes. Julie Leverton 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.

What insurance does Julie Leverton accept?

Health plans from Molina Healthcare and Oscar Insurance Company list Julie Leverton 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.

When was this NPI record last updated?

The NPPES record for Julie Leverton was last updated on August 21, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.