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DR. LEIGH GILBURN D.O.
NPI 1235251562
Family Medicine in Blue Springs, MO

Active since April 06, 2007PECOS EnrolledAccepts Medicare Assignment
5435 SW US HIGHWAY 40, BLUE SPRINGS, MO 64015(816) 745-7288 Get Directions Write a Review

NPPES record last updated: September 6, 2018. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dr. Leigh Gilburn D.o. NPPES

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

DR. LEIGH GILBURN D.O. (NPI 1235251562) is an individual family medicine provider in Blue Springs, Missouri, licensed in Iowa (4343) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, is affiliated with Pocahontas Community Hospital, and maintains a secondary practice location in Oskaloosa.

NPPES Registry Identity

NPI1235251562
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. LEIGH GILBURNCredential: D.O.
Location Address5435 SW US HIGHWAY 40Blue Springs, MO 64015
Mailing Address5435 Sw Us Highway 40Blue Springs, MO 64015-6670 · (816) 745-7288
Phone(816) 745-7288
Sole ProprietorNo
Medical School CMSKansas City University Of Med & Biosciences, College Of Osteo MedGraduated 1994
Enumeration DateApril 6, 2007
Last NPPES UpdateSeptember 6, 2018
✔ NPI 1235251562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in IA · 4343✔ Licensed in MN · 48365✔ Licensed in AK · 4217
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.
5435 SW US HIGHWAY 40, Blue Springs, MO 64015
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Secondary Practice Location 1

Location 11229 C Ave EOskaloosa, IA 52577-4246 · Phone (641) 672-3360 · Fax (641) 672-3469

Other Identifiers 3

Other48365MN · License
Other4217AK · License
Other4343IA · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.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. Leigh Gilburn D.o. 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 ID3173624418
PECOS Enrollment IDI20121130000417
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 2

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
24 services20 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
17 services17 patients

Hospital Affiliations CMS Care Compare 4

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

Pocahontas Community Hospital

Critical Access Hospitals · Pocahontas, IA
OwnershipGovernment - Local
CMS Certification Number161305
Location606 N W 7th StreetPocahontas, IA 50574 · Pocahontas County
Emergency services

Hancock County Health System

Critical Access Hospitals · Britt, IA
OwnershipGovernment - Local
CMS Certification Number161307
Location532 1st St NWBritt, IA 50423 · Hancock County
Emergency services

Franklin General Hospital

Critical Access Hospitals · Hampton, IA
OwnershipGovernment - Local
CMS Certification Number161308
Location1720 Central Avenue EastHampton, IA 50441 · Franklin County
Emergency services

Loring Hospital

Critical Access Hospitals · Sac City, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161370
Location211 Highland Avenue PO Box 217Sac City, IA 50583 · Sac County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64015 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
$85.82 typical visit price
range $55.29 – $168.52
Typical copayment $21.45 (range $13.82 – $42.13)
Most-billed visit code 99203
Established Patient
$97.82 typical visit price
range $17.60 – $137.20
Typical copayment $24.45 (range $4.40 – $34.30)
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.

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 Gilburn's NPI number?

The NPI number for Leigh Gilburn is 1235251562. It was assigned to this individual provider in the NPPES registry on April 6, 2007.

Where is Leigh Gilburn located?

Leigh Gilburn practices at 5435 SW Us Highway 40, Blue Springs, MO 64015. The listed phone number is (816) 745-7288.

What is Leigh Gilburn's specialty?

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

Is Leigh Gilburn enrolled in Medicare?

Yes. Leigh Gilburn 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 Leigh Gilburn accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list Leigh Gilburn 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 Leigh Gilburn affiliated with any hospitals?

According to CMS data, Leigh Gilburn is affiliated with Pocahontas Community Hospital, Hancock County Health System, Franklin General Hospital and Loring Hospital.

When was this NPI record last updated?

The NPPES record for Leigh Gilburn was last updated on September 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.