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LORI A LEASEBURGE MD
NPI 1275628455
Obstetrics & Gynecology - Obstetrics in Jacksonville, FL

Active since October 04, 2006PECOS EnrolledAccepts Medicare Assignment
1891 BEACH BLVD, SUITE 200, JACKSONVILLE, FL 32250(904) 249-3743(904) 249-2047 Get Directions Write a Review

NPPES record last updated: November 1, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lori A Leaseburge Md NPPES

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

LORI A LEASEBURGE MD (NPI 1275628455) is an individual obstetrics provider in Jacksonville, Florida, licensed in Florida (ME93918) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and is a graduate of Jc Edwards School Of Medicine, Marshall University (1997).

NPPES Registry Identity

NPI1275628455
Entity TypeIndividualFemale
Primary Taxonomy207VX0000X
Provider Legal NameLORI A LEASEBURGECredential: MD
Location Address1891 BEACH BLVD, SUITE 200Jacksonville, FL 32250-2644
Mailing Address1891 Beach Blvd, Suite 200Jacksonville, FL 32250-2644 · (904) 249-3743 · Fax (904) 249-2047
Phone(904) 249-3743
Fax(904) 249-2047
Sole ProprietorNo
Medical School CMSJc Edwards School Of Medicine, Marshall UniversityGraduated 1997
Enumeration DateOctober 4, 2006
Last NPPES UpdateNovember 1, 2011
✔ NPI 1275628455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · ObstetricsAllopathic & Osteopathic Physicians
Taxonomy Code207VX0000X
License✔ Licensed in FL · ME93918
Definition
A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee
1891 BEACH BLVD, Jacksonville, FL 32250
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINH38189FL
Medicaid273607100FL
Medicare PIN18808YFL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lori A Leaseburge 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 ID7214965979
PECOS Enrollment IDI20050924000054
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.

Medicare Billing Reassignment

Medicare enrollment records show Lori Leaseburge reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cleveland W Randolph, Jr, MD, PA
Same address
Specialist
1891 BEACH BLVD STE 200
Jacksonville Beach, FL 32250
  • Reassigned Medicare billing, Florida enrollment
  • 8 clinicians in this Medicare group
NPI 1497808182 (904) 249-3743

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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.
409 services280 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.
130 services101 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
93 services93 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
51 services51 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.
36 services36 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
27 services20 patients

Hospital Affiliations CMS Care Compare 4

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

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100088
Location800 Prudential DrJacksonville, FL 32207 · Duval County
Emergency services Birthing friendly

Flagler Hospital

Acute Care Hospitals · Saint Augustine, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100090
Location400 Health Park BlvdSaint Augustine, FL 32086 · St. Johns County
Emergency services Birthing friendly

Baptist Medical Center Beaches

Acute Care Hospitals · Jacksonville Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100117
Location1350 13th Ave SJacksonville Beach, FL 32250 · Duval County
Emergency services Birthing friendly

Baptist Medical Center - Nassau

Acute Care Hospitals · Fernandina Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100140
Location1250 S 18th StFernandina Beach, FL 32034 · Nassau County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32250 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

Other Providers at the Same Location NPPES 7

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

NICOLE THOMAS APRN
Nurse Practitioner
1891 BEACH BLVD, SUITE 200
JACKSONVILLE BEACH, FL 32250
Duval County (904) 249-3743
DONNY KLAY APRN
Nurse Practitioner
1891 BEACH BLVD
JACKSONVILLE BEACH, FL 32250
Duval County (904) 249-3743
CLEVELAND W RANDOLPH JR. M.D.
Specialist
1891 BEACH BLVD, STE. 200
JACKSONVILLE BEACH, FL 32250
Duval County (904) 249-3743
SHERRI K JACKSON APRN
Nurse Practitioner (Family)
1891 BEACH BLVD
JACKSONVILLE BEACH, FL 32250
Duval County (904) 249-3743
MR. ESTEBAN GARCES APRN
Nurse Practitioner (Family)
1891 BEACH BLVD, SUITE 200
JACKSONVILLE BEACH, FL 32250
Duval County (904) 249-3743
WILLIAM MCGALLIARD PHARMD
Pharmacist
1891 BEACH BLVD
JACKSONVILLE BEACH, FL 32250
Duval County (904) 746-3046
CLEVELAND RANDOLPH, JR, MD, PA
Pharmacy
1891 BEACH BLVD
JACKSONVILLE BEACH, FL 32250
Duval County (904) 746-3046

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 Lori Leaseburge's NPI number?

The NPI number for Lori Leaseburge is 1275628455. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Lori Leaseburge located?

Lori Leaseburge practices at 1891 Beach Blvd Suite 200, Jacksonville, FL 32250. The listed phone number is (904) 249-3743.

What is Lori Leaseburge's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Obstetrics, with taxonomy code 207VX0000X.

Is Lori Leaseburge enrolled in Medicare?

Yes. Lori Leaseburge 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.

Which organization bills Medicare for Lori Leaseburge's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lori Leaseburge reassigns Medicare benefits to Cleveland W Randolph, Jr, MD, PA (Jacksonville Beach, FL). 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 Lori Leaseburge's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lori Leaseburge accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Lori Leaseburge 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 Lori Leaseburge affiliated with any hospitals?

According to CMS data, Lori Leaseburge is affiliated with Baptist Health Medical Center - Jacksonville, Flagler Hospital, Baptist Medical Center Beaches and Baptist Medical Center - Nassau.

When was this NPI record last updated?

The NPPES record for Lori Leaseburge was last updated on November 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.