DR. DARREN R. LEBL MD
NPI 1275669913
Orthopaedic Surgery in New York, NY

Active since February 26, 2007Opted out of Medicare · through Apr 1, 2028
28.4/100
CMS Quality Rating
523 E 72ND ST, NEW YORK, NY 10021(212) 774-7114 Get Directions Write a Review

NPPES record last updated: March 18, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 18, 2021, Feb 22, 2021 (2 updates tracked since 2021).

About Dr. Darren R. Lebl Md NPPES

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

DR. DARREN R. LEBL MD (NPI 1275669913) is an individual orthopaedic surgery provider in New York, New York, licensed in Massachusetts (L-225007) and active in the NPI registry since February 2007. He has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1275669913
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. DARREN R. LEBLCredential: MD
Location Address523 E 72ND STNew York, NY 10021-4099
Mailing Address523 E 72nd St Fl 2New York, NY 10021-4099 · (212) 606-1052
Sole ProprietorYes
Enumeration DateFebruary 26, 2007
Last NPPES UpdateMarch 18, 20212 updates tracked since enumeration
NPPES CertifiedMarch 18, 2021
NPI 1275669913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in MA · L-225007
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

523 E 72ND ST, New York, NY 10021

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Darren R. Lebl Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Areas of Expertise CMS Part B claims 5

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
28 services28 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.
27 services24 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.
24 services23 patients
Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
19 services13 patients
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047
This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10021 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

28.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost94.68

Other Providers at the Same Location NPPES 20

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

Obstetrics & Gynecology (Obstetrics)
523 E 72ND ST
NEW YORK, NY 10021
Orthopaedic Surgery (Hand Surgery)
523 E 72ND ST
NEW YORK, NY 10021
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
523 E 72ND ST
NEW YORK, NY 10021
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
523 E 72ND ST
NEW YORK, NY 10021
Clinical Exercise Physiologist
523 E 72ND ST
NEW YORK, NY 10021
Orthopaedic Surgery
523 E 72ND ST, 6TH FLOOR
NEW YORK, NY 10021
Orthopaedic Surgery (Foot and Ankle Surgery)
523 E 72ND ST, ROOM 509
NEW YORK, NY 10021
Orthopaedic Surgery (Sports Medicine)
523 E 72ND ST
NEW YORK, NY 10021

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 Darren Lebl's NPI number?

The NPI number for Darren Lebl is 1275669913. It was assigned to this individual provider in the NPPES registry on February 26, 2007.

Where is Darren Lebl located?

Darren Lebl practices at 523 E 72nd St, New York, NY 10021. The listed phone number is (212) 774-7114.

What is Darren Lebl's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Darren Lebl enrolled in Medicare?

No. Darren Lebl has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Darren Lebl was last updated on March 18, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.