DOUGLAS E LEAMAN M.D.
NPI 1295866119
Family Medicine in Lancaster, PA

Active since March 09, 2007PECOS EnrolledAccepts Medicare Assignment
515-B HERSHEY AVE., LANCASTER, PA 17603(717) 299-6372(717) 397-8881 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 8, 2026, Mar 29, 2018, Jul 12, 2016 (3 updates tracked since 2016).

About Douglas E Leaman M.d. NPPES

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

DOUGLAS E LEAMAN M.D. (NPI 1295866119) is an individual family medicine provider in Lancaster, Pennsylvania, licensed in Pennsylvania (MD430975) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Lancaster General Hospital, and maintains a secondary practice location in Lancaster.

NPPES Registry Identity

NPI1295866119
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDOUGLAS E LEAMANCredential: M.D.
Location Address515-B HERSHEY AVE.Lancaster, PA 17603
Mailing Address304 N Water StLancaster, PA 17603-3374 · (717) 735-6808 · Fax (717) 945-1587
Fax(717) 397-8881
Sole ProprietorNo
Medical School CMSHahnemann University College Of MedicineGraduated 1997
Enumeration DateMarch 9, 2007
Last NPPES UpdateApril 8, 20263 updates tracked since enumeration
NPPES CertifiedApril 8, 2026
NPI 1295866119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in PA · MD430975
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.
515-B HERSHEY AVE., Lancaster, PA 17603

Secondary Practice Location 1

Location 1540 North Duke Street, 3rd FloorLancaster, PA 17602-2374 · Phone (717) 544-4950 · Fax (717) 544-5964

Other Identifiers 1

Medicaid1019178820001PA

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

Douglas E Leaman M.d. 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 ID547329021
PECOS Enrollment IDI20081113000103
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.

Hospital Affiliations CMS Care Compare

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

Lancaster General Hospital

Acute Care Hospitals · Lancaster, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390100
Location555 North Duke StreetLancaster, PA 17602 · Lancaster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17603 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
45%82 patients2/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
43%158 patients3/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
36%80 patients2/55-star benchmark: 100%
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.

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.

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers15 claims15 services$24.32 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Douglas Leaman's NPI number?

The NPI number for Douglas Leaman is 1295866119. It was assigned to this individual provider in the NPPES registry on March 9, 2007.

Where is Douglas Leaman located?

Douglas Leaman practices at 515-B Hershey Ave., Lancaster, PA 17603. The listed phone number is (717) 299-6372.

What is Douglas Leaman's specialty?

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

Is Douglas Leaman enrolled in Medicare?

Yes. Douglas Leaman 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.

Is Douglas Leaman affiliated with any hospitals?

According to CMS data, Douglas Leaman is affiliated with Lancaster General Hospital.

When was this NPI record last updated?

The NPPES record for Douglas Leaman was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.