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DR. TONY LEUNG M.D.
NPI 1295991867
Urology in Somerville, MA

Active since August 04, 2008PECOS EnrolledAccepts Medicare Assignment
86.26/100
CMS Quality Rating
230 HIGHLAND AVE, SURGICAL SERVICES, SOMERVILLE, MA 02143(617) 665-2555 Get Directions Write a Review

NPPES record last updated: May 3, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Tony Leung M.d. NPPES

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

DR. TONY LEUNG M.D. (NPI 1295991867) is an individual urology provider in Somerville, Massachusetts, licensed in New York (267793-1) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, is affiliated with Cambridge Health Alliance, and is a graduate of Icahn School Of Medicine At Mount Sinai (2008).

NPPES Registry Identity

NPI1295991867
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. TONY LEUNGCredential: M.D.
Location Address230 HIGHLAND AVE, SURGICAL SERVICESSomerville, MA 02143-1408
Mailing Address230 Highland Ave, Surgical ServicesSomerville, MA 02143-1408
Phone(617) 665-2555
Sole ProprietorNo
Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 2008
Enumeration DateAugust 4, 2008
Last NPPES UpdateMay 3, 2017
✔ NPI 1295991867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in NY · 267793-1
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Also ListedSpecialistTaxonomy 174400000X · License 267793-1 (NY)
230 HIGHLAND AVE, Somerville, MA 02143
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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. Tony Leung 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 ID1355583832
PECOS Enrollment IDI20141202001084
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 7

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.
315 services216 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.
122 services104 patients
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.
47 services47 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
47 services40 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
44 services41 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.
31 services31 patients

Hospital Affiliations CMS Care Compare

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

Cambridge Health Alliance

Acute Care Hospitals · Cambridge, MA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number220011
Location1493 Cambridge StreetCambridge, MA 02138 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02143 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

86.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.84
Promoting Interoperability100
Improvement Activities40
Cost58.7

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.

MR. JEAN MARQUES LAFOREST COUNSELOR
Community Health Worker
230 HIGHLAND AVE, S.O.N, ROOM 401
SOMERVILLE, MA 02143
Middlesex County (617) 591-6780
DR. SANDRA FADOUS PHARMD
Pharmacist
230 HIGHLAND AVE
SOMERVILLE, MA 02143
Middlesex County (617) 591-4200
ANGELINA COSTA
Occupational Therapist
230 HIGHLAND AVE
SOMERVILLE, MA 02143
Middlesex County (617) 591-4531
DEBRALEE QUINN MSN, RN
Registered Nurse
230 HIGHLAND AVE, SOMERVILLE HOSPITAL
SOMERVILLE, MA 02143
Middlesex County (617) 591-4500
MRS. SANDRA GONCALVES CAMPOS COUNSELOR
Community Health Worker
230 HIGHLAND AVE, SON, SUITE 405
SOMERVILLE, MA 02143
Middlesex County (617) 591-6783
CAMBRIDGE PUBLIC HEALTH COMMISSION
Psychiatric Unit
230 HIGHLAND AVE
SOMERVILLE, MA 02143
Middlesex County (617) 591-4500
STACEY ELLIOT RN
Registered Nurse
230 HIGHLAND AVE
SOMERVILLE, MA 02143
Middlesex County (617) 591-4500
MR. BARRY RUND
Community Health Worker
230 HIGHLAND AVE
SOMERVILLE, MA 02143
Middlesex County (617) 591-6734

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 Tony Leung's NPI number?

The NPI number for Tony Leung is 1295991867. It was assigned to this individual provider in the NPPES registry on August 4, 2008.

Where is Tony Leung located?

Tony Leung practices at 230 Highland Ave Surgical Services, Somerville, MA 02143. The listed phone number is (617) 665-2555.

What is Tony Leung's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Tony Leung enrolled in Medicare?

Yes. Tony Leung 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 Tony Leung accept?

Health plans from Anthem Blue Cross and Blue Shield list Tony Leung 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 Tony Leung affiliated with any hospitals?

According to CMS data, Tony Leung is affiliated with Cambridge Health Alliance.

When was this NPI record last updated?

The NPPES record for Tony Leung was last updated on May 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.