LEOMERTO SOMERA MD
NPI 1306118302
Hospitalist in Wallingford, CT

Active since February 07, 2012PECOS Enrolled
93.27/100
CMS Quality Rating
50 GAYLORD FARM RD, WALLINGFORD, CT 06492(203) 284-2800(203) 294-8705 Get Directions Write a Review

NPPES record last updated: February 21, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 21, 2019, Dec 14, 2018 (2 updates tracked since 2018).

About Leomerto Somera Md NPPES

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

LEOMERTO SOMERA MD (NPI 1306118302) is an individual hospitalist provider in Wallingford, Connecticut, licensed in Connecticut (53477) and active in the NPI registry since February 2012. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1306118302
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameLEOMERTO SOMERACredential: MD
Location Address50 GAYLORD FARM RDWallingford, CT 06492
Mailing Address20 York Street, Cb-2041New Haven, CT 06510-3220 · (203) 688-1734 · Fax (203) 688-4740
Fax(203) 294-8705
Sole ProprietorNo
Enumeration DateFebruary 7, 2012
Last NPPES UpdateFebruary 21, 20192 updates tracked since enumeration
✔ NPI 1306118302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in CT · 53477
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 53477 (CT)
50 GAYLORD FARM RD, Wallingford, CT 06492

Secondary Practice Locations 2

Location 150 Gaylord Farm RdWallingford, CT 06492 · Phone (203) 284-2800 · Fax (203) 294-8705
Location 216 Guion PlNew Rochelle, NY 10801-5502 · Phone (914) 365-3680

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Leomerto Somera Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

3

Medicare enrollment records show Leomerto Somera reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Long Term Care Hospital
50 GAYLORD FARM RD
Wallingford, CT 06492
  • Reassigned Medicare billing, Connecticut enrollment
  • 84 clinicians in this Medicare group
Hospitalist
20 YORK ST, CB 2041
New Haven, CT 06510
  • Reassigned Medicare billing, Connecticut enrollment
  • Medicare enrollment name: Northeast Medical Group Inc
  • 1,824 clinicians in this Medicare group
Internal Medicine
71 HAYNES ST
Manchester, CT 06040
  • Reassigned Medicare billing, Connecticut enrollment
  • 130 clinicians in this Medicare group

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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
768 services72 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
116 services40 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
39 services38 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06492 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

93.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.72
Promoting Interoperability78.03
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
93%107 patients4/55-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 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tracheostomy care kit for established tracheostomy A4629
DME-Orthotic Devices · category DF000N
1 supplier12 claims356 services$4.49 avg. paid by Medicare
Compressor, air power source for equipment which is not self-contained or cylinder driven E0565
DME-Other DME · category DE000N
1 supplier13 claims13 services$34.99 avg. paid by Medicare
Respiratory suction pump, home model, portable or stationary, electric E0600
DME-Other DME · category DE000N
1 supplier13 claims13 services$34.70 avg. paid by Medicare
Manual wheelchair accessory, anti-tipping device, each E0971
DME-Wheelchairs · category DD021N
1 supplier13 claims26 services$2.49 avg. paid by Medicare
Wheelchair accessory, positioning belt/safety belt/pelvic strap, each E0978
DME-Wheelchairs · category DD021N
2 suppliers11 claims11 services$1.91 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
4 suppliers38 claims38 services$13.09 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine
50 GAYLORD FARM RD
WALLINGFORD, CT 06492
Social Worker (Clinical)
50 GAYLORD FARM RD
WALLINGFORD, CT 06492
Registered Nurse (Rehabilitation)
50 GAYLORD FARM RD
WALLINGFORD, CT 06492
Social Worker (Clinical)
50 GAYLORD FARM RD
WALLINGFORD, CT 06492
Nurse Practitioner
50 GAYLORD FARM RD
WALLINGFORD, CT 06492
Nurse Practitioner (Psychiatric/Mental Health)
50 GAYLORD FARM RD
WALLINGFORD, CT 06492
Nurse Practitioner (Psychiatric/Mental Health)
50 GAYLORD FARM RD
WALLINGFORD, CT 06492
Internal Medicine
50 GAYLORD FARM RD
WALLINGFORD, CT 06492

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 Leomerto Somera's NPI number?

The NPI number for Leomerto Somera is 1306118302. It was assigned to this individual provider in the NPPES registry on February 7, 2012.

Where is Leomerto Somera located?

Leomerto Somera practices at 50 Gaylord Farm Rd, Wallingford, CT 06492. The listed phone number is (203) 284-2800.

What is Leomerto Somera's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Leomerto Somera enrolled in Medicare?

Yes. Leomerto Somera is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Leomerto Somera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Leomerto Somera reassigns Medicare benefits to 3 organizations: Gaylord Hospital, Inc. (Wallingford, CT), Mill Hill Medical Consultants Inc (New Haven, CT) and Hospitalist Medicine Physicians Of Connecticut, LLC (Manchester, CT). Each 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 Leomerto Somera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Leomerto Somera accept?

Health plans from Anthem Blue Cross and Blue Shield list Leomerto Somera 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.

When was this NPI record last updated?

The NPPES record for Leomerto Somera was last updated on February 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.