DR. DEREK LEUNG D.M.D
NPI 1306228168
Dentist - Pediatric Dentistry in Boston, MA

Active since June 29, 2015Opted out of Medicare · through Nov 27, 2026
1 KNEELAND ST, BOSTON, MA 02111(307) 363-1515 Get Directions Write a Review

NPPES record last updated: December 23, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Derek Leung D.m.d NPPES

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

DR. DEREK LEUNG D.M.D (NPI 1306228168) is an individual pediatric dentistry provider in Boston, Massachusetts, licensed in Massachusetts (DN1856929) and active in the NPI registry since June 2015. He has opted out of Medicare through November 27, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1306228168
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. DEREK LEUNGCredential: D.M.D
Location Address1 KNEELAND STBoston, MA 02111-1527
Mailing Address5 Adamary PlPine Brook, NJ 07058-9702 · (307) 363-1515
Sole ProprietorNo
Enumeration DateJune 29, 2015
Last NPPES UpdateDecember 23, 2019
NPI 1306228168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in MA · DN1856929
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentistTaxonomy 122300000X · License DN1856929 (MA)
1 KNEELAND ST, Boston, MA 02111

Accepted Insurance

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. Derek Leung D.m.d 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 November 27, 2018 through November 27, 2026.

Opt-Out Effective DateNovember 27, 2018
Opt-Out In Effect ThroughNovember 27, 2026Opt-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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02111 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
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.

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.

Dentist
1 KNEELAND ST
BOSTON, MA 02111
Student in an Organized Health Care Education/Training Program
1 KNEELAND ST
BOSTON, MA 02111
Student in an Organized Health Care Education/Training Program
1 KNEELAND ST
BOSTON, MA 02111
Dental Assistant
1 KNEELAND ST
BOSTON, MA 02111
Dentist (General Practice)
1 KNEELAND ST
BOSTON, MA 02111
Student in an Organized Health Care Education/Training Program
1 KNEELAND ST
BOSTON, MA 02111
Student in an Organized Health Care Education/Training Program
1 KNEELAND ST
BOSTON, MA 02111
Student in an Organized Health Care Education/Training Program
1 KNEELAND ST
BOSTON, MA 02111

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 Derek Leung's NPI number?

The NPI number for Derek Leung is 1306228168. It was assigned to this individual provider in the NPPES registry on June 29, 2015.

Where is Derek Leung located?

Derek Leung practices at 1 Kneeland St, Boston, MA 02111. The listed phone number is (307) 363-1515.

What is Derek Leung's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Derek Leung enrolled in Medicare?

No. Derek Leung has opted out of Medicare through November 27, 2026. 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.

What insurance does Derek Leung accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 12 other insurers list Derek 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.

When was this NPI record last updated?

The NPPES record for Derek Leung was last updated on December 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.