PETER LEROUX MD
NPI 1306882279
Neurological Surgery in Cooperstown, NY

Active since June 21, 2006PECOS EnrolledAccepts Medicare Assignment
1 ATWELL RD, COOPERSTOWN, NY 13326(607) 547-3480 Get Directions Write a Review

NPPES record last updated: June 7, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 7, 2021, Mar 20, 2019 (2 updates tracked since 2019).

About Peter Leroux Md NPPES

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

PETER LEROUX MD (NPI 1306882279) is an individual neurological surgery provider in Cooperstown, New York, licensed in New York (196968) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Aurelia Osborn Fox Memorial Hospital, and is a graduate of Other (1978).

NPPES Registry Identity

NPI1306882279
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NamePETER LEROUXCredential: MD
Location Address1 ATWELL RDCooperstown, NY 13326-1301
Mailing Address1 Atwell RdCooperstown, NY 13326-1301 · (607) 547-3480 · Fax (352) 392-8413
Sole ProprietorNo
Medical School CMSOtherGraduated 1978
Enumeration DateJune 21, 2006
Last NPPES UpdateJune 7, 20212 updates tracked since enumeration
NPPES CertifiedJune 7, 2021
NPI 1306882279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Licenses Licensed in NY · 196968 Licensed in FL · ME139330 Licensed in PA · MD072435L
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
1 ATWELL RD, Cooperstown, NY 13326

Accepted 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

Peter Leroux Md 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 ID3577698802
PECOS Enrollment IDI20190613001883
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 4

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.
131 services86 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.
42 services34 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.
33 services33 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.
28 services28 patients

Hospital Affiliations CMS Care Compare 5

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

Aurelia Osborn Fox Memorial Hospital

Acute Care Hospitals · Oneonta, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330085
LocationOne Norton AvenueOneonta, NY 13820 · Otsego County
Emergency services

Bassett Healthcare

Acute Care Hospitals · Cooperstown, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330136
LocationOne Atwell RoadCooperstown, NY 13326 · Otsego County
Emergency services Birthing friendly

O'connor Hospital

Critical Access Hospitals · Delhi, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331305
Location460 Andes RoadDelhi, NY 13753 · Delaware County
Emergency services

Little Falls Hospital

Critical Access Hospitals · Little Falls, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331311
Location140 Burwell StreetLittle Falls, NY 13365 · Herkimer County
Emergency services

Cobleskill Regional Hospital

Critical Access Hospitals · Cobleskill, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number331320
Location178 Grandview DriveCobleskill, NY 12043 · Schoharie County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13326 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

Nurse Practitioner (Pediatrics)
1 ATWELL RD
COOPERSTOWN, NY 13326
Physician Assistant
1 ATWELL RD
COOPERSTOWN, NY 13326
Physician Assistant
1 ATWELL RD
COOPERSTOWN, NY 13326
Social Worker (Clinical)
1 ATWELL RD
COOPERSTOWN, NY 13326
Physician Assistant (Surgical)
1 ATWELL RD
COOPERSTOWN, NY 13326
Physician Assistant
1 ATWELL RD
COOPERSTOWN, NY 13326
Pediatrics
1 ATWELL RD
COOPERSTOWN, NY 13326
Midwife
1 ATWELL RD
COOPERSTOWN, NY 13326

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 Peter Leroux's NPI number?

The NPI number for Peter Leroux is 1306882279. It was assigned to this individual provider in the NPPES registry on June 21, 2006.

Where is Peter Leroux located?

Peter Leroux practices at 1 Atwell Rd, Cooperstown, NY 13326. The listed phone number is (607) 547-3480.

What is Peter Leroux's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Peter Leroux enrolled in Medicare?

Yes. Peter Leroux 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 Peter Leroux accept?

Health plans from AvMed list Peter Leroux 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 Peter Leroux affiliated with any hospitals?

According to CMS data, Peter Leroux is affiliated with Aurelia Osborn Fox Memorial Hospital, Bassett Healthcare, O'connor Hospital, Little Falls Hospital and Cobleskill Regional Hospital.

When was this NPI record last updated?

The NPPES record for Peter Leroux was last updated on June 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.