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KATHLEEN C LEONE MD FACS
NPI 1306937768
Ophthalmology in Wilmington, NC

Active since September 28, 2006PECOS EnrolledAccepts Medicare Assignment
90.57/100
CMS Quality Rating
1729 NEW HANOVER MEDICAL PARK DRIVE, WILMINGTON, NC 28403(910) 763-3601(910) 763-4608 Get Directions Write a Review

NPPES record last updated: October 26, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kathleen C Leone Md Facs NPPES

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

KATHLEEN C LEONE MD FACS (NPI 1306937768) is an individual ophthalmology provider in Wilmington, North Carolina, licensed in North Carolina (9800608) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Georgetown University School Of Medicine (1990).

NPPES Registry Identity

NPI1306937768
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameKATHLEEN C LEONECredential: MD FACS
Location Address1729 NEW HANOVER MEDICAL PARK DRIVEWilmington, NC 28403
Mailing Address1729 New Hanover Medical Park DriveWilmington, NC 28403 · (910) 763-3601 · Fax (910) 763-4608
Phone(910) 763-3601
Fax(910) 763-4608
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 1990
Enumeration DateSeptember 28, 2006
Last NPPES UpdateOctober 26, 2020
NPPES CertifiedOctober 26, 2020
✔ NPI 1306937768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in NC · 9800608
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1729 NEW HANOVER MEDICAL PARK DRIVE, Wilmington, NC 28403
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Other Identifiers 1

Medicaid89115NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.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

Kathleen C Leone Md Facs 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 ID5193751501
PECOS Enrollment IDI20120118000304
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 8

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.

Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
433 services216 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
348 services224 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
311 services175 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.
216 services210 patients
Ct scan of cornea 92025
A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.
193 services191 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
160 services105 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28403 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

90.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost68.58

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RICHARD DAX HAWKINS MD
Ophthalmology
1729 NEW HANOVER MEDICAL PARK DRIVE
WILMINGTON, NC 28403
New Hanover County (910) 763-3601
WILMINGTON EYE, P.A.
Ophthalmology
1729 NEW HANOVER MEDICAL PARK DRIVE
WILMINGTON, NC 28403
New Hanover County (910) 763-3601

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 Kathleen Leone's NPI number?

The NPI number for Kathleen Leone is 1306937768. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Where is Kathleen Leone located?

Kathleen Leone practices at 1729 New Hanover Medical Park Drive, Wilmington, NC 28403. The listed phone number is (910) 763-3601.

What is Kathleen Leone's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Kathleen Leone enrolled in Medicare?

Yes. Kathleen Leone 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 Kathleen Leone accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Kathleen Leone 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 Kathleen Leone was last updated on October 26, 2020. 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.