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PAUL DENIS LEGER M.D.
NPI 1316380264
Internal Medicine - Hematology & Oncology in Washington, DC

Active since April 10, 2013PECOS EnrolledAccepts Medicare Assignment
76.55/100
CMS Quality Rating
3800 RESERVOIR RD NW LCCC, PODIUM B, WASHINGTON, DC 20007(202) 444-2223 Get Directions Write a Review

NPPES record last updated: June 16, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Paul Denis Leger M.d. NPPES

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

PAUL DENIS LEGER M.D. (NPI 1316380264) is an individual hematology & oncology provider in Washington, District Of Columbia, licensed in District Of Columbia (MD047579) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS and is a graduate of Vanderbilt University School Of Medicine (1997).

NPPES Registry Identity

NPI1316380264
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NamePAUL DENIS LEGERCredential: M.D.
Location Address3800 RESERVOIR RD NW LCCC, PODIUM BWashington, DC 20007-2113
Mailing Address3800 Reservoir Rd Nw Lccc, Podium BWashington, DC 20007-2113 · (202) 444-2223
Phone(202) 444-2223
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 1997
Enumeration DateApril 10, 2013
Last NPPES UpdateJune 16, 2020
NPPES CertifiedJune 16, 2020
✔ NPI 1316380264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in DC · MD047579
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3800 RESERVOIR RD NW LCCC, PODIUM B, Washington, DC 20007
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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

Paul Denis Leger 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 ID5890090476
PECOS Enrollment IDI20200804001728
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 5

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
647 services156 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
49 services33 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
40 services40 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.
24 services11 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.
15 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20007 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
$194.86 typical visit price
range $65.18 – $194.86
Typical copayment $48.71 (range $16.29 – $48.71)
Most-billed visit code 99205
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

76.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.16
Promoting Interoperability100
Improvement Activities40
Cost55.94

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 Paul Leger's NPI number?

The NPI number for Paul Leger is 1316380264. It was assigned to this individual provider in the NPPES registry on April 10, 2013.

Where is Paul Leger located?

Paul Leger practices at 3800 Reservoir Rd NW Lccc, Podium B, Washington, DC 20007. The listed phone number is (202) 444-2223.

What is Paul Leger's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Paul Leger enrolled in Medicare?

Yes. Paul Leger 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.

When was this NPI record last updated?

The NPPES record for Paul Leger was last updated on June 16, 2020. 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.