DR. BRIAN J LEBERTHON M.D.
NPI 1326023979
Internal Medicine - Hematology & Oncology in West Covina, CA

Active since December 07, 2005PECOS EnrolledAccepts Medicare Assignment
92.36/100
CMS Quality Rating
1135 S SUNSET AVE, SUITE # 207, WEST COVINA, CA 91790(626) 338-9560(626) 338-9360 Get Directions Write a Review

NPPES record last updated: December 14, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Brian J Leberthon M.d. NPPES

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

DR. BRIAN J LEBERTHON M.D. (NPI 1326023979) is an individual hematology & oncology provider in West Covina, California, licensed in California (G79934) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Southern California Keck School Of Medicine (1993).

NPPES Registry Identity

NPI1326023979
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. BRIAN J LEBERTHONCredential: M.D.
Location Address1135 S SUNSET AVE, SUITE # 207West Covina, CA 91790-3937
Mailing Address1135 S Sunset Ave, Suite # 207West Covina, CA 91790-3937 · (626) 338-9560 · Fax (626) 338-9360
Fax(626) 338-9360
Sole ProprietorNo
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 1993
Enumeration DateDecember 7, 2005
Last NPPES UpdateDecember 14, 2016
NPI 1326023979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in CA · G79934
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.
1135 S SUNSET AVE, West Covina, CA 91790

Other Identifiers 3

Medicare UPING98159CA
Medicaid1821202060CA
Medicaid00G799340CA

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

Dr. Brian J Leberthon 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 ID7719944867
PECOS Enrollment IDI20041213000326
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 17

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
4,320 services46 patients
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.
1,080 services218 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.
784 services143 patients
Infusion into a vein for hydration, each additional hour 96361
This procedure involves delivering fluids directly into your vein to keep your body hydrated. It is typically done when oral hydration is insufficient. Each additional hour means more fluid is infused to ensure adequate hydration.
461 services22 patients
Infusion into a vein for therapy, prevention, or diagnosis, each additional hour 96366
This procedure involves delivering medication, fluids, or nutrients directly into your vein. This is done to treat, prevent, or diagnose various conditions. Each additional hour refers to the extended time you may need to receive these substances for optimal results.
421 services21 patients
Infusion, normal saline solution, 250 cc J7050
An infusion of normal saline solution, 250 cc, involves administering a sterile saltwater solution into your body through a vein, usually in your arm. This helps to replenish fluids, maintain hydration, and balance electrolytes in your body.
265 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91790 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
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

92.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40
Cost41.2

Reported Quality Measures

Advance Care Plan
100%285 patients5/55-star benchmark: 100%
Controlling High Blood Pressure
84%191 patients4/55-star benchmark: 98%
Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation
86%168 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%3,654 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%740 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 100% · 80 patients
Patients screened: 100% · 639 patients
100%639 patients5/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients screened: 100% · 634 patients
100%634 patients
Screening for Osteoporosis for Women Aged 65-85 Years of Age
64%135 patients3/55-star benchmark: 98%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
100%184 patients5/55-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 4

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

Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
2 suppliers13 claims30 services$10.50 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers15 claims46 services$1.59 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$784.18 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier35 claims35 services$3.42 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.

Student in an Organized Health Care Education/Training Program
1135 S SUNSET AVE
WEST COVINA, CA 91790
Clinic/Center
1135 S SUNSET AVE, SUITE 307
WEST COVINA, CA 91790
Obstetrics & Gynecology (Maternal & Fetal Medicine)
1135 S SUNSET AVE, STE 402
WEST COVINA, CA 91790
Pediatrics (Neonatal-Perinatal Medicine)
1135 S SUNSET AVE
WEST COVINA, CA 91790
Obstetrics & Gynecology
1135 S SUNSET AVE, SUITE #303
W COVINA, CA 91790
Clinic/Center (Medical Specialty)
1135 S SUNSET AVE, #206
WEST COVINA, CA 91790
Clinic/Center (Sleep Disorder Diagnostic)
1135 S SUNSET AVE, SUITE 307
WEST COVINA, CA 91790
Specialist
1135 S SUNSET AVE, SUITE 315
WEST COVINA, CA 91790

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 Brian Leberthon's NPI number?

The NPI number for Brian Leberthon is 1326023979. It was assigned to this individual provider in the NPPES registry on December 7, 2005.

Where is Brian Leberthon located?

Brian Leberthon practices at 1135 S Sunset Ave Suite # 207, West Covina, CA 91790. The listed phone number is (626) 338-9560.

What is Brian Leberthon's specialty?

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

Is Brian Leberthon enrolled in Medicare?

Yes. Brian Leberthon 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 Brian Leberthon was last updated on December 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.