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DR. LEONARD MARK GELMAN M.D.
NPI 1326066994
Family Medicine in Ballston Spa, NY

Active since July 18, 2006PECOS Enrolled
20 PROSPECT ST, BALLSTON SPA, NY 12020(518) 885-6721(518) 885-5412 Get Directions Write a Review

NPPES record last updated: January 31, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Leonard Mark Gelman M.d. NPPES

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

DR. LEONARD MARK GELMAN M.D. (NPI 1326066994) is an individual family medicine provider in Ballston Spa, New York, licensed in New York (166891) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326066994
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. LEONARD MARK GELMANCredential: M.D.
Location Address20 PROSPECT STBallston Spa, NY 12020-1367
Mailing Address711 Troy Schenectady Rd Ste 203Latham, NY 12110-2461 · (518) 782-3700 · Fax (518) 782-3799
Phone(518) 885-6721
Fax(518) 885-5412
Sole ProprietorNo
Enumeration DateJuly 18, 2006
Last NPPES UpdateJanuary 31, 2018
✔ NPI 1326066994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 166891
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
20 PROSPECT ST, Ballston Spa, NY 12020
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Other Identifiers 9

Other070302000096NY · Fidelis
Other000401337001NY · Bsneny
Other08132NY · Mvp
Other10000746NY · Cdphp
Medicaid00964874NY
Other47333NY · Ghi/hmo
Other691671NY · Empire Bc
Other7024613NY · Aetna
Other200060NY · Senior Whole Health

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Leonard Mark Gelman M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Leonard Gelman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Medical Director Services PC
345 mi
Geriatric Medicine
11974 EDGEHILL TERRACE RD
Princess Anne, MD 21853
  • Reassigned Medicare billing, New York enrollment
  • 325 clinicians in this Medicare group
NPI 1871955807 (212) 734-6621

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12020 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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.

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
1 supplier42 claims42 services$22.36 avg. paid by Medicare
Male external catheter, with or without adhesive, disposable, each A4349
DME-Medical/Surgical Supplies · category DA000N
1 supplier12 claims420 services$1.94 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier53 claims64 services$9.13 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$32.46 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 3

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

DR. RALPH V DANIELLO D.D.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
20 PROSPECT ST, SUITE 204
BALLSTON SPA, NY 12020
Saratoga County (518) 884-2511
ALICIA J. SKINNER RPA-C
Physician Assistant (Medical)
20 PROSPECT ST, SUITE 106
BALLSTON SPA, NY 12020
Saratoga County (518) 885-3755
COMMUNITY CARE PHYSICIANS, PLLC
Family Medicine
20 PROSPECT ST
BALLSTON SPA, NY 12020
Saratoga County (518) 885-3755

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 Leonard Gelman's NPI number?

The NPI number for Leonard Gelman is 1326066994. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Leonard Gelman located?

Leonard Gelman practices at 20 Prospect St, Ballston Spa, NY 12020. The listed phone number is (518) 885-6721.

What is Leonard Gelman's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Leonard Gelman enrolled in Medicare?

Yes. Leonard Gelman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Leonard Gelman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Leonard Gelman reassigns Medicare benefits to Medical Director Services PC (Princess Anne, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Leonard Gelman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Leonard Gelman was last updated on January 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.