CARLOS ANTHONY LEON M.D.
NPI 1336586387
Internal Medicine in Gainesville, FL

Active since May 31, 2013PECOS EnrolledAccepts Medicare Assignment
78.18/100
CMS Quality Rating
1600 SW ARCHER RD, ROOM 4102, GAINESVILLE, FL 32610(352) 265-0239(352) 265-1107 Get Directions Write a Review

NPPES record last updated: November 3, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 3, 2016, May 17, 2016 (2 updates tracked since 2016).

About Carlos Anthony Leon M.d. NPPES

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

CARLOS ANTHONY LEON M.D. (NPI 1336586387) is an individual internal medicine provider in Gainesville, Florida, licensed in Florida (TRN19064) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Uf Health Shands Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1336586387
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameCARLOS ANTHONY LEONCredential: M.D.
Location Address1600 SW ARCHER RD, ROOM 4102Gainesville, FL 32610-3003
Mailing Address1600 Sw Archer Rd, Room 4102Gainesville, FL 32610-3003 · (352) 265-0239 · Fax (352) 265-1107
Fax(352) 265-1107
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateMay 31, 2013
Last NPPES UpdateNovember 3, 20162 updates tracked since enumeration
NPI 1336586387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in FL · TRN19064
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1600 SW ARCHER RD, Gainesville, FL 32610

Other Identifiers 2

Medicaid017647600FL
Medicare PINIR813ZFL

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

Carlos Anthony Leon 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 ID244473957
PECOS Enrollment IDI20161003001181
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

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
101 services98 patients

Hospital Affiliations CMS Care Compare

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

Uf Health Shands Hospital

Acute Care Hospitals · Gainesville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100113
Location1600 SW Archer RdGainesville, FL 32610 · Alachua County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32610 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

78.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.54
Promoting Interoperability100
Improvement Activities40
Cost54.74

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.

Radiology (Diagnostic Radiology)
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Physician Assistant
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Radiology (Vascular & Interventional Radiology)
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Radiology (Diagnostic Radiology)
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Surgery
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Radiology (Diagnostic Radiology)
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Nurse Practitioner (Pediatrics)
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Internal Medicine (Medical Oncology)
1600 SW ARCHER RD
GAINESVILLE, FL 32610

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 Carlos Leon's NPI number?

The NPI number for Carlos Leon is 1336586387. It was assigned to this individual provider in the NPPES registry on May 31, 2013.

Where is Carlos Leon located?

Carlos Leon practices at 1600 SW Archer Rd Room 4102, Gainesville, FL 32610. The listed phone number is (352) 265-0239.

What is Carlos Leon's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Carlos Leon enrolled in Medicare?

Yes. Carlos Leon 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 Carlos Leon accept?

Health plans from AvMed list Carlos Leon 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 Carlos Leon affiliated with any hospitals?

According to CMS data, Carlos Leon is affiliated with Uf Health Shands Hospital.

When was this NPI record last updated?

The NPPES record for Carlos Leon was last updated on November 3, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.