DR. PAL LEKAJ MD
NPI 1366407546
Family Medicine in Kingston, NY

Active since April 19, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
27 GRAND ST, KINGSTON, NY 12401(845) 338-1535(845) 334-9789 Get Directions Write a Review

NPPES record last updated: June 16, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 16, 2021, Feb 25, 2021 (2 updates tracked since 2021).

About Dr. Pal Lekaj Md NPPES

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

DR. PAL LEKAJ MD (NPI 1366407546) is an individual family medicine provider in Kingston, New York, licensed in New York (233816-1) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Vassar Brothers Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1366407546
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. PAL LEKAJCredential: MD
Location Address27 GRAND STKingston, NY 12401-3933
Mailing Address19 Bradhurst Ave Ste 3100nHawthorne, NY 10532-2140 · (914) 909-9018 · Fax (914) 909-9028
Fax(845) 334-9789
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateApril 19, 2006
Last NPPES UpdateJune 16, 20212 updates tracked since enumeration
NPPES CertifiedJune 16, 2021
NPI 1366407546 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 · 233816-1
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.
27 GRAND ST, Kingston, NY 12401

Secondary Practice Locations 4

Location 1241 North RdPoughkeepsie, NY 12601-1154 · Phone (845) 483-5000
Location 2396 BroadwayKingston, NY 12401-4626 · Phone (845) 331-3131 · Fax (845) 331-2530
Location 3368 BroadwayKingston, NY 12401-5144 · Phone (845) 331-3131 · Fax (845) 331-2530
Location 4100 Woods RdValhalla, NY 10595-1530 · Phone (914) 493-7000 · Fax (914) 909-6417

Other Identifiers 1

Medicaid02591922NY

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. Pal Lekaj Md 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 ID2668434846
PECOS Enrollment IDI20041030000003
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 9

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 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.
319 services159 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
196 services109 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
101 services101 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
51 services46 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
28 services23 patients
Administration of vaccine 90471
Administering a vaccine involves injecting a small, safe piece of a virus or bacteria into your body. This triggers your immune system to recognize and fight off the disease in the future. It's a vital tool in preventing serious illnesses and maintaining public health.
17 services17 patients

Hospital Affiliations CMS Care Compare 4

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

Vassar Brothers Medical Center

Acute Care Hospitals · Poughkeepsie, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330023
Location45 Reade PlacePoughkeepsie, NY 12601 · Dutchess County
Emergency services Birthing friendly

Northern Dutchess Hospital

Acute Care Hospitals · Rhinebeck, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330049
Location6511 Springbrook AvenueRhinebeck, NY 12572 · Dutchess County
Emergency services Birthing friendly

Healthalliance Hospital Marys Avenue Campus

Acute Care Hospitals · Kingston, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330224
Location105 Mary's AvenueKingston, NY 12401 · Ulster County
Emergency services Birthing friendly

Westchester Medical Center

Acute Care Hospitals · Valhalla, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330234
Location100 Woods RdValhalla, NY 10595 · Westchester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12401 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
$95.99 typical visit price
range $61.88 – $187.05
Typical copayment $23.99 (range $15.47 – $46.76)
Most-billed visit code 99203
Established Patient
$108.56 typical visit price
range $19.92 – $151.94
Typical copayment $27.14 (range $4.98 – $37.98)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 8

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
13 suppliers47 claims159 services$5.88 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers13 claims20 services$1.13 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
2 suppliers13 claims13 services$17.35 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
2 suppliers15 claims15 services$13.51 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers18 claims104 services$1.88 avg. paid by Medicare
Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046
DME-Other DME · category DE001N
2 suppliers11 claims11 services$10.88 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 16

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

Internal Medicine (Pulmonary Disease)
27 GRAND ST
KINGSTON, NY 12401
Family Medicine
27 GRAND ST
KINGSTON, NY 12401
Internal Medicine (Gastroenterology)
27 GRAND ST
KINGSTON, NY 12401
Family Medicine
27 GRAND ST
KINGSTON, NY 12401
Internal Medicine (Hematology & Oncology)
27 GRAND ST
KINGSTON, NY 12401
Internal Medicine
27 GRAND ST
KINGSTON, NY 12401
Internal Medicine
27 GRAND ST
KINGSTON, NY 12401
Internal Medicine
27 GRAND ST
KINGSTON, NY 12401

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 Pal Lekaj's NPI number?

The NPI number for Pal Lekaj is 1366407546. It was assigned to this individual provider in the NPPES registry on April 19, 2006.

Where is Pal Lekaj located?

Pal Lekaj practices at 27 Grand St, Kingston, NY 12401. The listed phone number is (845) 338-1535.

What is Pal Lekaj's specialty?

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

Is Pal Lekaj enrolled in Medicare?

Yes. Pal Lekaj 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.

Is Pal Lekaj affiliated with any hospitals?

According to CMS data, Pal Lekaj is affiliated with Vassar Brothers Medical Center, Northern Dutchess Hospital, Healthalliance Hospital Marys Avenue Campus and Westchester Medical Center.

When was this NPI record last updated?

The NPPES record for Pal Lekaj was last updated on June 16, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.