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DR. RAYMOND LEONARD MD
NPI 1376769984
Pediatrics in Rock Cave, WV

Active since April 18, 2007PECOS Enrolled
ROUTE 4 & 20 S. INTERSECTION, ROCK CAVE, WV 26234(304) 924-6262(304) 924-5460 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Raymond Leonard Md NPPES

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

DR. RAYMOND LEONARD MD (NPI 1376769984) is an individual pediatrics provider in Rock Cave, West Virginia, licensed in West Virginia (23057) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Elkins.

NPPES Registry Identity

NPI1376769984
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. RAYMOND LEONARDCredential: MD
Location AddressROUTE 4 & 20 S. INTERSECTIONRock Cave, WV 26234-0217
Mailing AddressPo Box 217Rock Cave, WV 26234-0217 · (304) 924-6262 · Fax (304) 924-5460
Phone(304) 924-6262
Fax(304) 924-5460
Sole ProprietorYes
Enumeration DateApril 18, 2007
Last NPPES UpdateJune 25, 2026
NPPES CertifiedJune 25, 2026
✔ NPI 1376769984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in WV · 23057
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
ROUTE 4 & 20 S. INTERSECTION, Rock Cave, WV 26234
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Secondary Practice Location 1

Location 1812 Gorman AveElkins, WV 26241-3181 · Phone (304) 636-3300

Other Identifiers 1

Medicaid3810012261WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Raymond Leonard Md 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 Reassignments

2

Medicare enrollment records show Raymond Leonard reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Care Of West Virginia, Inc.
0.2 mi
Federally Qualified Health Center (FQHC)
78 QUEENS ALLEY RD
Rock Cave, WV 26234
NPI 1912932526 (304) 924-6262
St Josephs Hospital Of Buckhannon Inc
12 mi
Critical Access
1 AMALIA DR
Buckhannon, WV 26201
  • Reassigned Medicare billing, West Virginia enrollment
  • Medicare enrollment name: St Joseph's Hospital Of Buckhannon Inc
  • 192 clinicians in this Medicare group
NPI 1124005061 (304) 473-2000

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 26234 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

Reported Quality Measures

Preventive Care and Screening: Screening for Depression and Follow-Up Plan
96%209 patients4/55-star benchmark: 97%
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.

Other Providers at the Same Location NPPES 4

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

AIMEE M WHITEHAIR MD
Family Medicine
ROUTE 4 & 20 S. INTERSECTION
ROCKCAVE, WV 26234
Upshur County (304) 924-6262
RACHEL MARIE TAYLOR PA-C
Physician Assistant
ROUTE 4 & 20 S. INTERSECTION
ROCKCAVE, WV 26234
Upshur County (304) 924-6262
MR. DAVID W PLANK PA-C
Physician Assistant (Medical)
ROUTE 4 & 20 S. INTERSECTION
ROCK CAVE, WV 26234
Upshur County (304) 924-6262
VICTORIA ANN WOOLWINE PA
Physician Assistant
ROUTE 4 & 20 S. INTERSECTION
ROCK CAVE, WV 26234
Upshur County (304) 924-6262

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 Raymond Leonard's NPI number?

The NPI number for Raymond Leonard is 1376769984. It was assigned to this individual provider in the NPPES registry on April 18, 2007.

Where is Raymond Leonard located?

Raymond Leonard practices at Route 4 & 20 S. Intersection, Rock Cave, WV 26234. The listed phone number is (304) 924-6262.

What is Raymond Leonard's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Raymond Leonard enrolled in Medicare?

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

Which organizations bill Medicare for Raymond Leonard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raymond Leonard reassigns Medicare benefits to 2 organizations: Community Care Of West Virginia, Inc. (Rock Cave, WV) and St Josephs Hospital Of Buckhannon Inc (Buckhannon, WV). Each 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 Raymond Leonard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Raymond Leonard accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Raymond Leonard 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.

When was this NPI record last updated?

The NPPES record for Raymond Leonard was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.