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DR. GLENN RALPH LEAVITT DO
NPI 1386644318
Obstetrics & Gynecology in Idaho Falls, ID

Active since August 01, 2005PECOS EnrolledAccepts Medicare Assignment
1550 ELK CRK, IDAHO FALLS, ID 83404(208) 529-5942(208) 529-5951 Get Directions Write a Review

NPPES record last updated: March 1, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Glenn Ralph Leavitt Do NPPES

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

DR. GLENN RALPH LEAVITT DO (NPI 1386644318) is an individual obstetrics & gynecology provider in Idaho Falls, Idaho, licensed in Idaho (O-0365) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Eastern Idaho Regional Medical Center, and is a graduate of University Of New England, College Of Osteo Medicine (2001).

NPPES Registry Identity

NPI1386644318
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. GLENN RALPH LEAVITTCredential: DO
Location Address1550 ELK CRKIdaho Falls, ID 83404-8322
Mailing Address1550 Elk CrkIdaho Falls, ID 83404-8322 · (208) 535-4580
Phone(208) 529-5942
Fax(208) 529-5951
Sole ProprietorYes
Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 2001
Enumeration DateAugust 1, 2005
Last NPPES UpdateMarch 1, 2012
✔ NPI 1386644318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in ID · O-0365
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1550 ELK CRK, Idaho Falls, ID 83404
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and more.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

Dr. Glenn Ralph Leavitt Do 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 ID9335162130
PECOS Enrollment IDI20060109000176
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 4

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, 20-29 minutes 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.
20 services16 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
19 services14 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
14 services11 patients
Surgical repair of vaginal defect using an endoscope 57425
This procedure involves the use of a special instrument, an endoscope, to help fix an issue within your body. It's a minimally invasive method, meaning less discomfort and quicker recovery compared to traditional surgery.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Eastern Idaho Regional Medical Center

Acute Care Hospitals · Idaho Falls, ID
3/5 CMS rating
OwnershipProprietary
CMS Certification Number130018
Location3100 Channing WayIdaho Falls, ID 83404 · Bonneville County
Emergency services Birthing friendly

Mountain View Hospital

Acute Care Hospitals · Idaho Falls, ID
1/5 CMS rating
OwnershipPhysician
CMS Certification Number130065
Location2325 Coronado StreetIdaho Falls, ID 83404 · Bonneville County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83404 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
$121.27 typical visit price
range $52.44 – $160.17
Typical copayment $30.31 (range $13.11 – $40.04)
Most-billed visit code 99204
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Glenn Leavitt's NPI number?

The NPI number for Glenn Leavitt is 1386644318. It was assigned to this individual provider in the NPPES registry on August 1, 2005.

Where is Glenn Leavitt located?

Glenn Leavitt practices at 1550 Elk Crk, Idaho Falls, ID 83404. The listed phone number is (208) 529-5942.

What is Glenn Leavitt's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Glenn Leavitt enrolled in Medicare?

Yes. Glenn Leavitt 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 Glenn Leavitt accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan, Select Health and University of Utah Health Plans list Glenn Leavitt 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 Glenn Leavitt affiliated with any hospitals?

According to CMS data, Glenn Leavitt is affiliated with Eastern Idaho Regional Medical Center and Mountain View Hospital.

When was this NPI record last updated?

The NPPES record for Glenn Leavitt was last updated on March 1, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.