JOHN LEAHY M.D.
NPI 1396008405
Obstetrics & Gynecology in Royal Oak, MI

Active since June 22, 2012PECOS EnrolledAccepts Medicare Assignment
96.78/100
CMS Quality Rating
3535 W 13 MILE RD, SUITE 233, ROYAL OAK, MI 48073(248) 551-0417(248) 551-5010 Get Directions Write a Review

NPPES record last updated: June 22, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About John Leahy M.d. NPPES

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

JOHN LEAHY M.D. (NPI 1396008405) is an individual obstetrics & gynecology provider in Royal Oak, Michigan, licensed in Minnesota (4301101353) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Henry Ford Health Hospital, and is a graduate of Michigan State University College Of Human Medicine (2012).

NPPES Registry Identity

NPI1396008405
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameJOHN LEAHYCredential: M.D.
Location Address3535 W 13 MILE RD, SUITE 233Royal Oak, MI 48073-6770
Mailing Address3535 W 13 Mile Rd, Suite 233Royal Oak, MI 48073-6770 · (248) 551-0417 · Fax (248) 551-5010
Fax(248) 551-5010
Sole ProprietorYes
Medical School CMSMichigan State University College Of Human MedicineGraduated 2012
Enumeration DateJune 22, 2012
✔ NPI 1396008405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MN · 4301101353
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.
3535 W 13 MILE RD, Royal Oak, MI 48073

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

John Leahy 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 ID8123363223
PECOS Enrollment IDI20181218002309
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

4

Medicare enrollment records show John Leahy reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obstetrics & Gynecology
2799 W GRAND BLVD
Detroit, MI 48202
  • Reassigned Medicare billing, Michigan enrollment
  • 88 clinicians in this Medicare group
Family Medicine
15717 15 MILE RD
Clinton Twp, MI 48035
  • Reassigned Medicare billing, Michigan enrollment
  • 556 clinicians in this Medicare group
Obstetrics & Gynecology
29751 LITTLE MACK AVE, SUITE B
Roseville, MI 48066
  • Reassigned Medicare billing, Michigan enrollment
  • 99 clinicians in this Medicare group
Physician Assistant
2333 BIDDLE AVE
Wyandotte, MI 48192
  • Reassigned Medicare billing, Michigan enrollment
  • 197 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

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

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230053
Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48073 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

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.

96.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.21
Improvement Activities40

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.

Psychiatry & Neurology (Psychiatry)
3535 W 13 MILE RD
ROYAL OAK, MI 48073
Pediatrics
3535 W 13 MILE RD
ROYAL OAK, MI 48073
Ophthalmology
3535 W 13 MILE RD
ROYAL OAK, MI 48073
Internal Medicine
3535 W 13 MILE RD
ROYAL OAK, MI 48073
Physical Medicine & Rehabilitation
3535 W 13 MILE RD, STE 437
ROYAL OAK, MI 48073
Pediatrics
3535 W 13 MILE RD
ROYAL OAK, MI 48073
Physical Medicine & Rehabilitation
3535 W 13 MILE RD, SUITE 437
ROYAL OAK, MI 48073
Obstetrics & Gynecology
3535 W 13 MILE RD, SUITE 233
ROYAL OAK, MI 48073

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 John Leahy's NPI number?

The NPI number for John Leahy is 1396008405. It was assigned to this individual provider in the NPPES registry on June 22, 2012.

Where is John Leahy located?

John Leahy practices at 3535 W 13 Mile Rd Suite 233, Royal Oak, MI 48073. The listed phone number is (248) 551-0417.

What is John Leahy's specialty?

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

Is John Leahy enrolled in Medicare?

Yes. John Leahy 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.

Which organizations bill Medicare for John Leahy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Leahy reassigns Medicare benefits to 4 organizations: Henry Ford Health System (Detroit, MI), Henry Ford Macomb Hospital Corporation (Clinton Twp, MI), Together Women's Health Medical Group, P.C. (Roseville, MI) and Henry Ford Wyandotte Hospital (Wyandotte, MI). 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 John Leahy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Leahy accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list John Leahy 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 John Leahy affiliated with any hospitals?

According to CMS data, John Leahy is affiliated with Henry Ford Health Hospital.

When was this NPI record last updated?

The NPPES record for John Leahy was last updated on June 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.