DR. LEON RAFAILOV M.D.
NPI 1396156121
Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery in Smithtown, NY

Q: What is Leon Rafailov's NPI number?

The NPI number for Leon Rafailov is 1396156121. It was assigned to this individual provider in the NPPES registry on May 14, 2014.

Q: What is Leon Rafailov's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Ophthalmic Plastic and Reconstructive Surgery, with taxonomy code 207WX0200X.

Q: When was this NPI record last updated?

The NPPES record for Leon Rafailov was last updated on January 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 14, 2014PECOS EnrolledAccepts Medicare Assignment

260 E MIDDLE COUNTRY RD STE 201, SMITHTOWN, NY 11787(631) 265-8780 Get Directions Write a Review

NPPES record last updated: January 17, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Leon Rafailov M.d. NPPES

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

DR. LEON RAFAILOV M.D. (NPI 1396156121) is an individual ophthalmic plastic and reconstructive surgery provider in Smithtown, New York, licensed in New York (302801) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1396156121

Entity TypeIndividualMale

Primary Taxonomy207WX0200X

Provider Legal NameDR. LEON RAFAILOVCredential: M.D.

Location Address260 E MIDDLE COUNTRY RD STE 201Smithtown, NY 11787-2925

Mailing Address260 E Middle Country Rd Ste 201Smithtown, NY 11787-2925 · (631) 265-8780

Phone(631) 265-8780

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateMay 14, 2014

Last NPPES UpdateJanuary 17, 2025

NPPES CertifiedJanuary 17, 2025

✔ NPI 1396156121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207WX0200X

Licenses✔ Licensed in NY · 302801✔ Licensed in NC · 2018-00259

Definition

A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

260 E MIDDLE COUNTRY RD STE 201, Smithtown, NY 11787

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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. Leon Rafailov 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 ID5294081568

PECOS Enrollment IDI20200923000742

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 20

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 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.

572 services461 patients

Photography of content of eyes 92285

Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.

559 services529 patients

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.

327 services314 patients

Exam of visual field with intermediate testing 92082

An exam of the visual field with intermediate testing is a procedure that checks your peripheral (side) vision. It helps to identify blind spots which could be a sign of eye diseases. This non-invasive test is painless and quick.

198 services196 patients

Microfluid analysis of tears 83861

Microfluid analysis of tears involves collecting a small tear sample to examine its composition. This procedure can help detect health issues like dry eye disease, inflammation, or other eye conditions. It's a non-invasive, painless method for monitoring eye health.

120 services60 patients

Probing of nasal tear duct 68840

Probing of the nasal tear duct is a procedure to treat blocked tear ducts. A thin, flexible instrument is gently inserted into the tear duct to clear any obstruction, allowing tears to drain normally again. This procedure is typically quick and can help to alleviate symptoms like excessive tearing or infection.

108 services106 patients

Removal of growth of eyelid 67840

The removal of an eyelid growth is a procedure performed to eliminate abnormal tissue from your eyelid. It's generally a quick, outpatient treatment. The doctor numbs your eyelid, carefully removes the growth, and may stitch the area if necessary. This can help maintain eye health and vision.

95 services95 patients

Removal of chronic growth of eyelid 67800

The removal of a chronic growth on the eyelid is a procedure performed to eliminate persistent, non-cancerous lumps. It involves a minor surgical process where the growth is carefully excised. This helps to improve eyelid function, comfort, and appearance.

63 services61 patients

Removal of excessive skin and fat of upper eyelid 15823

This procedure, also known as upper eyelid surgery, is performed to remove excess skin and fat from the upper eyelid. It can help improve vision if heavy eyelids hinder it, and can also enhance the appearance of the eyes. It's a common, safe procedure.

59 services59 patients

Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less 11440

This procedure involves the removal of a noncancerous skin growth on the face, ears, eyelids, nose, lips, or mouth that is 0.5 cm or less in size. It is a safe, routine treatment that helps maintain skin health and appearance.

31 services31 patients

Repair of brow paralysis 67900

Repair of brow paralysis is a procedure aimed to restore function and symmetry to the face. This is achieved by adjusting muscles and nerves in the brow area. It can help improve the appearance and movement of the forehead and eyebrows, enhancing overall facial expressions.

23 services23 patients

Reconstruction of eyelid margin 67950

Reconstruction of the eyelid margin is a surgical procedure to repair defects or abnormalities in the eyelid. It helps to protect the eye, improve vision, and enhance appearance. The surgery involves reshaping the eyelid using tissue grafts or flaps.

21 services21 patients

Removal of excessive skin and fat of upper eyelid 15823

19 services19 patients

Repair of tendon of upper eyelid 67904

Repair of the tendon of the upper eyelid is a surgical procedure aimed at fixing a droopy eyelid. This condition can affect your vision and appearance. The procedure involves tightening the tendon to lift the eyelid to its normal position, improving both function and aesthetics.

19 services19 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

19 services19 patients

Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less 14060

This procedure involves repairing a wound on the eyelids, nose, ears, or lips by moving a small piece of skin (10.0 sq cm or less) from one area to another. The goal is to heal the wound and restore the function and appearance of the affected area.

18 services18 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

14 services14 patients

Suture repair of turning-outward upper or lower eyelid defect 67914

Suture repair of an outward-turning eyelid defect is a procedure to correct a condition where the upper or lower eyelid turns outwards. During this procedure, the doctor makes a small incision and uses sutures to tighten the eyelid and restore its normal position.

13 services13 patients

Removal of over 1/4 of eyelid margin and repair of eyelid 67966

This procedure involves the removal of more than a quarter of the eyelid margin due to conditions like tumors, infections, or injuries. The remaining part is then repaired to restore normal function and appearance. It's a safe procedure done under local anesthesia.

13 services13 patients

Probing of nasal tear duct with insertion of tube or stent 68815

This procedure treats blocked tear ducts. A thin probe is gently inserted into the tear duct to clear any blockage. Afterwards, a small tube or stent is placed to keep the pathway open, allowing tears to drain normally again.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11787 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

$154.28 typical visit price

range $67.40 – $203.53

Typical copayment $38.57 (range $16.85 – $50.88)

Most-billed visit code 99204

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

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.

Other Providers at the Same Location NPPES 3

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

DR. MUKESH KUMAR MD

Ophthalmology

260 E MIDDLE COUNTRY RD STE 201
SMITHTOWN, NY 11787

Suffolk County (631) 265-8877

LINDSAY BECKLER AUD

Audiologist-Hearing Aid Fitter

260 E MIDDLE COUNTRY RD STE 201
SMITHTOWN, NY 11787

Suffolk County (855) 295-4144

ZACHARY DAVIS

Ophthalmology

260 E MIDDLE COUNTRY RD STE 201
SMITHTOWN, NY 11787

Suffolk County (631) 265-8780

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 Leon Rafailov's NPI number?

The NPI number for Leon Rafailov is 1396156121. It was assigned to this individual provider in the NPPES registry on May 14, 2014.

Where is Leon Rafailov located?

Leon Rafailov practices at 260 E Middle Country Rd Ste 201, Smithtown, NY 11787. The listed phone number is (631) 265-8780.

What is Leon Rafailov's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Ophthalmic Plastic and Reconstructive Surgery, with taxonomy code 207WX0200X.

Is Leon Rafailov enrolled in Medicare?

Yes. Leon Rafailov 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.

When was this NPI record last updated?

The NPPES record for Leon Rafailov was last updated on January 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.