PAUL ANTHONY LEO MD
NPI 1396205993
Family Medicine in Chicago, IL

Q: What is Paul Leo's NPI number?

The NPI number for Paul Leo is 1396205993. It was assigned to this individual provider in the NPPES registry on March 21, 2019.

Q: What is Paul Leo's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Paul Leo was last updated on May 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since March 21, 2019PECOS EnrolledAccepts Medicare Assignment

84.57/100

CMS Quality Rating

4800 W CHICAGO AVE, CHICAGO, IL 60651(773) 826-9600(773) 826-9601 Get Directions Write a Review

NPPES record last updated: May 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 30, 2023, Mar 21, 2019 (2 updates tracked since 2019).

On this page

About Paul Anthony Leo Md NPPES

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

PAUL ANTHONY LEO MD (NPI 1396205993) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (036158342) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with John H Stroger Jr Hospital, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2019).

NPPES Registry Identity

NPI1396205993

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NamePAUL ANTHONY LEOCredential: MD

Location Address4800 W CHICAGO AVEChicago, IL 60651-3226

Mailing Address4800 W Chicago AveChicago, IL 60651-3226 · (773) 826-9600 · Fax (773) 826-9601

Phone(773) 826-9600

Fax(773) 826-9601

Sole ProprietorNo

Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2019

Enumeration DateMarch 21, 2019

Last NPPES UpdateMay 30, 20232 updates tracked since enumeration

NPPES CertifiedMay 30, 2023

✔ NPI 1396205993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IL · 036158342

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.

4800 W CHICAGO AVE, Chicago, IL 60651

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Paul Anthony Leo 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 ID5597095216

PECOS Enrollment IDI20220824003031

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 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.

204 services81 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.

25 services22 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

24 services19 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

13 services12 patients

Hospital Affiliations CMS Care Compare

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

John H Stroger Jr Hospital

Acute Care Hospitals · Chicago, IL

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number140124

Location1901 W Harrison StChicago, IL 60612 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60651 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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.

84.57/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

60.25

Promoting Interoperability

100

Improvement Activities

Cost

Other Providers at the Same Location NPPES 11

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

DR. MICHAEL PAUL STARLING FNP-BC

Nurse Practitioner (Family)

4800 W CHICAGO AVE
CHICAGO, IL 60651

Cook County (561) 699-3091

NIMMI RAJAGOPAL

Family Medicine

4800 W CHICAGO AVE
CHICAGO, IL 60651

Cook County (773) 826-9600

MS. CLAUDETTE RICE COHEN PA-C

Physician Assistant (Medical)

4800 W CHICAGO AVE, 2ND FL
CHICAGO, IL 60651

Cook County (773) 826-9920

DR. NGOZI OGBUNAMIRI EZIKE MD

Pediatrics

4800 W CHICAGO AVE, 1ST FLOOR
CHICAGO, IL 60651

Cook County (773) 826-9600

DR. CURISSA SUTHERLAND-SMITH PHD, LCPC, CRC, NCC

Counselor

4800 W CHICAGO AVE
CHICAGO, IL 60651

Cook County (773) 826-9925

MR. VUTHIK T. CHHAY PA-C

Physician Assistant

4800 W CHICAGO AVE
CHICAGO, IL 60651

Cook County (773) 826-9600

COOK COUNTY

Family Medicine

4800 W CHICAGO AVE
CHICAGO, IL 60651

Cook County (773) 826-9600

LOUIS ROHR M.D.

Internal Medicine

4800 W CHICAGO AVE
CHICAGO, IL 60651

Cook County (773) 826-9600

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 Paul Leo's NPI number?

The NPI number for Paul Leo is 1396205993. It was assigned to this individual provider in the NPPES registry on March 21, 2019.

Where is Paul Leo located?

Paul Leo practices at 4800 W Chicago Ave, Chicago, IL 60651. The listed phone number is (773) 826-9600.

What is Paul Leo's specialty?

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

Is Paul Leo enrolled in Medicare?

Yes. Paul Leo 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 Paul Leo accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Paul Leo 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 Paul Leo affiliated with any hospitals?

According to CMS data, Paul Leo is affiliated with John H Stroger Jr Hospital.

When was this NPI record last updated?

The NPPES record for Paul Leo was last updated on May 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.