NICHOLAS JAMES LEEPER MD
NPI 1407044639
Internal Medicine - Cardiovascular Disease in Palo Alto, CA


Quality Rating: 100 out of 100 score

NPI Status: Active since October 12, 2007

Contact Information

300 PASTEUR DR
PALO ALTO, CA
ZIP 94304
Phone: (650) 723-4000

Get Directions Reviews

  • Individual
  • Male
  • Years of Experience 22
  • Internal Medicine
  • Cardiovascular Disease
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About NICHOLAS LEEPER

Nicholas Leeper is an internist established in Palo Alto, California and his medical specialization is Internal Medicine with a focus in cardiovascular disease with more than 22 years of experience. He graduated from University Of Chicago, Pritzker School Of Medicine in 2003. The healthcare provider is registered in the NPI registry with number 1407044639 assigned on October 2007. The practitioner's primary taxonomy code is 207RC0000X with license number A90602 (CA). The provider is registered as an individual and his NPI record was last updated April 2024.

NPI
1407044639
Provider Name
NICHOLAS JAMES LEEPER MD
Gender
Male
Entity Type
Individual
Location Address
300 PASTEUR DR PALO ALTO, CA 94304
Location Phone
(650) 723-4000
Mailing Address
300 PASTEUR DR PALO ALTO, CA 94304
Mailing Phone
(650) 723-4000
Medical School Name
UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
Graduation Year
2003
Is Sole Proprietor?
Yes
Enumeration Date
10-12-2007
Last Update Date
04-23-2024
Code Navigator

An internist like Nicholas Leeper is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Nicholas Leeper is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 100, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The typical physician office visit costs for Medicare beneficiaries in this area are: $40.24 for a new patient copayment and $31.49 for an established patient copayment.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Cardiovascular Disease

Taxonomy Code
207RC0000X
Type
Allopathic & Osteopathic Physicians
License No.
A90602
License State
CA
Taxonomy Description
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

PECOS Enrollment and Medicare Participation Status

Nicholas Leeper is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 1951480029

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20141007002205

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 94304 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $160.96
  • Minimum New Patient Price $71.96
  • Maximum New Patient Price $211.8
  • Average New Patient Copayment $40.24
  • Minimum New Patient Copayment $17.99
  • Maximum New Patient Copayment $52.95

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $125.99
  • Minimum Established Patient Price $23.76
  • Maximum Established Patient Price $174.56
  • Average Established Patient Copayment $31.49
  • Minimum Established Patient Copayment $5.94
  • Maximum Established Patient Copayment $43.64

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 100 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 100

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 100

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Clinician Services

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 165

    Routine electrocardiogram (ekg) using at least 12 leads with interpretation and report (HCPCS:93010)

  • 153

    Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)

  • 115

    Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers (HCPCS:93970)

  • 109

    Ultrasound study of arteries of both arms and legs (HCPCS:93922)

  • 83

    Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers (HCPCS:93971)

  • 56

    Ultrasound study of arteries and arterial grafts of one leg or limited (HCPCS:93926)

  • 27

    Ultrasound study of arteries and arterial grafts of both legs (HCPCS:93925)

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Nicholas Leeper is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
STANFORD HEALTH CARE300 PASTEUR DRIVE
STANFORD, CA 94305
(650) 723-5708Acute Care Hospitals

Reviews for NICHOLAS JAMES LEEPER MD

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1407044639
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
240704866
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 0 + 7 + 0 + 4 + 8 + 6 + 6 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1407044639 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1851391940 PAUL DAVID MARTIN M.D.
Individual
Anesthesiology300 PASTEUR DR
PALO ALTO, CA 94304
(650) 723-4000
1578528733 IRENE H JUN MD
Individual
Pediatrics300 PASTEUR DR SUMC - PEDS PHYSICIAN BILLING MC: 5530
PALO ALTO, CA 94304
(465) 049-8739
1811101090DR. DEBORAH DEE SANDERSON PHYSICAL THERAPIST
Individual
Physical Therapist300 PASTEUR DR
PALO ALTO, CA 94304
(650) 723-6701
1265736052DR. MOLLY TIMMERMAN DO
Individual
Physical Medicine & Rehabilitation300 PASTEUR DR
PALO ALTO, CA 94304
(650) 723-2206
1881861540 ANDREW KEES ROORDA M.D.
Individual
Internal Medicine (Gastroenterology)300 PASTEUR DR
PALO ALTO, CA 94304
(304) 293-4123
1639305519DR. CATHERINE SHARMAN REID MD
Individual
Anesthesiology300 PASTEUR DR DEPARTMENT OF ANESTHESIA, H3580
PALO ALTO, CA 94304
(650) 723-7377
1255560181DR. ZINA SEMENOVSKAYA MD
Individual
Emergency Medicine300 PASTEUR DR
PALO ALTO, CA 94304
(718) 836-6600
1821128844DR. KATHERINE JOY TO'O M.D.
Individual
Radiology (Body Imaging)300 PASTEUR DR
PALO ALTO, CA 94304
(323) 442-7450
1093033672DR. TSUYOSHI TODO M.D.
Individual
Surgery300 PASTEUR DR
PALO ALTO, CA 94304
(310) 423-5874
1225174170 JULIE G REED R.N.
Individual
Nurse Practitioner (Pediatrics)300 PASTEUR DR
PALO ALTO, CA 94304
(650) 723-4000
1235485400 RANAK B TRIVEDI
Individual
Psychologist300 PASTEUR DR
PALO ALTO, CA 94304
(650) 723-2515
1669720165 PATRICIA ZENDEJAS N.P.
Individual
Nurse Practitioner300 PASTEUR DR
PALO ALTO, CA 94304
(510) 238-5400
1609903855 KIMBERLY ELLEN CLASH RN
Individual
Nurse Practitioner300 PASTEUR DR #G313
PALO ALTO, CA 94304
(415) 279-0991
1518295633 IAN MONTGOMERY RN, NP
Individual
Nurse Practitioner (Family)300 PASTEUR DR INTERVENTIONAL AND VASCULAR SERVICES
PALO ALTO, CA 94304
(650) 723-4000
1114314788 SAMIT PATEL PHARM.D.
Individual
Pharmacist300 PASTEUR DR
PALO ALTO, CA 94304
(650) 725-5299
1285862870DR. MELANIE A LISING M.D.
Individual
Psychiatry & Neurology (Neurology)300 PASTEUR DR MOVEMENT DISORDERS, DEPT OF NEUROLOGY
PALO ALTO, CA 94304
(650) 723-2116
1164898961LUCILE PACKARD STANFORD CHILDREN'S HOSPITAL
Organization
General Acute Care Hospital300 PASTEUR DR
PALO ALTO, CA 94304
(650) 723-5299
1528058716 FRANK GLEN SEIDEL M.D.
Individual
Radiology (Diagnostic Radiology)300 PASTEUR DR
PALO ALTO, CA 94304
(612) 884-0649
1730322967DR. ANNE K MERRITT M.D.
Individual
Emergency Medicine300 PASTEUR DR ALWAY BUILDING, ROOM M121
PALO ALTO, CA 94304
(203) 858-1200
1255795993 ASHLEY LAUREN TITAN
Individual
Student in an Organized Health Care Education/Training Program300 PASTEUR DR
PALO ALTO, CA 94304
(650) 498-6606

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407044639, enumerated in the NPI registry as an "individual" on October 12, 2007

The provider is located at 300 Pasteur Dr Palo Alto, Ca 94304 and the phone number is (650) 723-4000

The provider's speciality is Internal Medicine with taxonomy code 207RC0000X with a focus in Cardiovascular Disease

The provider has more than 22 years of experience. He graduated from University Of Chicago, Pritzker School Of Medicine in 2003.

Yes, as of July 02, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information.

Medicare beneficiaries should expect a typical cost of $160.96 with an average copayment of $40.24 for new patient appointments. Established patients should expect a typical charge of $125.99 and an average copayment of 31.49. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Routine electrocardiogram (ekg) using at least 12 leads with interpretation and report, Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck, Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers, Ultrasound study of arteries of both arms and legs, Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers, Ultrasound study of arteries and arterial grafts of one leg or limited and Ultrasound study of arteries and arterial grafts of both legs.

The practitioner is affiliated to the following hospital(s): STANFORD HEALTH CARE. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on October 12, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.