MRS. GABRIELA R LEON
NPI 1407365174
Nurse Practitioner - Family in South Elgin, IL

Active since September 26, 2017PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
486 RANDALL RD UNIT B, SOUTH ELGIN, IL 60177(224) 783-5000 Get Directions Write a Review

NPPES record last updated: January 5, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Gabriela R Leon NPPES

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

MRS. GABRIELA R LEON (NPI 1407365174) is an individual family provider in South Elgin, Illinois, licensed in Illinois (209-016713) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS, is affiliated with Advocate Sherman Hospital, and maintains a secondary practice location in Pingree Grove.

NPPES Registry Identity

NPI1407365174
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. GABRIELA R LEON
Location Address486 RANDALL RD UNIT BSouth Elgin, IL 60177-3354
Mailing Address26 Boathouse RdPingree Grove, IL 60140-2045 · (331) 222-6041
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 26, 2017
Last NPPES UpdateJanuary 5, 2024
NPPES CertifiedJanuary 5, 2024
✔ NPI 1407365174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in IL · 209-016713✔ Licensed in IL · F08171104
486 RANDALL RD UNIT B, South Elgin, IL 60177

Secondary Practice Location 1

Location 126 Boathouse RdPingree Grove, IL 60140-2045 · Phone (331) 222-6041

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

Mrs. Gabriela R Leon 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 ID648539940
PECOS Enrollment IDI20180112000270
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

2

Medicare enrollment records show Gabriela Leon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
2000 MCDONALD RD
South Elgin, IL 60177
  • Reassigned Medicare billing, Illinois enrollment
  • 982 clinicians in this Medicare group
Cardiovascular Disease
3825 HIGHLAND AVE, TOWER 2 SUITE 400
Downers Grove, IL 60515
  • Reassigned Medicare billing, Illinois enrollment
  • 4,870 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.

Areas of Expertise CMS Part B claims 2

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.
57 services55 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

Hospital Affiliations CMS Care Compare

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

Advocate Sherman Hospital

Acute Care Hospitals · Elgin, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140030
Location1425 North Randall RoadElgin, IL 60123 · Kane County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60177 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost94.69

Other Providers at the Same Location NPPES 16

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

Obstetrics & Gynecology
486 RANDALL RD UNIT B
SOUTH ELGIN, IL 60177
Family Medicine
486 RANDALL RD UNIT B
SOUTH ELGIN, IL 60177
Orthopaedic Surgery (Sports Medicine)
486 RANDALL RD UNIT B
SOUTH ELGIN, IL 60177
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
486 RANDALL RD UNIT B
SOUTH ELGIN, IL 60177
Emergency Medicine
486 RANDALL RD UNIT B
SOUTH ELGIN, IL 60177
Physical Therapist
486 RANDALL RD UNIT B
SOUTH ELGIN, IL 60177
Family Medicine
486 RANDALL RD UNIT B
SOUTH ELGIN, IL 60177
Obstetrics & Gynecology
486 RANDALL RD UNIT B
SOUTH ELGIN, IL 60177

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 Gabriela Leon's NPI number?

The NPI number for Gabriela Leon is 1407365174. It was assigned to this individual provider in the NPPES registry on September 26, 2017.

Where is Gabriela Leon located?

Gabriela Leon practices at 486 Randall Rd Unit B, South Elgin, IL 60177. The listed phone number is (224) 783-5000.

What is Gabriela Leon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Gabriela Leon enrolled in Medicare?

Yes. Gabriela Leon 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 Gabriela Leon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gabriela Leon reassigns Medicare benefits to 2 organizations: Cepamerica Illinois LLP (South Elgin, IL) and Advocate Health And Hospitals Corporation (Downers Grove, IL). 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 Gabriela Leon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gabriela Leon accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Gabriela Leon 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 Gabriela Leon affiliated with any hospitals?

According to CMS data, Gabriela Leon is affiliated with Advocate Sherman Hospital.

When was this NPI record last updated?

The NPPES record for Gabriela Leon was last updated on January 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.