LEAH JEAN MCDONALD M.D.
NPI 1417335423
Emergency Medicine - Hospice and Palliative Medicine in Providence, RI

Q: What is Leah Mcdonald's NPI number?

The NPI number for Leah Mcdonald is 1417335423. It was assigned to this individual provider in the NPPES registry on May 11, 2015.

Q: What is Leah Mcdonald's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207PH0002X.

Q: When was this NPI record last updated?

The NPPES record for Leah Mcdonald was last updated on August 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 May 11, 2015PECOS EnrolledAccepts Medicare Assignment

97.38/100

CMS Quality Rating

1085 N MAIN ST, PROVIDENCE, RI 02904(401) 415-4618(401) 415-4348 Get Directions Write a Review

NPPES record last updated: August 6, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 6, 2020, Nov 26, 2019 (2 updates tracked since 2019).

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About Leah Jean Mcdonald M.d. NPPES

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

LEAH JEAN MCDONALD M.D. (NPI 1417335423) is an individual hospice and palliative medicine provider in Providence, Rhode Island, licensed in Rhode Island (MD16818) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, is affiliated with Sturdy Memorial Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1417335423

Entity TypeIndividualFemale

Primary Taxonomy207PH0002X

Provider Legal NameLEAH JEAN MCDONALDCredential: M.D.

Location Address1085 N MAIN STProvidence, RI 02904-5719

Mailing Address1085 N Main StProvidence, RI 02904-5719 · (401) 415-4618 · Fax (401) 415-4348

Phone(401) 415-4618

Fax(401) 415-4348

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateMay 11, 2015

Last NPPES UpdateAugust 6, 20202 updates tracked since enumeration

NPPES CertifiedAugust 6, 2020

✔ NPI 1417335423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207PH0002X

License✔ Licensed in RI · MD16818

Definition

An emergency medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.

Also ListedEmergency MedicineTaxonomy 207P00000X · License MD16818 (RI)

1085 N MAIN ST, Providence, RI 02904

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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

Leah Jean Mcdonald 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 ID5496092389

PECOS Enrollment IDI20191105001184, I20200819003121

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 6

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.

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

164 services153 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

148 services143 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

128 services126 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

32 services32 patients

Advance care planning, each additional 30 minutes 99498

Advance care planning involves discussing and documenting your future health care preferences in case you're unable to make decisions for yourself. Each additional 30 minutes allows more time to explore your wishes, values, and goals for treatment.

27 services14 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

14 services14 patients

Hospital Affiliations CMS Care Compare 4

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

Sturdy Memorial Hospital

Acute Care Hospitals · Attleboro, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number220008

Location211 Park StreetAttleboro, MA 02703 · Bristol County

Emergency services Birthing friendly

Falmouth Hospital

Acute Care Hospitals · Falmouth, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220135

Location67 & 100 Ter Heun DriveFalmouth, MA 02540 · Barnstable County

Emergency services

Rhode Island Hospital

Acute Care Hospitals · Providence, RI

3/5 CMS rating

OwnershipTribal

CMS Certification Number410007

Location593 Eddy StreetProvidence, RI 02903 · Providence County

Emergency services

The Miriam Hospital

Acute Care Hospitals · Providence, RI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410012

Location164 Summit AvenueProvidence, RI 02906 · Providence County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02904 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

$90.48 typical visit price

range $58.57 – $177.03

Typical copayment $22.62 (range $14.64 – $44.25)

Most-billed visit code 99203

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

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.

97.38/100

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

Scored as part of a group practice

Quality

93.56

Promoting Interoperability

100

Improvement Activities

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.

JULIE MAZZA DO

Internal Medicine (Hospice and Palliative Medicine)