DR. GEORGE PETE LESEBERG D.M.D
NPI 1417964321
Dentist - Oral and Maxillofacial Surgery in Portland, OR

Q: What is George Leseberg's NPI number?

The NPI number for George Leseberg is 1417964321. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Q: What is George Leseberg's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: Is George Leseberg enrolled in Medicare?

No. George Leseberg has opted out of Medicare through June 9, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for George Leseberg was last updated on June 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 August 02, 2006Opted out of Medicare · through Jun 9, 2028

700 NE MULTNOMAH ST, STE 840, PORTLAND, OR 97232(503) 232-4488(503) 239-4075 Get Directions Write a Review

NPPES record last updated: June 17, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. George Pete Leseberg D.m.d NPPES

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

DR. GEORGE PETE LESEBERG D.M.D (NPI 1417964321) is an individual oral and maxillofacial surgery provider in Portland, Oregon, licensed in Oregon (D6668) and active in the NPI registry since August 2006. He has opted out of Medicare through June 9, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1417964321

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. GEORGE PETE LESEBERGCredential: D.M.D

Location Address700 NE MULTNOMAH ST, STE 840Portland, OR 97232

Mailing Address700 Ne Multnomah St, Ste 840Portland, OR 97232 · (503) 232-4488 · Fax (503) 239-4075

Phone(503) 232-4488

Fax(503) 239-4075

Sole ProprietorYes

Enumeration DateAugust 2, 2006

Last NPPES UpdateJune 17, 2015

✔ NPI 1417964321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Licenses✔ Licensed in OR · D6668✔ Licensed in ID · D-3163-OS

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

700 NE MULTNOMAH ST, Portland, OR 97232

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. George Pete Leseberg D.m.d has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 9, 2014 through June 9, 2028.

Opt-Out Effective DateJune 9, 2014

Opt-Out In Effect ThroughJune 9, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97232 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

$90.51 typical visit price

range $58.99 – $176.88

Typical copayment $22.62 (range $14.74 – $44.22)

Most-billed visit code 99203

Established Patient

$73.28 typical visit price

range $19.32 – $144.79

Typical copayment $18.32 (range $4.83 – $36.19)

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 20

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

WILLAMETTE HEALTH & WELLNESS LLC

Nurse Practitioner (Psychiatric/Mental Health)

700 NE MULTNOMAH ST, SUITE 275
PORTLAND, OR 97232

Multnomah County (503) 729-1380

MR. MICHAEL BRILL LPC

Psychologist (Counseling)

700 NE MULTNOMAH ST, STE 275
PORTLAND, OR 97232

Multnomah County (503) 729-1380

NICOLE MACKENZIE BENNETT PMHNP

Nurse Practitioner (Psychiatric/Mental Health)

700 NE MULTNOMAH ST, SUITE 275
PORTLAND, OR 97232

Multnomah County (503) 729-1380

DR. SIDNEY J PRESCOTT M.D.

Obstetrics & Gynecology

700 NE MULTNOMAH ST, SUITE 1600
PORTLAND, OR 97232

Multnomah County (503) 249-5454

DR. JOHN G. BOZICH D.M.D.

Dentist (Oral and Maxillofacial Surgery)

700 NE MULTNOMAH ST, SUITE 840
PORTLAND, OR 97232

Multnomah County (503) 232-4488

ERIK SATHER

Marriage & Family Therapist

700 NE MULTNOMAH ST, SUITE 275
PORTLAND, OR 97232

Multnomah County (503) 729-1380

TINA G LIPS LPC

Counselor (Professional)

700 NE MULTNOMAH ST, SUITE 275
PORTLAND, OR 97232

Multnomah County (503) 729-1380

ENDODONTIC ASSOCIATES, P.C.

Dentist (Endodontics)

700 NE MULTNOMAH ST, #880
PORTLAND, OR 97232

Multnomah County (503) 230-1234

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 George Leseberg's NPI number?

The NPI number for George Leseberg is 1417964321. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is George Leseberg located?

George Leseberg practices at 700 NE Multnomah St Ste 840, Portland, OR 97232. The listed phone number is (503) 232-4488.

What is George Leseberg's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is George Leseberg enrolled in Medicare?

No. George Leseberg has opted out of Medicare through June 9, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does George Leseberg accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental Plan of Oregon and 6 other insurers list George Leseberg 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.

When was this NPI record last updated?

The NPPES record for George Leseberg was last updated on June 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.