DR. LEONARDO P. MARCAL M.D.
NPI 1417996943
Radiology - Diagnostic Radiology in Houston, TX
Quality Rating: 73.45 out of 100 score
NPI Status: Active since June 06, 2006
Contact Information
1515 HOLCOMBE BLVD
HOUSTON, TX
ZIP 77030
Phone: (713) 792-6161
- Individual
- Male
- Years of Experience 29
- Radiology
- Diagnostic Radiology
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About LEONARDO MARCAL
This page provides the complete NPI Profile along with additional information for Leonardo Marcal, a provider established in Houston, Texas with a medical specialization in Radiology, focusing in diagnostic radiology and more than 29 years of experience. The healthcare provider is registered in the NPI registry with number 1417996943 assigned on June 2006. The practitioner's primary taxonomy code is 2085R0202X with license number M2389 (TN). The provider is registered as an individual and his NPI record was last updated 14 years ago.
- NPI
- 1417996943
- Provider Name
- DR. LEONARDO P. MARCAL M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1515 HOLCOMBE BLVD HOUSTON, TX 77030
- Location Phone
- (713) 792-6161
- Mailing Address
- PO BOX 4439 HOUSTON, TX 77210
- Mailing Phone
- (713) 792-3753
- Medical School Name
- OTHER
- Graduation Year
- 1997
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-06-2006
- Last Update Date
- 01-20-2012
- Code Navigator
Location Map
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
Radiology Diagnostic Radiology
- Taxonomy Code
- 2085R0202X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- M2389
- License State
- TN
- Taxonomy Description
- A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Blue Advantage Plus Gold? 803 - POS
- Blue Advantage Plus Gold? Standard - POS
- Blue Advantage Plus Silver? 202 - POS
- Blue Advantage Plus Silver? 605 - POS
- Blue Advantage Plus Silver? Standard - POS
- Blue Advantage Security HMO? 200 - HMO
- Blue Advantage Silver HMO? 205 - HMO
- Blue Advantage Silver HMO? 801 - HMO
- Blue Advantage Silver HMO? Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Leonardo Marcal 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.
Leonardo Marcal 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: 7810991536
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: I20060911000469
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
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Complete ultrasound scan behind abdominal cavity
Complete ultrasound scan of abdomen
Ct scan of abdomen and pelvis before and after contrast
Ct scan of abdomen and pelvis with contrast
Ct scan of abdomen and pelvis with contrast
Ct scan of abdomen and pelvis without contrast
Ct scan of abdomen before and after contrast
Ct scan of abdomen with contrast
Ct scan of chest before and after contrast
Ct scan of chest with contrast
Ct scan of chest with contrast
Ct scan of chest without contrast
Limited ultrasound scan of abdomen
Limited ultrasound scan of joint or other extremity structure lacking blood vessels
Limited ultrasound scan of pelvis
Mri scan of abdomen before and after contrast
Mri scan of abdomen before and after contrast
Mri scan of pelvis before and after contrast
Ultrasound of abdomen and pelvis artery and vein blood flow
Ultrasound scan of organ tissue for measuring elasticity
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina
Ultrasound study of arm or leg veins with compression and maneuvers
Ultrasound study of one arm or leg veins with compression and maneuvers
X-ray of abdomen, 1 view
A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.
This service was performed 37 times for 37 patientsA complete ultrasound scan of the abdomen is a non-invasive imaging procedure. It uses sound waves to produce images of the organs in your abdomen, such as the liver, gallbladder, spleen, pancreas, and kidneys. It helps in diagnosing, monitoring, and planning treatments.
This service was performed 17 times for 17 patientsA CT scan of your abdomen and pelvis with and without contrast helps visualize your internal organs better. Contrast is a special dye that improves the clarity of the images. It's taken orally or injected into your veins before the scan. The process is painless and quick.
This service was performed 130 times for 128 patientsA CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
This service was performed 252 times for 248 patientsA CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
This service was performed 35 times for 34 patientsA CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
This service was performed 25 times for 25 patientsA CT scan of the abdomen before and after contrast is a diagnostic procedure. It involves taking detailed images of your abdomen area. Initially, images are taken without a contrast agent. Then, a contrast dye is given to highlight specific areas inside your body, helping to provide clearer images for better diagnosis.
This service was performed 14 times for 14 patientsA CT scan of the abdomen with contrast is a diagnostic procedure. A special dye (contrast) is introduced into your body to highlight certain areas in the images. The CT scanner uses X-rays to create detailed pictures of your abdomen, helping doctors diagnose conditions or monitor treatment.
This service was performed 19 times for 19 patientsA CT scan of the chest before and after contrast is a non-invasive imaging procedure. Initially, images of the chest are taken without contrast to get a baseline. Then, a contrast dye is administered, usually through a vein, to highlight specific areas, making them easier to see. The procedure helps in diagnosing various chest conditions.
This service was performed 75 times for 75 patientsA CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.
This service was performed 211 times for 208 patientsA CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.
This service was performed 32 times for 31 patientsA CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
This service was performed 13 times for 13 patientsA limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.
This service was performed 46 times for 45 patientsA limited ultrasound scan of a joint or other extremity structure lacking blood vessels is a non-invasive procedure that uses sound waves to create images of the inside of your body. This helps in diagnosing and monitoring conditions related to your joints or other similar structures.
This service was performed 13 times for 13 patientsA limited ultrasound scan of the pelvis is a non-invasive imaging test. It uses high-frequency sound waves to create pictures of the lower abdomen area. This helps doctors view and assess the health of certain internal structures. It's painless and usually takes about 30 minutes.
This service was performed 14 times for 14 patientsAn MRI scan of the abdomen before and after contrast provides detailed images of your abdominal organs. Initially, images are taken without a contrast agent. Then, a safe dye is administered, usually via an IV, to highlight certain areas, giving a clearer picture to help diagnose various conditions.
This service was performed 86 times for 85 patientsAn MRI scan of the abdomen before and after contrast provides detailed images of your abdominal organs. Initially, images are taken without a contrast agent. Then, a safe dye is administered, usually via an IV, to highlight certain areas, giving a clearer picture to help diagnose various conditions.
This service was performed 16 times for 15 patientsAn MRI scan of the pelvis before and after contrast is a non-invasive imaging technique. It uses magnetic fields and radio waves to capture detailed images of your lower abdomen. Contrast dye, safe for the body, improves image clarity. This helps detect abnormalities more accurately.
This service was performed 74 times for 73 patientsAn ultrasound of your abdomen and pelvis arteries and veins is a non-invasive procedure that uses sound waves to create images of your blood vessels. This helps in assessing the flow of blood, identifying blockages, or detecting other abnormalities. It's a safe, painless process.
This service was performed 12 times for 12 patientsAn ultrasound scan of organ tissue measures elasticity, or flexibility. This non-invasive procedure uses sound waves to create images of the inside of your body. It helps in assessing the health of various organs by detecting changes in their stiffness or softness.
This service was performed 14 times for 14 patientsAn ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
This service was performed 18 times for 18 patientsAn ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
This service was performed 38 times for 37 patientsThis is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
This service was performed 30 times for 30 patientsAn X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.
This service was performed 78 times for 74 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $22.6 for a new patient copayment and $18.15 for an established patient copayment.
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 77030 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $90.4
- Minimum New Patient Price $58.24
- Maximum New Patient Price $176.98
- Average New Patient Copayment $22.6
- Minimum New Patient Copayment $14.56
- Maximum New Patient Copayment $44.24
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $72.62
- Minimum Established Patient Price $18.6
- Maximum Established Patient Price $143.93
- Average Established Patient Copayment $18.15
- Minimum Established Patient Copayment $4.65
- Maximum Established Patient Copayment $35.98
* 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 provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 73.45, 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 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.
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Final Score: 73.45 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.
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Quality Score: 60.73
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.
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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: 43.61
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: 43.61
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.
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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. | |||||||||
1 | 4 | 1 | 7 | 9 | 9 | 6 | 9 | 4 | 3 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 4 | 2 | 7 | 18 | 9 | 12 | 9 | 8 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 4 + 2 + 7 + 1 + 8 + 9 + 1 + 2 + 9 + 8 + 24 = 77 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
80 - 77 = 3 | 3 |
The NPI number 1417996943 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 19 providers are registered at the same or nearby location.
DR. JADE SCHIFFMAN M.D.
Ophthalmology
1515 HOLCOMBE BLVD
HOUSTON, TX
ZIP 77030
MARINA GEORGE MD
Internal Medicine
1515 HOLCOMBE BLVD
HOUSTON, TX
ZIP 77030
DR. AKHILA REDDY M.D.
Legal Medicine
1515 HOLCOMBE BLVD
UNIT 1414
HOUSTON, TX
ZIP 77030
DR. JENNIE L REXER PHD
Clinical Neuropsychologist
1515 HOLCOMBE BLVD
MD ANDERSON DEPT OF NEURO-ONCOLOGY BOX 431
HOUSTON, TX
ZIP 77030
JANEY DELORES HOPKINS CRNA
Nurse Anesthetist, Certified Registered
1515 HOLCOMBE BLVD
HOUSTON, TX
ZIP 77030
MARLA E WELDON PA-C
Physician Assistant
(Surgical)
1515 HOLCOMBE BLVD
HOUSTON, TX
ZIP 77030
DR. LINUS HO M.D., PH.D.
Internal Medicine
(Hematology & Oncology)
1515 HOLCOMBE BLVD
UNIT 426
HOUSTON, TX
ZIP 77030
DR. JEAN HANNA TAYAR MD
Internal Medicine
(Rheumatology)
1515 HOLCOMBE BLVD
HOUSTON, TX
ZIP 77030
NORMAN JOSE BRITO-DELLAN MD
Internal Medicine
1515 HOLCOMBE BLVD
HOUSTON, TX
ZIP 77030
JOHN W. DAVIS M.D.
Urology
1515 HOLCOMBE BLVD
HOUSTON, TX
ZIP 77030
MS. MOLLY S DANIELS M.S, C.G.C.
Genetic Counselor, MS
1515 HOLCOMBE BLVD
UT MD ANDERSON CANCER CENTER UNIT 209
HOUSTON, TX
ZIP 77030
YOUNG SHROUT
Nurse Anesthetist, Certified Registered
1515 HOLCOMBE BLVD
HOUSTON, TX
ZIP 77030
JONATHAN CURRY MD
Pathology
(Dermatopathology)
1515 HOLCOMBE BLVD
HOUSTON, TX
ZIP 77030
KAREN CLECKLER-HUGHES
Nurse Anesthetist, Certified Registered
1515 HOLCOMBE BLVD
SUITE 300
HOUSTON, TX
ZIP 77030
DR. STEPHEN YENZEN LAI MD,PHD
Specialist
1515 HOLCOMBE BLVD
UNIT 1445
HOUSTON, TX
ZIP 77030
MR. ROBERTO N MIRANDA M.D.
Pathology
(Anatomic Pathology & Clinical Pathology)
1515 HOLCOMBE BLVD
HOUSTON, TX
ZIP 77030
SIMRIT PARMAR MD
Internal Medicine
(Hematology & Oncology)
1515 HOLCOMBE BLVD
HOUSTON, TX
ZIP 77030
RICHARD CARDOSO DDS
Dentist
(Oral and Maxillofacial Surgery)
1515 HOLCOMBE BLVD
HOUSTON, TX
ZIP 77030
KEN H YOUNG MD
Pathology
(Anatomic Pathology & Clinical Pathology)
1515 HOLCOMBE BLVD
HOUSTON, TX
ZIP 77030
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417996943, enumerated as an "individual" on June 06, 2006.
The provider is located at 1515 HOLCOMBE BLVD HOUSTON, TX 77030 and the phone number is (713) 792-6161.
Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas. Please consult your insurance carrier or call the provider to verify.