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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JOSE AGUSTIN LEON M.D.
NPI 1437388907
Internal Medicine - Rheumatology in Opelika, AL

Active since July 06, 2009PECOS EnrolledAccepts Medicare Assignment
96.08/100
CMS Quality Rating
111 NORTH 24TH STREET, OPELIKA, AL 36801(334) 704-8100(866) 538-3485 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 4, 2026, Apr 30, 2026, Apr 21, 2026 and 7 more (10 updates tracked since 2020).

About Jose Agustin Leon M.d. NPPES

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

JOSE AGUSTIN LEON M.D. (NPI 1437388907) is an individual rheumatology provider in Opelika, Alabama, licensed in Alabama (31742) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with St Francis Hospital- Emory Healthcare, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1437388907
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameJOSE AGUSTIN LEONCredential: M.D.
Location Address111 NORTH 24TH STREETOpelika, AL 36801-6253
Mailing Address111 North 24th StreetOpelika, AL 36801-6253 · (334) 704-8100 · Fax (866) 538-3485
Phone(334) 704-8100
Fax(866) 538-3485
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJuly 6, 2009
Last NPPES UpdateAugust 4, 202610 updates tracked since enumeration
NPPES CertifiedAugust 4, 2026
✔ NPI 1437388907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in AL · 31742
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
111 NORTH 24TH STREET, Opelika, AL 36801
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Other Names 1

Other Name (5)Jose Agustin Leon De La Rocha

Other Identifiers 1

Medicaid140663AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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

Jose Agustin Leon 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 ID1254589013
PECOS Enrollment IDI20120919000844
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 10

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
1,440 services17 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
278 services42 patients
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.
207 services119 patients
Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle 96401
This procedure involves giving anti-cancer drugs, which don't contain hormones, into the muscle or under the skin. These drugs help to stop the growth of cancer cells. The process is usually quick and done by a healthcare professional.
104 services26 patients
Administration of chemotherapy into vein, 1 hour or less 96413
Chemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.
84 services21 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
59 services59 patients

Hospital Affiliations CMS Care Compare

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

St Francis Hospital- Emory Healthcare

Acute Care Hospitals · Columbus, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110129
Location2122 Manchester ExpresswayColumbus, GA 31995 · Muscogee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36801 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

96.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality92.17
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%27 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

DR. ZARMEENA ALI MD
Internal Medicine (Rheumatology)
111 NORTH 24TH STREET
OPELIKA, AL 36801
Lee County (334) 704-8100
LINDA TUCKER BACK CRNP,FNP
Nurse Practitioner (Family)
111 NORTH 24TH STREET
OPELIKA, AL 36801
Lee County (334) 704-8100

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 Jose Leon's NPI number?

The NPI number for Jose Leon is 1437388907. It was assigned to this individual provider in the NPPES registry on July 6, 2009. The provider is also known as Jose Agustin Leon De La Rocha.

Where is Jose Leon located?

Jose Leon practices at 111 North 24th Street, Opelika, AL 36801. The listed phone number is (334) 704-8100.

What is Jose Leon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Jose Leon enrolled in Medicare?

Yes. Jose 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.

What insurance does Jose Leon accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 3 other insurers list Jose 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 Jose Leon affiliated with any hospitals?

According to CMS data, Jose Leon is affiliated with St Francis Hospital- Emory Healthcare.

When was this NPI record last updated?

The NPPES record for Jose Leon was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.