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JAMES LEITHEAD III
NPI 1437473469
Surgery in Covington, LA

Active since March 19, 2010PECOS EnrolledAccepts Medicare Assignment
88.05/100
CMS Quality Rating
7015 HIGHWAY 190 EAST SERVICE RD STE 200, COVINGTON, LA 70433(985) 234-3000(985) 234-3001 Get Directions Write a Review

NPPES record last updated: April 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 11, 2024, Aug 3, 2018 (2 updates tracked since 2018).

About James Leithead Iii NPPES

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

JAMES LEITHEAD III (NPI 1437473469) is an individual surgery provider in Covington, Louisiana, licensed in Louisiana (MD.207922) and active in the NPI registry since March 2010. He is enrolled in Medicare PECOS, is affiliated with Slidell Memorial Hospital, and maintains a secondary practice location in New Orleans.

NPPES Registry Identity

NPI1437473469
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJAMES LEITHEAD III
Location Address7015 HIGHWAY 190 EAST SERVICE RD STE 200Covington, LA 70433-4960
Mailing Address5959 S Sherwood Forest BlvdBaton Rouge, LA 70816-6038 · (985) 234-3000 · Fax (225) 765-9196
Phone(985) 234-3000
Fax(985) 234-3001
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 2010
Enumeration DateMarch 19, 2010
Last NPPES UpdateApril 11, 20242 updates tracked since enumeration
NPPES CertifiedApril 11, 2024
✔ NPI 1437473469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in LA · MD.207922
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
7015 HIGHWAY 190 EAST SERVICE RD STE 200, Covington, LA 70433
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Secondary Practice Location 1

Location 1920 Poeyfarre St Apt 429New Orleans, LA 70130 · Phone (337) 704-1419

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health 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

James Leithead Iii 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 ID2062703564
PECOS Enrollment IDI20160613002342
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 3

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
77 services45 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.
62 services42 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 2

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

Slidell Memorial Hospital

Acute Care Hospitals · Slidell, LA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190040
Location1001 Gause BlvdSlidell, LA 70458 · St. Tammany County
Emergency services Birthing friendly

Our Lady Of The Lake Surgical Hospital

Acute Care Hospitals · Slidell, LA
OwnershipPhysician
CMS Certification Number190270
Location1700 W Lindberg DriveSlidell, LA 70458 · St. Tammany County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70433 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
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.

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.

88.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.6
Promoting Interoperability100
Improvement Activities40
Cost58.23

Other Providers at the Same Location NPPES 4

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

LAURA MAHONEY BOYER FNP-C
Nurse Practitioner (Family)
7015 HIGHWAY 190 EAST SERVICE RD STE 200
COVINGTON, LA 70433
St. Tammany Parish (985) 630-3107
CAMILLE NASIM BITAR M.D.
Internal Medicine (Infectious Disease)
7015 HIGHWAY 190 EAST SERVICE RD STE 200
COVINGTON, LA 70433
St. Tammany Parish (985) 643-0075
BITARS SPECIALTY CLINIC, LLC
Internal Medicine (Infectious Disease)
7015 HIGHWAY 190 EAST SERVICE RD STE 200
COVINGTON, LA 70433
St. Tammany Parish (985) 643-0075
DR. MATTHEW S FRENCH M.D.
Surgery
7015 HIGHWAY 190 EAST SERVICE RD STE 200
COVINGTON, LA 70433
St. Tammany Parish (985) 234-3000

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 James Leithead's NPI number?

The NPI number for James Leithead is 1437473469. It was assigned to this individual provider in the NPPES registry on March 19, 2010.

Where is James Leithead located?

James Leithead practices at 7015 Highway 190 East Service Rd Ste 200, Covington, LA 70433. The listed phone number is (985) 234-3000.

What is James Leithead's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is James Leithead enrolled in Medicare?

Yes. James Leithead 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 James Leithead accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list James Leithead 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 James Leithead affiliated with any hospitals?

According to CMS data, James Leithead is affiliated with Slidell Memorial Hospital and Our Lady Of The Lake Surgical Hospital.

When was this NPI record last updated?

The NPPES record for James Leithead was last updated on April 11, 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.