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

MS. LETICHA ANTONIONETTE LEOS PA
NPI 1437798295
Physician Assistant in Fort Worth, TX

Q: What is Leticha Leos's NPI number?

The NPI number for Leticha Leos is 1437798295. It was assigned to this individual provider in the NPPES registry on December 26, 2019.

Q: What is Leticha Leos's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Leticha Leos was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 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.

Active since December 26, 2019PECOS EnrolledAccepts Medicare Assignment

75.27/100

CMS Quality Rating

900 8TH AVE, FORT WORTH, TX 76104(972) 599-0080(972) 666-0792 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 14, 2023, Oct 11, 2023, Dec 6, 2021 and 1 more (4 updates tracked since 2019).

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About Ms. Leticha Antonionette Leos Pa NPPES

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

MS. LETICHA ANTONIONETTE LEOS PA (NPI 1437798295) is an individual physician assistant in Fort Worth, Texas, licensed in Texas (PA16874) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS, is affiliated with Texas Health Harris Methodist Hospital Fort Worth, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1437798295

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMS. LETICHA ANTONIONETTE LEOSCredential: PA

Location Address900 8TH AVEFort Worth, TX 76104-3902

Mailing AddressPo Box 93175Southlake, TX 76092-1175 · (972) 599-0080 · Fax (972) 666-0792

Phone(972) 599-0080

Fax(972) 666-0792

Sole ProprietorYes

Medical School CMSOtherGraduated 2013

Enumeration DateDecember 26, 2019

Last NPPES UpdateJune 30, 20264 updates tracked since enumeration

NPPES CertifiedJune 30, 2026

✔ NPI 1437798295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in TX · PA16874

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

900 8TH AVE, Fort Worth, TX 76104

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Accepted Insurance

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

Ms. Leticha Antonionette Leos Pa 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 ID5294162970

PECOS Enrollment IDI20231025002897

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 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.

96 services86 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.

24 services24 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

22 services20 patients

Hospital Affiliations CMS Care Compare

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

Texas Health Harris Methodist Hospital Fort Worth

Acute Care Hospitals · Fort Worth, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number450135

Location1301 Pennsylvania AvenueFort Worth, TX 76104 · Tarrant County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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

$87.20 typical visit price

range $56.47 – $171.07

Typical copayment $21.80 (range $14.11 – $42.76)

Most-billed visit code 99203

Established Patient

$70.45 typical visit price

range $18.18 – $139.68

Typical copayment $17.61 (range $4.54 – $34.92)

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.

75.27/100

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

Scored as part of a group practice

Quality

68.07

Promoting Interoperability

100

Improvement Activities

Cost

49.5

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.

RANDY NGUYEN DO

Internal Medicine