KARLI LEONE PA-C
NPI 1477027175
Physician Assistant - Medical in Plainville, CT

Active since January 15, 2019PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
201 N MOUNTAIN RD STE 202, PLAINVILLE, CT 06062(860) 696-2040(860) 696-2050 Get Directions Write a Review

NPPES record last updated: April 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Karli Leone Pa-c NPPES

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

KARLI LEONE PA-C (NPI 1477027175) is an individual medical provider in Plainville, Connecticut, licensed in Connecticut (23.004300) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1477027175
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKARLI LEONECredential: PA-C
Location Address201 N MOUNTAIN RD STE 202Plainville, CT 06062-1848
Mailing Address201 N Mountain Rd Ste 202Plainville, CT 06062-1848 · (860) 696-2040 · Fax (860) 696-2050
Fax(860) 696-2050
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 15, 2019
Last NPPES UpdateApril 18, 2025
NPPES CertifiedApril 18, 2025
NPI 1477027175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CT · 23.004300
201 N MOUNTAIN RD STE 202, Plainville, CT 06062

Other Names 1

Former Name (1)Karli King

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

Karli Leone Pa-c 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 ID840538658
PECOS Enrollment IDI20190220001323
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 6

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.
118 services105 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
57 services39 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
42 services37 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
28 services24 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.
14 services14 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.
11 services11 patients

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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.28
Promoting Interoperability100
Improvement Activities40
Cost59.59

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
4 suppliers27 claims343 services$17.94 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
4 suppliers29 claims885 services$2.38 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
20 suppliers53 claims203 services$5.90 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
11 suppliers14 claims33 services$1.03 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
3 suppliers27 claims27 services$296.20 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
7 suppliers17 claims1,940 services$7.16 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

Surgery
201 N MOUNTAIN RD STE 202
PLAINVILLE, CT 06062
Nurse Practitioner (Adult Health)
201 N MOUNTAIN RD STE 202
PLAINVILLE, CT 06062
Surgery (Surgical Oncology)
201 N MOUNTAIN RD STE 202
PLAINVILLE, CT 06062
Internal Medicine (Hematology & Oncology)
201 N MOUNTAIN RD STE 202
PLAINVILLE, CT 06062
Internal Medicine (Hematology & Oncology)
201 N MOUNTAIN RD STE 202
PLAINVILLE, CT 06062
Nurse Practitioner (Adult Health)
201 N MOUNTAIN RD STE 202
PLAINVILLE, CT 06062

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 Karli Leone's NPI number?

The NPI number for Karli Leone is 1477027175. It was assigned to this individual provider in the NPPES registry on January 15, 2019. The provider is also known as Karli King.

Where is Karli Leone located?

Karli Leone practices at 201 N Mountain Rd Ste 202, Plainville, CT 06062. The listed phone number is (860) 696-2040.

What is Karli Leone's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Karli Leone enrolled in Medicare?

Yes. Karli Leone 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.

When was this NPI record last updated?

The NPPES record for Karli Leone was last updated on April 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.