MS. BARBARA M LEIGHTON MD
NPI 1487751475
Internal Medicine - Pulmonary Disease in Philadelphia, PA

Q: What is Barbara Leighton's NPI number?

The NPI number for Barbara Leighton is 1487751475. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Q: What is Barbara Leighton's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Barbara Leighton was last updated on February 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment

3998 RED LION RD, SUITE 250, PHILADELPHIA, PA 19114(215) 612-8500(215) 612-2893 Get Directions Write a Review

NPPES record last updated: February 18, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ms. Barbara M Leighton Md NPPES

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

MS. BARBARA M LEIGHTON MD (NPI 1487751475) is an individual pulmonary disease provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD047332L) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Jefferson Health- Northeast, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1990).

NPPES Registry Identity

NPI1487751475

Entity TypeIndividualFemale

Primary Taxonomy207RP1001X

Provider Legal NameMS. BARBARA M LEIGHTONCredential: MD

Location Address3998 RED LION RD, SUITE 250Philadelphia, PA 19114

Mailing Address3998 Red Lion Rd, Suite 250Philadelphia, PA 19114 · (215) 612-8500 · Fax (215) 612-2893

Phone(215) 612-8500

Fax(215) 612-2893

Sole ProprietorNo

Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1990

Enumeration DateSeptember 20, 2006

Last NPPES UpdateFebruary 18, 2010

✔ NPI 1487751475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in PA · MD047332L

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

3998 RED LION RD, Philadelphia, PA 19114

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Other Identifiers 3

Medicare UPING26018

Medicare ID-Type Unspecified952780

Medicaid001643945006PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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. Barbara M Leighton Md 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 ID4981625506

PECOS Enrollment IDI20100517000137

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 7

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.

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.

209 services125 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.

148 services112 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

112 services68 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

78 services76 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

55 services54 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.

35 services35 patients

Hospital Affiliations CMS Care Compare 2

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

Jefferson Health- Northeast

Acute Care Hospitals · Philadelphia, PA

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390115

Location10800 Knights RoadPhiladelphia, PA 19114 · Philadelphia County

Emergency services

St Mary Medical Center

Acute Care Hospitals · Langhorne, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390258

LocationLanghorne-Newtown RdLanghorne, PA 19047 · Bucks County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19114 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

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

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.

Referred Medical Equipment & Supplies CMS DME claims 25

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

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

7 suppliers51 claims51 services$33.44 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

3 suppliers13 claims22 services$1.08 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

8 suppliers34 claims34 services$74.65 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

7 suppliers35 claims99 services$29.32 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

7 suppliers24 claims127 services$15.74 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

5 suppliers14 claims71 services$12.16 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

9 suppliers36 claims36 services$45.57 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

11 suppliers36 claims36 services$14.84 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

6 suppliers19 claims19 services$9.47 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

8 suppliers71 claims404 services$1.73 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

9 suppliers28 claims28 services$10.55 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers59 claims59 services$13.84 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

3 suppliers68 claims68 services$915.58 avg. paid by Medicare

Humidifier, durable for supplemental humidification during ippb treatment or oxygen delivery E0560

DME-Other DME · category DE000N

1 supplier27 claims27 services$16.12 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

5 suppliers94 claims97 services$3.26 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

4 suppliers42 claims42 services$24.12 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

7 suppliers255 claims258 services$64.88 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

5 suppliers105 claims108 services$31.23 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

6 suppliers42 claims2,490 services$3.94 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

3 suppliers35 claims2,100 services$6.57 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

14 suppliers53 claims13,007 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

4 suppliers18 claims2,700 services$0.10 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

8 suppliers54 claims3,576 services$0.81 avg. paid by Medicare

Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram J7677

DME-Drugs Administered Through DME · category DG006N

5 suppliers38 claims199,500 services$0.15 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

16 suppliers115 claims115 services$24.68 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 20

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

AARON OPHER SHILOH M.D.

Radiology (Vascular & Interventional Radiology)

3998 RED LION RD
PHILADELPHIA, PA 19114

Philadelphia County (952) 595-1100

DEBORAH SCHILLER SCHRAGER MD

Obstetrics & Gynecology

3998 RED LION RD, SUITE 106
PHILADELPHIA, PA 19114

Philadelphia County (215) 612-4143

MELISSA A. MALLOY CRNA

Nurse Anesthetist, Certified Registered

3998 RED LION RD
PHILADELPHIA, PA 19114

Philadelphia County (215) 612-4088

DR. MIMI H PINTO DO

Radiology (Diagnostic Radiology)

3998 RED LION RD
PHILADELPHIA, PA 19114

Philadelphia County (215) 612-4021

JOHN P. SORRENTINO M.D.

Emergency Medicine

3998 RED LION RD
PHILADELPHIA, PA 19114

Philadelphia County (215) 612-4963

JUDITH KUNKLE CRNP

Registered Nurse (Emergency)

3998 RED LION RD, EMERGENCY ROOM
PHILADELPHIA, PA 19114

Philadelphia County (215) 612-4000

JOAQUIN SARIEGO MD

Surgery

3998 RED LION RD, SUITE 301
PHILADELPHIA, PA 19114

Philadelphia County (215) 612-4884

FRANKFORD TORRESDALE HOSPITAL

General Acute Care Hospital

3998 RED LION RD
PHILADELPHIA, PA 19114

Philadelphia County (215) 612-4000

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 Barbara Leighton's NPI number?

The NPI number for Barbara Leighton is 1487751475. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Barbara Leighton located?

Barbara Leighton practices at 3998 Red Lion Rd Suite 250, Philadelphia, PA 19114. The listed phone number is (215) 612-8500.

What is Barbara Leighton's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Barbara Leighton enrolled in Medicare?

Yes. Barbara Leighton 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 Barbara Leighton accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Barbara Leighton 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 Barbara Leighton affiliated with any hospitals?

According to CMS data, Barbara Leighton is affiliated with Jefferson Health- Northeast and St Mary Medical Center.

When was this NPI record last updated?

The NPPES record for Barbara Leighton was last updated on February 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.