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DR. LEON A REID III MD
NPI 1497724959
Ophthalmology in Cincinnati, OH

Active since March 16, 2006PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
4631 RIDGE AVE, STE A, CINCINNATI, OH 45209(513) 861-3377(513) 861-3759 Get Directions Write a Review

NPPES record last updated: December 31, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Leon A Reid Iii Md NPPES

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

DR. LEON A REID III MD (NPI 1497724959) is an individual ophthalmology provider in Cincinnati, Ohio, licensed in Ohio (35-045315) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Cincinnati Medical Center, Llc, and is a graduate of Meharry Medical College School Of Medicine (1974).

NPPES Registry Identity

NPI1497724959
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. LEON A REID IIICredential: MD
Location Address4631 RIDGE AVE, STE ACincinnati, OH 45209-1028
Mailing Address5535 Fair Ln, Suite CCincinnati, OH 45227-3434 · (513) 221-5274 · Fax (513) 961-5100
Phone(513) 861-3377
Fax(513) 861-3759
Sole ProprietorNo
Medical School CMSMeharry Medical College School Of MedicineGraduated 1974
Enumeration DateMarch 16, 2006
Last NPPES UpdateDecember 31, 2013
✔ NPI 1497724959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in OH · 35-045315✔ Licensed in VA · 0101030207
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
4631 RIDGE AVE, Cincinnati, OH 45209
Open in Google Maps ↗

Other Identifiers 9

Medicare PIN0483578OH
Medicare PIN0872791OH
Medicare PIN0483574OH
Other180032054OH · Railroad Medicare
Medicare PIN0483579OH
Medicare PIN0483575OH
Medicare PIN0483576OH
Medicare UPINA79688OH
Medicaid0435149OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Leon A Reid Iii 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 ID5698668788
PECOS Enrollment IDI20100527000624
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Leon Reid reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Cincinnati Physicians Company, LLC
4.7 mi
Family Medicine
3188 BELLEVUE AVE
Cincinnati, OH 45219
  • Reassigned Medicare billing, Ohio enrollment
  • 2,038 clinicians in this Medicare group
NPI 1801840434 (513) 584-1000
Cei Physicians Psc LLC
6.1 mi
Ophthalmology
1945 CEI DR
Cincinnati, OH 45242
  • Reassigned Medicare billing, Ohio enrollment
  • 225 clinicians in this Medicare group
NPI 1942296298 (513) 569-3741

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.
26 services18 patients

Hospital Affiliations CMS Care Compare

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

University Of Cincinnati Medical Center, LLC

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360003
Location3188 Bellevue AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45209 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) or their caregiver(s) who were counseled within 12 months on the benefits and/or risks of the Age-Related Eye Disease Study (AREDS) formulation for…
49%152 patients2/55-star benchmark: 100%
Age-Related Macular Degeneration (AMD): Dilated Macular Examination
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) who had a dilated macular examination performed which included documentation of the presence or absence of macular thickening or geographic atrophy or…
100%152 patients5/55-star benchmark: 100%
Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery
Percentage of patients aged 18 years and older with a diagnosis of uncomplicated cataract who had cataract surgery and no significant ocular conditions impacting the visual outcome of surgery and had best-corrected visual acuity of 20/40 or better (distance…
97%31 patients
Clinical Information Reconciliation
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician performs clinical information reconciliation.
13%703 patients1/55-star benchmark: 100%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%153 patients5/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed with documented communication to the physician who manages the ongoing care of the patient with diabetes mellitus…
95%101 patients4/55-star benchmark: 100%
Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy
Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed which included documentation of the level of severity of retinopathy and the presence or absence of macular edema during…
99%101 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
96%4,118 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%1,470 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
0%1,478 patients1/55-star benchmark: 99%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
100%209 patients5/55-star benchmark: 100%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
35%458 patients2/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 95% · 875 patients
Patients tobacco: 91% · 875 patients
54%68 patients3/55-star benchmark: 98%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
Percentage of patients aged 18 years and older with a diagnosis of primary open-angle glaucoma (POAG) who have an optic nerve head evaluation during one or more office visits within 12 months
95%329 patients4/55-star benchmark: 100%
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
66%3,058 patients3/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 1,478 patients
0%1,478 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 6

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

BRITTANY A. MCCAFFERTY PH.D.
Psychologist
4631 RIDGE AVE
CINCINNATI, OH 45209
Hamilton County (513) 631-1268
GITANJLI CHANNAN MD
Family Medicine
4631 RIDGE AVE, STE. B
CINCINNATI, OH 45209
Hamilton County (513) 631-1268
ALLIANCE PRIMARY CARE
Family Medicine
4631 RIDGE AVE
CINCINNATI, OH 45209
Hamilton County (513) 631-1268
ALLIANCE PRIMARY CARE
Internal Medicine
4631 RIDGE AVE
CINCINNATI, OH 45209
Hamilton County (513) 631-1268
CARMELLA GIULITTO MD
Internal Medicine
4631 RIDGE AVE, SUITE B
CINCINNATI, OH 45209
Hamilton County (513) 631-1268
HILLARY CAROLINE CARNELL D.O.
Family Medicine
4631 RIDGE AVE
CINCINNATI, OH 45209
Hamilton County (513) 631-1268

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 Leon Reid's NPI number?

The NPI number for Leon Reid is 1497724959. It was assigned to this individual provider in the NPPES registry on March 16, 2006.

Where is Leon Reid located?

Leon Reid practices at 4631 Ridge Ave Ste A, Cincinnati, OH 45209. The listed phone number is (513) 861-3377.

What is Leon Reid's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Leon Reid enrolled in Medicare?

Yes. Leon Reid 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.

Which organizations bill Medicare for Leon Reid's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Leon Reid reassigns Medicare benefits to 2 organizations: University Of Cincinnati Physicians Company, LLC (Cincinnati, OH) and Cei Physicians Psc LLC (Cincinnati, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Leon Reid's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Leon Reid accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 1 other insurer list Leon Reid 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 Leon Reid affiliated with any hospitals?

According to CMS data, Leon Reid is affiliated with University Of Cincinnati Medical Center, LLC.

When was this NPI record last updated?

The NPPES record for Leon Reid was last updated on December 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.