1. Home
  2. Directory
  3. Maryland
  4. Waldorf
  5. Internal Medicine
  6. NPI Profile

MICHAEL A LEATHERWOOD MD
NPI 1497747349
Internal Medicine in Waldorf, MD

Active since August 17, 2005PECOS Enrolled
12070 OLD LINE CTR, SUITE 302, WALDORF, MD 20602(301) 645-6667(301) 870-9722 Get Directions Write a Review

NPPES record last updated: April 10, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Michael A Leatherwood Md NPPES

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

MICHAEL A LEATHERWOOD MD (NPI 1497747349) is an individual internal medicine provider in Waldorf, Maryland, licensed in Maryland (D0021031) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497747349
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMICHAEL A LEATHERWOODCredential: MD
Location Address12070 OLD LINE CTR, SUITE 302Waldorf, MD 20602-2513
Mailing AddressPo Box 249Waldorf, MD 20604-0249 · (301) 645-6667 · Fax (301) 870-9722
Phone(301) 645-6667
Fax(301) 870-9722
Sole ProprietorNo
Enumeration DateAugust 17, 2005
Last NPPES UpdateApril 10, 2008
✔ NPI 1497747349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MD · D0021031
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
12070 OLD LINE CTR, Waldorf, MD 20602
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINB69591
Medicare PIN627AMD
Medicare PINCN1724GA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael A Leatherwood Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Michael Leatherwood reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Privia Care Center LLC
22 mi
Internal Medicine
950 N GLEBE RD, SUITE 4000
Arlington, VA 22203
  • Reassigned Medicare billing, Maryland enrollment
  • 339 clinicians in this Medicare group
NPI 1164874426 (571) 366-8850
Privia Medical Group, LLC
22 mi
Internal Medicine
950 N GLEBE RD STE 700
Arlington, VA 22203
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • 1,534 clinicians in this Medicare group
NPI 1013042480 (571) 366-8850

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20602 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
$133.05 typical visit price
range $57.99 – $175.57
Typical copayment $33.26 (range $14.49 – $43.89)
Most-billed visit code 99204
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

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.

Reported Quality Measures

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.
97%8,606 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
81%822 patients4/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%406 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
90%2,642 patients4/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%2,584 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
70%2,584 patients4/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
51%2,584 patients
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.

Referred Medical Equipment & Supplies CMS DME claims 8

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers13 claims56 services$7.24 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
4 suppliers12 claims13 services$2.93 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers12 claims28 services$1.24 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
2 suppliers13 claims13 services$39.96 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
2 suppliers11 claims11 services$14.06 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
2 suppliers11 claims11 services$9.32 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.

WILLIAM JOHN OETGEN M.D.
Specialist
12070 OLD LINE CTR, SUITE 100
WALDORF, MD 20602
Charles County (301) 705-7870
SEETARAMAYYA NAGULA M.D.
Internal Medicine (Gastroenterology)
12070 OLD LINE CTR, SUITE 200
WALDORF, MD 20602
Charles County (301) 645-8035
JOSEPH RAYMOND MURPHY M.D.
Internal Medicine (Gastroenterology)
12070 OLD LINE CTR, STE 200
WALDORF, MD 20602
Charles County (301) 645-8035
MS. JENNIFER LYNN KNODE PAC
Physician Assistant (Medical)
12070 OLD LINE CTR, STE 207
WALDORF, MD 20602
Charles County (301) 870-0660
JESSICA KHOURY MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
12070 OLD LINE CTR
SAINT CHARLES, MD 20602
Charles County (301) 870-4100
DR. DAWN STEPHANIE CHRISTOPHER MD
Internal Medicine (Cardiovascular Disease)
12070 OLD LINE CTR, SUITE 303
WALDORF, MD 20602
Charles County (301) 645-5100
ROBERT TIMOTHY PACE MD
Family Medicine
12070 OLD LINE CTR, SUITE 302
WALDORF, MD 20602
Charles County (301) 645-6667
TERENCE BERTELE M.D.
Internal Medicine (Cardiovascular Disease)
12070 OLD LINE CTR, STE 303
WALDORF, MD 20602
Charles County (301) 645-5100

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 Michael Leatherwood's NPI number?

The NPI number for Michael Leatherwood is 1497747349. It was assigned to this individual provider in the NPPES registry on August 17, 2005.

Where is Michael Leatherwood located?

Michael Leatherwood practices at 12070 Old Line Ctr Suite 302, Waldorf, MD 20602. The listed phone number is (301) 645-6667.

What is Michael Leatherwood's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Michael Leatherwood enrolled in Medicare?

Yes. Michael Leatherwood is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Michael Leatherwood's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Leatherwood reassigns Medicare benefits to 2 organizations: Privia Care Center LLC (Arlington, VA) and Privia Medical Group, LLC (Arlington, VA). 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 Michael Leatherwood's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michael Leatherwood was last updated on April 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.