LEO EUGENE OBERMILLER JR. MD
NPI 1528159316
Internal Medicine - Nephrology in Spokane, WA

NPI Status: Active since September 27, 2006

Contact Information

105 W 8TH AVE STE 1000
SPOKANE, WA
ZIP 99204
Phone: (509) 474-4500
Fax: (509) 474-4487

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  • Individual
  • Male
  • Internal Medicine
  • Nephrology
  • PECOS Enrolled

About LEO OBERMILLER

This page provides the complete NPI Profile along with additional information for Leo Obermiller, an internist established in Spokane, Washington with a medical specialization in Internal Medicine, focusing in nephrology . The healthcare provider is registered in the NPI registry with number 1528159316 assigned on September 2006. The practitioner's primary taxonomy code is 207RN0300X with license number 025209 (WA). The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI
1528159316
Provider Name
LEO EUGENE OBERMILLER JR. MD
Gender
Male
Entity Type
Individual
Location Address
105 W 8TH AVE STE 1000 SPOKANE, WA 99204
Location Phone
(509) 474-4500
Location Fax
(509) 474-4487
Mailing Address
101 W 8TH AVE MOTHER GAMELIN BLDG, 3RD FLOOR, ROOM 207305 SPOKANE, WA 99204
Mailing Phone
(509) 474-6842
Mailing Fax
(509) 474-4487
Is Sole Proprietor?
No
Enumeration Date
09-27-2006
Last Update Date
06-23-2021
Code Navigator

An internist like Leo Obermiller is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Secondary Locations

  • 122 W 7th Ave Ste 232
    Spokane, WA 99204
    (509) 474-2041

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Nephrology

Taxonomy Code
207RN0300X
Type
Allopathic & Osteopathic Physicians
License No.
025209
License State
WA
Taxonomy Description
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207RN0300XAllopathic & Osteopathic Physicians

Internal Medicine
Nephrology

MD00019462 (WA)
2207RN0300XAllopathic & Osteopathic Physicians

Internal Medicine
Nephrology

M5092 (ID)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
000010000219OTHER (01)REGENCE BLUE SHIELD OF ID
805903500MEDICAID (05)ID 
8111304MEDICAID (05)WA 

Medicare Participation & PECOS Enrollment Status

Leo Obermiller is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Unknown

  • Treatment-Treatment - Miscellaneous (RX029N)

    Tacrolimus, immediate release, oral, 1 mg (HCPCS:J7507)

    2 DME suppliers used 42 Medicare Claims 6765 Services Paid

  • Treatment-Treatment - Miscellaneous (RX029N)

    Prednisone, immediate release or delayed release, oral, 1 mg (HCPCS:J7512)

    1 DME suppliers used 25 Medicare Claims 2636 Services Paid

  • Treatment-Treatment - Miscellaneous (RX029N)

    Mycophenolic acid, oral, 180 mg (HCPCS:J7518)

    1 DME suppliers used 39 Medicare Claims 9240 Services Paid

  • Treatment-Chemotherapy (RH012N)

    Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period (HCPCS:Q0511)

    2 DME suppliers used 35 Medicare Claims 35 Services Paid

  • Treatment-Chemotherapy (RH012N)

    Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period (HCPCS:Q0512)

    1 DME suppliers used 57 Medicare Claims 64 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Follow-up hospital inpatient care per day, typically 25 minutes

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.

This service was performed 60 times for 26 patients

Follow-up hospital inpatient care per day, typically 35 minutes

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.

This service was performed 55 times for 24 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 99204 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $130.99
  • Minimum New Patient Price $57.27
  • Maximum New Patient Price $172.8
  • Average New Patient Copayment $32.74
  • Minimum New Patient Copayment $14.31
  • Maximum New Patient Copayment $43.2

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $100.78
  • Minimum Established Patient Price $18.56
  • Maximum Established Patient Price $141.11
  • Average Established Patient Copayment $25.19
  • Minimum Established Patient Copayment $4.64
  • Maximum Established Patient Copayment $35.27

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1528159316, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
2
Doubled → 4
Pos 4
8
Unchanged
Pos 5
1
Doubled → 2
Pos 6
5
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
3
Unchanged
Pos 9
1
Doubled → 2
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 1 → 2 9 → 18 → 9 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 4 + 8 + 2 + 5 + 1 + 8 + 3 + 2 + 24 = 64

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1528159316.

Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Internal Medicine (Nephrology)
105 W 8TH AVE STE 1000
SPOKANE, WA 99204
Internal Medicine (Nephrology)
105 W 8TH AVE STE 1000
SPOKANE, WA 99204
Internal Medicine (Nephrology)
105 W 8TH AVE STE 1000
SPOKANE, WA 99204
Pharmacist
105 W 8TH AVE STE 1000
SPOKANE, WA 99204
Pharmacist (Solid Organ Transplant)
105 W 8TH AVE STE 1000
SPOKANE, WA 99204
Physician Assistant
105 W 8TH AVE STE 1000
SPOKANE, WA 99204
Internal Medicine (Nephrology)
105 W 8TH AVE STE 1000
SPOKANE, WA 99204
Surgery
105 W 8TH AVE STE 1000
SPOKANE, WA 99204
Internal Medicine (Nephrology)
105 W 8TH AVE STE 1000
SPOKANE, WA 99204
Internal Medicine (Nephrology)
105 W 8TH AVE STE 1000
SPOKANE, WA 99204

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528159316, enumerated as an "individual" on September 27, 2006.

The provider is located at 105 W 8TH AVE STE 1000 SPOKANE, WA 99204 and the phone number is (509) 474-4500.

Internal Medicine with taxonomy code 207RN0300X and a focus in Nephrology.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.