THOMAS LEAHY MD
NPI 1528201076
Psychiatry & Neurology - Neurology in South Bend, IN

Q: What is Thomas Leahy's NPI number?

The NPI number for Thomas Leahy is 1528201076. It was assigned to this individual provider in the NPPES registry on April 14, 2009.

Q: What is Thomas Leahy's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Leahy was last updated on March 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 April 14, 2009PECOS EnrolledAccepts Medicare Assignment

112 W JEFFERSON BLVD, STE 600, SOUTH BEND, IN 46601(574) 546-1900 Get Directions Write a Review

NPPES record last updated: March 30, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Thomas Leahy Md NPPES

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

THOMAS LEAHY MD (NPI 1528201076) is an individual neurology provider in South Bend, Indiana, licensed in Indiana (01075134A) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1528201076

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameTHOMAS LEAHYCredential: MD

Location Address112 W JEFFERSON BLVD, STE 600South Bend, IN 46601-1923

Mailing Address112 W Jefferson Blvd, Ste 600South Bend, IN 46601-1923 · (574) 546-1900

Phone(574) 546-1900

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateApril 14, 2009

Last NPPES UpdateMarch 30, 2015

✔ NPI 1528201076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in IN · 01075134A

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

112 W JEFFERSON BLVD, South Bend, IN 46601

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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

Thomas Leahy 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 ID2264750348

PECOS Enrollment IDI20200128001919

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 13

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.

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.

102 services100 patients

Measurement of brain wave activity with video (veeg), 12-26 hours with review and report by health care professional 95720

This procedure monitors brain wave activity over 12-26 hours using Video EEG (VEEG). It involves recording brain waves and video to detect irregularities. A healthcare professional will review the data and provide a report. It's non-invasive and safe.

90 services55 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.

76 services59 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.

58 services53 patients

Measurement of brain wave activity (eeg), awake and drowsy 95816

Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.

50 services49 patients

Measurement of brain wave activity (eeg), awake and asleep 95819

The measurement of brain wave activity, known as an EEG, records the brain's electrical signals. It's performed when you're awake and asleep to monitor your brain's functioning. It helps in diagnosing conditions like epilepsy, sleep disorders, and other neurological issues.

44 services44 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.

43 services35 patients

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212

This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.

32 services20 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

28 services28 patients

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.

24 services21 patients

Measurement of brain wave activity with video (veeg), 2-12 hours with review and report by health care professional 95718

This procedure, known as a Video EEG (VEEG), records brain wave activity for 2-12 hours. It involves attaching electrodes to your scalp and monitoring brain waves while a video records your actions. This helps health professionals understand and diagnose neurological issues.

17 services17 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.

13 services13 patients

Critical care, first 30-74 minutes 99291

13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Reading Hospital

Acute Care Hospitals · West Reading, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390044

Location420 S 5th AvenueWest Reading, PA 19611 · Berks County

Emergency services Birthing friendly

Pottstown Hospital

Acute Care Hospitals · Pottstown, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390123

Location1600 East High StreetPottstown, PA 19464 · Montgomery County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46601 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

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

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Other Providers at the Same Location NPPES 5

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

MRS. MORGAN NICOLE EDMONDS AGPCNP-BC

Nurse Practitioner

112 W JEFFERSON BLVD, SUITE 600
SOUTH BEND, IN 46601

St. Joseph County (888) 403-7246

JOSEPH HULSE JR. NP

Nurse Practitioner (Family)

112 W JEFFERSON BLVD, STE 600
SOUTH BEND, IN 46601

St. Joseph County (574) 546-1900

AZUBIKE NWOKEDI NP

Nurse Practitioner (Psychiatric/Mental Health)

112 W JEFFERSON BLVD, STE 600
SOUTH BEND, IN 46601

St. Joseph County (574) 546-1900

KIMBERLY ANN ARTMAN FNP-C

Nurse Practitioner (Family)

112 W JEFFERSON BLVD, STE 600
SOUTH BEND, IN 46601

St. Joseph County (574) 546-1900

FREDA ANN BLACK NURSE PRACTITIONER

Nurse Practitioner (Adult Health)

112 W JEFFERSON BLVD
SOUTH BEND, IN 46601

St. Joseph County (574) 546-1900

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 Thomas Leahy's NPI number?

The NPI number for Thomas Leahy is 1528201076. It was assigned to this individual provider in the NPPES registry on April 14, 2009.

Where is Thomas Leahy located?

Thomas Leahy practices at 112 W Jefferson Blvd Ste 600, South Bend, IN 46601. The listed phone number is (574) 546-1900.

What is Thomas Leahy's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Thomas Leahy enrolled in Medicare?

Yes. Thomas Leahy 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 Thomas Leahy accept?

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

According to CMS data, Thomas Leahy is affiliated with Reading Hospital and Pottstown Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Leahy was last updated on March 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.