JOHN A LEON MD
NPI 1538168562
Radiology - Diagnostic Radiology in Fairmont, WV
About John A Leon Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN A LEON MD (NPI 1538168562) is an individual diagnostic radiology provider in Fairmont, West Virginia, licensed in West Virginia (14473) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
John A Leon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show John Leon reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fairmont, WV 26554
- Reassigned Medicare billing, West Virginia enrollment
- 29 clinicians in this Medicare group
Riverton, WV 26814
- Reassigned Medicare billing, West Virginia enrollment
- 22 clinicians in this Medicare group
Ripley, WV 25271
- Reassigned Medicare billing, West Virginia enrollment
- 50 clinicians in this Medicare group
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 26554 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 John Leon's NPI number?
The NPI number for John Leon is 1538168562. It was assigned to this individual provider in the NPPES registry on July 20, 2005.
Where is John Leon located?
John Leon practices at 700 Village Dr, Fairmont, WV 26554. The listed phone number is (304) 366-2600.
What is John Leon's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is John Leon enrolled in Medicare?
Yes. John Leon is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for John Leon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Leon reassigns Medicare benefits to 3 organizations: Radiological Physician Associates Inc (Fairmont, WV), Pendleton Community Care, Inc. (Riverton, WV) and Premier Imaging And Intervention, PLLC (Ripley, WV). 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 John Leon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Leon accept?
Health plans from CareSource list John Leon 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.
When was this NPI record last updated?
The NPPES record for John Leon was last updated on July 19, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# John A Leon, MD · NPI 1538168562
Diagnostic Radiology physician in Fairmont, West Virginia. Individual provider, active in the CMS NPPES registry since July 20, 2005.
## Identity
- **NPI:** 1538168562 (Entity type: Individual)
- **Enumerated:** July 20, 2005
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** 14473 (West Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 700 VILLAGE DR, Fairmont, WV 26554-7985
- **Phone:** (304) 366-2600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Radiological Physician Associates Inc (NPI 1811996960, Fairmont, WV); Pendleton Community Care, Inc. (NPI 1346442134, Riverton, WV); Premier Imaging And Intervention, PLLC (NPI 1285633370, Ripley, WV) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 19, 2007
- **Other identifiers:** Medicare UPIN E73390; Medicare PIN LE0839221 (WA); Medicaid 0051381000 (WV)
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Source: [NPI Profile](https://npiprofile.com/npi/1538168562) · Data from the CMS NPPES public registry.