MR. JOHN ADRIAN LEUPOLD MD
NPI 1548290182
Orthopaedic Surgery in Spirit Lake, IA

Active since July 03, 2006PECOS EnrolledAccepts Medicare Assignment
2301 HIGHWAY 71 SOUTH, SPIRIT LAKE, IA 51360(712) 336-1230(712) 336-8706 Get Directions Write a Review

NPPES record last updated: June 20, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. John Adrian Leupold Md NPPES

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

MR. JOHN ADRIAN LEUPOLD MD (NPI 1548290182) is an individual orthopaedic surgery provider in Spirit Lake, Iowa, licensed in Iowa (36715) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Spencer Municipal Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1548290182
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameMR. JOHN ADRIAN LEUPOLDCredential: MD
Location Address2301 HIGHWAY 71 SOUTHSpirit Lake, IA 51360
Mailing Address1200 1st Ave E, Ste CSpencer, IA 51301-4342 · (712) 262-7511 · Fax (712) 626-3658
Fax(712) 336-8706
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 3, 2006
Last NPPES UpdateJune 20, 2014
✔ NPI 1548290182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in IA · 36715✔ Licensed in CA · A88434✔ Licensed in SC · 22158✔ Licensed in MN · 48951✔ Licensed in CA · AFE88434
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
2301 HIGHWAY 71 SOUTH, Spirit Lake, IA 51360

Other Identifiers 3

Medicare PINI18294IA
Medicare UPINI34978CA
Medicare PIN25073IA

Accepted 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

Mr. John Adrian Leupold 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 ID2466480348
PECOS Enrollment IDI20061011000801, I20161221000075
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

3

Medicare enrollment records show John Leupold reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
2004 OKOBOJI AVE
Milford, IA 51351
  • Reassigned Medicare billing, Iowa enrollment
  • 176 clinicians in this Medicare group
Emergency Medicine
2301 HIGHWAY 71 SOUTH
Spirit Lake, IA 51360
  • Reassigned Medicare billing, Iowa and Minnesota enrollments
  • Also billed through NPI 1558904417 (Minnesota)
  • 65 clinicians in this Medicare group
Optometrist
702 10TH ST
Worthington, MN 56187
  • Reassigned Medicare billing, Minnesota enrollment
  • 75 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.

Areas of Expertise CMS Part B claims 21

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
828 services105 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
371 services225 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
156 services96 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.
132 services104 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
107 services82 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
90 services90 patients

Hospital Affiliations CMS Care Compare 5

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

Spencer Municipal Hospital

Acute Care Hospitals · Spencer, IA
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number160112
Location1200 1st Avenue EastSpencer, IA 51301 · Clay County
Emergency services Birthing friendly

Lakes Regional Healthcare

Acute Care Hospitals · Spirit Lake, IA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number160124
Location2301 Highway 71Spirit Lake, IA 51360 · Dickinson County
Emergency services Birthing friendly

Avera Holy Family Hospital

Critical Access Hospitals · Estherville, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161351
Location826 North 8th StreetEstherville, IA 51334 · Emmet County
Emergency services

Kossuth Regional Health Center

Critical Access Hospitals · Algona, IA
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number161353
Location1515 South Phillips StreetAlgona, IA 50511 · Kossuth County
Emergency services Birthing friendly

Avera Mckennan Hospital & University Health Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430016
Location1325 S Cliff AveSioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51360 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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.

Reported Quality Measures

Perioperative Care: Selection of Prophylactic Antibiotic - First OR Second Generation Cephalosporin
Percentage of surgical patients aged 18 years and older undergoing procedures with the indications for a first OR second generation cephalosporin prophylactic antibiotic, who had an order for a first OR second generation cephalosporin for antimicrobial…
100%54 patients
Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients)
Percentage of surgical patients aged 18 years and older undergoing procedures for which venous thromboembolism (VTE) prophylaxis is indicated in all patients, who had an order for Low Molecular Weight Heparin (LMWH), Low- Dose Unfractionated Heparin (LDUH)…
100%53 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.

Other Providers at the Same Location NPPES 4

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

Emergency Medicine
2301 HIGHWAY 71 SOUTH
SPIRIT LAKE, IA 51360
Ambulance
2301 HIGHWAY 71 SOUTH
SPIRIT LAKE, IA 51360
Dietitian, Registered
2301 HIGHWAY 71 SOUTH
SPIRIT LAKE, IA 51360
Nurse Anesthetist, Certified Registered
2301 HIGHWAY 71 SOUTH
SPIRIT LAKE, IA 51360

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 Leupold's NPI number?

The NPI number for John Leupold is 1548290182. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Where is John Leupold located?

John Leupold practices at 2301 Highway 71 South, Spirit Lake, IA 51360. The listed phone number is (712) 336-1230.

What is John Leupold's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is John Leupold enrolled in Medicare?

Yes. John Leupold 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 John Leupold's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Leupold reassigns Medicare benefits to 3 organizations: Spencer Municipal Hospital (Milford, IA), Lakes Regional Healthcare (Spirit Lake, IA) and Avera Mckennan (Worthington, MN). 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 Leupold's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Leupold accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Avera Health Plans and Oscar Insurance Company and 2 other insurers list John Leupold 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 John Leupold affiliated with any hospitals?

According to CMS data, John Leupold is affiliated with Spencer Municipal Hospital, Lakes Regional Healthcare, Avera Holy Family Hospital, Kossuth Regional Health Center and Avera Mckennan Hospital & University Health Center.

When was this NPI record last updated?

The NPPES record for John Leupold was last updated on June 20, 2014. 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.