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KENNETH V LEONE M.D.
NPI 1558331561
Psychiatry & Neurology - Neurology in Charlottesville, VA

Active since January 23, 2006PECOS EnrolledAccepts Medicare Assignment
79.39/100
CMS Quality Rating
1221 LEE ST, CHARLOTTESVILLE, VA 22908(434) 924-2706(434) 924-9068 Get Directions Write a Review

NPPES record last updated: August 10, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 10, 2023, Jul 31, 2021, Oct 1, 2020 and 1 more (4 updates tracked since 2018).

About Kenneth V Leone M.d. NPPES

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

KENNETH V LEONE M.D. (NPI 1558331561) is an individual neurology provider in Charlottesville, Virginia, licensed in Virginia (0101053826) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Virginia Medical Center, and maintains a secondary practice location in Charlottesville.

NPPES Registry Identity

NPI1558331561
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameKENNETH V LEONECredential: M.D.
Location Address1221 LEE STCharlottesville, VA 22908-0001
Mailing AddressPo Box 9007Charlottesville, VA 22906-9007
Phone(434) 924-2706
Fax(434) 924-9068
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateJanuary 23, 2006
Last NPPES UpdateAugust 10, 20234 updates tracked since enumeration
NPPES CertifiedAugust 10, 2023
✔ NPI 1558331561 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 VA · 0101053826
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.
1221 LEE ST, Charlottesville, VA 22908
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Secondary Practice Location 1

Location 11215 Lee StCharlottesville, VA 22908-0001 · Phone (434) 924-0211

Other Identifiers 2

Medicaid000748118BGA
Medicaid1558331561VA

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

Kenneth V Leone M.d. 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 ID6901863695
PECOS Enrollment IDI20080603000559
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 4

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.

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.
119 services112 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.
100 services90 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
62 services62 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.
21 services21 patients

Hospital Affiliations CMS Care Compare 2

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

University Of Virginia Medical Center

Acute Care Hospitals · Charlottesville, VA
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number490009
Location1215 Lee StreetCharlottesville, VA 22908 · Charlottesville City County
Emergency services Birthing friendly

Sentara Martha Jefferson Hospital

Acute Care Hospitals · Charlottesville, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490077
Location500 Martha Jefferson DriveCharlottesville, VA 22911 · Albemarle County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22908 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

79.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.66
Promoting Interoperability100
Improvement Activities40
Cost57.65

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.

CORINA A RUSU MD
Dermatology
1221 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-5115
MR. REAGAN WILLIAMS
Physician Assistant (Medical)
1221 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 243-1000
ABIGAIL C WILLS MD
Dermatology
1221 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-5115
DR. MERRICK DOUGLAS KOZAK M.D.
Dermatology
1221 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-5115
DR. THOMAS G CROPLEY M.D.
Dermatology
1221 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-5115
GREGORY W. COOPER M.D.
Psychiatry & Neurology (Neurology)
1221 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-2706
KRISTIN L. PHIPPS AGACNP-BC
Nurse Practitioner (Acute Care)
1221 LEE ST, 2ND FLOOR
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-5219
DEAN C WEIL CRNA
Nurse Anesthetist, Certified Registered
1221 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 982-4228

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 Kenneth Leone's NPI number?

The NPI number for Kenneth Leone is 1558331561. It was assigned to this individual provider in the NPPES registry on January 23, 2006.

Where is Kenneth Leone located?

Kenneth Leone practices at 1221 Lee St, Charlottesville, VA 22908. The listed phone number is (434) 924-2706.

What is Kenneth Leone's specialty?

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

Is Kenneth Leone enrolled in Medicare?

Yes. Kenneth Leone 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.

Is Kenneth Leone affiliated with any hospitals?

According to CMS data, Kenneth Leone is affiliated with University Of Virginia Medical Center and Sentara Martha Jefferson Hospital.

When was this NPI record last updated?

The NPPES record for Kenneth Leone was last updated on August 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.