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BLAKE LEEDS DO
NPI 1568044063
Internal Medicine in Marysville, OH

Active since April 23, 2021PECOS EnrolledAccepts Medicare Assignment
660 LONDON AVE STE A, MARYSVILLE, OH 43040(937) 642-1550(937) 578-2821 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 19, 2025, Apr 23, 2021 (2 updates tracked since 2021).

About Blake Leeds Do NPPES

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

BLAKE LEEDS DO (NPI 1568044063) is an individual internal medicine provider in Marysville, Ohio, licensed in Ohio (34.017897) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital, and is a graduate of Marian University College Of Osteopathic Medicine (2021).

NPPES Registry Identity

NPI1568044063
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameBLAKE LEEDSCredential: DO
Location Address660 LONDON AVE STE AMarysville, OH 43040-1515
Mailing Address660 London Ave Ste AMarysville, OH 43040-1515 · (937) 642-1550
Phone(937) 642-1550
Fax(937) 578-2821
Sole ProprietorNo
Medical School CMSMarian University College Of Osteopathic MedicineGraduated 2021
Enumeration DateApril 23, 2021
Last NPPES UpdateJuly 16, 20252 updates tracked since enumeration
NPPES CertifiedJuly 16, 2025
✔ NPI 1568044063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 34.017897
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
660 LONDON AVE STE A, Marysville, OH 43040
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Oscar Health Insurance.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

Blake Leeds Do 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 ID8820470313
PECOS Enrollment IDI20250731002487
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.

Hospital Affiliations CMS Care Compare

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

Memorial Hospital

Acute Care Hospitals · Marysville, OH
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number360092
Location500 London AvenueMarysville, OH 43040 · Union County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43040 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 2

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

CHARLENE SHULER CNP
Nurse Practitioner (Family)
660 LONDON AVE STE A
MARYSVILLE, OH 43040
Union County (937) 642-1550
LISA MARIE ROSHETSKY KEARNS M.D.
Internal Medicine
660 LONDON AVE STE A
MARYSVILLE, OH 43040
Union County (937) 642-1550

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 Blake Leeds's NPI number?

The NPI number for Blake Leeds is 1568044063. It was assigned to this individual provider in the NPPES registry on April 23, 2021.

Where is Blake Leeds located?

Blake Leeds practices at 660 London Ave Ste A, Marysville, OH 43040. The listed phone number is (937) 642-1550.

What is Blake Leeds's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Blake Leeds enrolled in Medicare?

Yes. Blake Leeds 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 Blake Leeds accept?

Health plans from CareSource, MedMutual and Oscar Health Insurance list Blake Leeds 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 Blake Leeds affiliated with any hospitals?

According to CMS data, Blake Leeds is affiliated with Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Blake Leeds was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.