KRISTINA ANN LEAKE MD
NPI 1609070093
Obstetrics & Gynecology in Charlotte, NC

Active since June 12, 2007PECOS EnrolledAccepts Medicare Assignment
2100 S TRYON ST UNIT 201, CHARLOTTE, NC 28203(704) 316-3000(704) 316-3001 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 25, 2026, Apr 24, 2024, Aug 30, 2023 and 2 more (5 updates tracked since 2020).

About Kristina Ann Leake Md NPPES

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

KRISTINA ANN LEAKE MD (NPI 1609070093) is an individual obstetrics & gynecology provider in Charlotte, North Carolina, licensed in North Carolina (140987) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of University Of South Carolina School Of Medicine (2007).

NPPES Registry Identity

NPI1609070093
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameKRISTINA ANN LEAKECredential: MD
Location Address2100 S TRYON ST UNIT 201Charlotte, NC 28203-5031
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (980) 367-4963 · Fax (704) 316-2558
Fax(704) 316-3001
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2007
Enumeration DateJune 12, 2007
Last NPPES UpdateMarch 25, 20265 updates tracked since enumeration
NPPES CertifiedMarch 25, 2026
✔ NPI 1609070093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NC · 140987
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
2100 S TRYON ST UNIT 201, Charlotte, NC 28203

Other Names 1

Former Name (1)Kristina Petrovski Md

Secondary Practice Locations 3

Location 11718 E 4th St, Suite 707Charlotte, NC 28204-3261 · Phone (704) 316-5270
Location 21901 E 5th StCharlotte, NC 28204-2429 · Phone (980) 367-4363 · Fax (704) 384-1644
Location 36331 Carmel Rd Ste 102Charlotte, NC 28226-8286 · Phone (980) 367-4363 · Fax (704) 316-2558

Other Identifiers 2

Medicaid5918497NC
Other2011-00385NC · Nc License

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

Kristina Ann Leake 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 ID9537331921
PECOS Enrollment IDI20111006000595
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

2

Medicare enrollment records show Kristina Leake reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obstetrics & Gynecology
2100 S TRYON ST STE 201
Charlotte, NC 28203
  • Reassigned Medicare billing, North Carolina enrollment
  • Also billed through NPI 1619524881 (North Carolina)
  • 2,998 clinicians in this Medicare group
Maternal & Fetal Medicine
1718 E 4TH ST STE 404
Charlotte, NC 28204
  • Reassigned Medicare billing, North Carolina enrollment
  • 76 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 28203 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

Other Providers at the Same Location NPPES 3

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

Obstetrics & Gynecology
2100 S TRYON ST UNIT 201
CHARLOTTE, NC 28203
Obstetrics & Gynecology
2100 S TRYON ST UNIT 201
CHARLOTTE, NC 28203
Obstetrics & Gynecology
2100 S TRYON ST UNIT 201
CHARLOTTE, NC 28203

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 Kristina Leake's NPI number?

The NPI number for Kristina Leake is 1609070093. It was assigned to this individual provider in the NPPES registry on June 12, 2007. The provider is also known as Kristina Petrovski MD.

Where is Kristina Leake located?

Kristina Leake practices at 2100 S Tryon St Unit 201, Charlotte, NC 28203. The listed phone number is (704) 316-3000.

What is Kristina Leake's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Kristina Leake enrolled in Medicare?

Yes. Kristina Leake 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 Kristina Leake's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristina Leake reassigns Medicare benefits to 2 organizations: Novant Health Medical Group, LLC (Charlotte, NC) and Nmg Health Services, LLC (Charlotte, NC). 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 Kristina Leake's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristina Leake accept?

Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Kristina Leake 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 Kristina Leake was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.