COLLIN MCCLOSKEY LEIBOLD MD - NPI 1629728555 - Family Medicine in Scarborough, ME

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207Q00000X.

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About Collin Mccloskey Leibold Md NPPES

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

COLLIN MCCLOSKEY LEIBOLD MD (NPI 1629728555) is an individual family medicine provider in Scarborough, Maine, licensed in Maine (MD30314) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1629728555

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameCOLLIN MCCLOSKEY LEIBOLDCredential: MD

Location Address49 SPRING ST STE 101Scarborough, ME 04074-8926

Mailing Address49 Spring St Ste 101Scarborough, ME 04074-8926 · (207) 883-7926 · Fax (207) 618-5021

Phone(207) 883-7926

Fax(207) 618-5021

Sole ProprietorNo

Enumeration DateMarch 24, 2022

Last NPPES UpdateMay 6, 2026

NPPES CertifiedMay 6, 2026

✔ NPI 1629728555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in ME · MD30314

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X · License MD30314 (ME)

49 SPRING ST STE 101, Scarborough, ME 04074

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Secondary Practice Locations 3

Location 1272 Congress StPortland, ME 04101-3637 · Phone (207) 874-2466 · Fax (207) 774-4625

Location 25 Bucknam Rd Ste 2CFalmouth, ME 04105-1209 · Phone (207) 781-1500 · Fax (207) 781-1507

Location 31215 Lee St # 800499Charlottesville, VA 22908-0816 · Phone (434) 924-5348

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Collin Mccloskey Leibold Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04074 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

$86.72 typical visit price

range $56.28 – $169.96

Typical copayment $21.68 (range $14.07 – $42.49)

Most-billed visit code 99203

Established Patient

$99.18 typical visit price

range $18.22 – $138.92

Typical copayment $24.79 (range $4.55 – $34.73)

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 5

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

JESSICA L GALE DO

Family Medicine