DR. MONIQUE LEYS M.D.
NPI 1659348639
Ophthalmology in Morgantown, WV

Active since March 08, 2006PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
1 STADIUM DRIVE, MORGANTOWN, WV 26506(304) 598-4820(304) 293-6963 Get Directions Write a Review

NPPES record last updated: April 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 12, 2022, Dec 31, 2020 (2 updates tracked since 2020).

About Dr. Monique Leys M.d. NPPES

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

DR. MONIQUE LEYS M.D. (NPI 1659348639) is an individual ophthalmology provider in Morgantown, West Virginia, licensed in West Virginia (18371) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with West Virginia University Hospitals, Inc, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1659348639
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameDR. MONIQUE LEYSCredential: M.D.
Location Address1 STADIUM DRIVEMorgantown, WV 26506
Mailing AddressPo Box 897Morgantown, WV 26507-0897 · (304) 293-7401 · Fax (304) 293-6963
Fax(304) 293-6963
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateMarch 8, 2006
Last NPPES UpdateApril 12, 20222 updates tracked since enumeration
NPPES CertifiedApril 12, 2022
NPI 1659348639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in WV · 18371
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1 STADIUM DRIVE, Morgantown, WV 26506

Other Identifiers 1

Medicaid0096349000WV

Accepted 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

Dr. Monique Leys 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 ID840260378
PECOS Enrollment IDI20040730000411
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 7

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.

Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
702 services242 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
444 services101 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.
405 services218 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.
125 services95 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
66 services54 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
19 services18 patients

Hospital Affiliations CMS Care Compare 2

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

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510001
Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County
Emergency services Birthing friendly

Mon Health Medical Center

Acute Care Hospitals · Morgantown, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510024
Location1200 Jd Anderson DriveMorgantown, WV 26505 · Monongalia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26506 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

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.

Otolaryngology
1 STADIUM DRIVE
MORGANTOWN, WV 26506
Nurse Anesthetist, Certified Registered
1 STADIUM DRIVE
MORGANTOWN, WV 26506
Podiatrist
1 STADIUM DRIVE
MORGANTOWN, WV 26506
Internal Medicine (Pulmonary Disease)
1 STADIUM DRIVE
MORGANTOWN, WV 26506
Pediatrics (Pediatric Infectious Diseases)
1 STADIUM DRIVE
MORGANTOWN, WV 26506
Nurse Practitioner
1 STADIUM DRIVE
MORGANTOWN, WV 26506
Physician Assistant
1 STADIUM DRIVE
MORGANTOWN, WV 26506
Internal Medicine
1 STADIUM DRIVE
MORGANTOWN, WV 26506

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 Monique Leys's NPI number?

The NPI number for Monique Leys is 1659348639. It was assigned to this individual provider in the NPPES registry on March 8, 2006.

Where is Monique Leys located?

Monique Leys practices at 1 Stadium Drive, Morgantown, WV 26506. The listed phone number is (304) 598-4820.

What is Monique Leys's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Monique Leys enrolled in Medicare?

Yes. Monique Leys 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 Monique Leys accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Highmark Blue Cross Blue Shield West Virginia list Monique Leys 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 Monique Leys affiliated with any hospitals?

According to CMS data, Monique Leys is affiliated with West Virginia University Hospitals, Inc and Mon Health Medical Center.

When was this NPI record last updated?

The NPPES record for Monique Leys was last updated on April 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.