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DR. EFREN L LEONIDA M.D.
NPI 1659477057
Family Medicine in Mt Pleasant, PA

Active since September 15, 2006PECOS EnrolledCLIA 39D2075749 · Waiver
ONE BRADDOCK AVE, SUITE A, MT PLEASANT, PA 15666(724) 547-4565(724) 547-5811 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Efren L Leonida M.d. NPPES

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

DR. EFREN L LEONIDA M.D. (NPI 1659477057) is an individual family medicine provider in Mt Pleasant, Pennsylvania, licensed in Pennsylvania (034778L) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and holds a CLIA Waiver certificate valid through April 3, 2028.

NPPES Registry Identity

NPI1659477057
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. EFREN L LEONIDACredential: M.D.
Location AddressONE BRADDOCK AVE, SUITE AMt Pleasant, PA 15666
Mailing AddressOne Braddock Ave, Suite AMt Pleasant, PA 15666 · (724) 547-4565 · Fax (724) 547-5811
Phone(724) 547-4565
Fax(724) 547-5811
Sole ProprietorYes
Enumeration DateSeptember 15, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1659477057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · 034778L
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.
ONE BRADDOCK AVE, Mt Pleasant, PA 15666
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Other Identifiers 10

Medicaid0005893540003PA
Other60472PA · Unison Health Plan
Other1004398PA · Gateway Health Plan
Other094320PA · Highmark
Other0360813PA · Umwa
Medicare ID-Type UnspecifiedP00153686PA · Railroad Medicare
Medicare UPINB36185PA
Other474504PA · Aetna
Other0094320PA · Keystone Health Plan West
Medicare ID-Type UnspecifiedLE94320PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Efren L Leonida M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Efren Leonida reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Efren Leonida MD LLC
0.3 mi
Family Medicine
1 BRADDOCK ROAD AVE, SUITE A
Mt Pleasant, PA 15666
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 4 clinicians in this Medicare group
NPI 1730453440 (724) 547-4565

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2075749

Efren Leonida MD LLC · Mount Pleasant, PA
Active · expires Apr 3, 2028
CLIA Number39D2075749
Laboratory TypePhysician Office
Certificate Effective DateApril 4, 2026
Certificate Expiration DateApril 3, 2028
Laboratory DirectorDr. Efren B. Leonida MD
Laboratory Phone(724) 547-4565
Laboratory LocationEfren Leonida MD LLC1 Braddock Ave Suite A, Mount Pleasant, PA 15666
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15666 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$14.98 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Efren Leonida's NPI number?

The NPI number for Efren Leonida is 1659477057. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Where is Efren Leonida located?

Efren Leonida practices at One Braddock Ave Suite A, Mt Pleasant, PA 15666. The listed phone number is (724) 547-4565.

What is Efren Leonida's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Efren Leonida enrolled in Medicare?

Yes. Efren Leonida is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Efren Leonida's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Efren Leonida reassigns Medicare benefits to Efren Leonida MD LLC (Mt Pleasant, PA). The 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 Efren Leonida's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Does Efren Leonida hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2075749) is associated with this NPI, valid through April 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Efren Leonida was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.