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DR. SAMANTHA LUCI LEONARD-NDOMB M.D.
NPI 1689016354
Surgery in Moose Lake, MN

Active since July 23, 2013PECOS EnrolledAccepts Medicare Assignment
4572 COUNTY ROAD 61, MOOSE LAKE, MN 55767(218) 485-2015 Get Directions Write a Review

NPPES record last updated: April 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 29, 2023, Nov 5, 2018 (2 updates tracked since 2018).

About Dr. Samantha Luci Leonard-ndomb M.d. NPPES

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

DR. SAMANTHA LUCI LEONARD-NDOMB M.D. (NPI 1689016354) is an individual surgery provider in Moose Lake, Minnesota, licensed in Michigan (4301105657) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, is affiliated with Essentia Health St Mary's Medical Center, and maintains a secondary practice location in Allegan.

NPPES Registry Identity

NPI1689016354
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. SAMANTHA LUCI LEONARD-NDOMBCredential: M.D.
Location Address4572 COUNTY ROAD 61Moose Lake, MN 55767-9401
Mailing Address400 E 3rd StDuluth, MN 55805-1951 · (218) 786-8364
Phone(218) 485-2015
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 23, 2013
Last NPPES UpdateApril 21, 20232 updates tracked since enumeration
NPPES CertifiedApril 21, 2023
✔ NPI 1689016354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in MI · 4301105657✔ Licensed in MN · 61823
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
4572 COUNTY ROAD 61, Moose Lake, MN 55767
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Other Names 1

Former Name (1)Samantha Luci Leonard M.d.

Secondary Practice Location 1

Location 1555 Linn StAllegan, MI 49010-1524 · Phone (269) 686-4907

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica, Sanford Health Plan and more.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. Samantha Luci Leonard-ndomb 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 ID7517183452
PECOS Enrollment IDI20230607003212
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 3

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

Essentia Health St Mary's Medical Center

Acute Care Hospitals · Duluth, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240002
Location402 East Second StreetDuluth, MN 55805 · St. Louis County
Emergency services Birthing friendly

Essentia Health Sandstone

Critical Access Hospitals · Sandstone, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241309
Location705 Lundorff Drive SouthSandstone, MN 55072 · Pine County
Emergency services

Essentia Health Moose Lake

Critical Access Hospitals · Moose Lake, MN
OwnershipGovernment - Hospital District or Authority
CMS Certification Number241350
Location4572 County Road 61Moose Lake, MN 55767 · Carlton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55767 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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 20

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

SAMANTHA MARIE JOHNSON DPT
Physical Therapist
4572 COUNTY ROAD 61
MOOSE LAKE, MN 55767
Carlton County (218) 485-5823
MS. APRIL M HANSEN OTR/L
Occupational Therapist
4572 COUNTY ROAD 61
MOOSE LAKE, MN 55767
Carlton County (218) 485-4481
FAITH A. MANTY APRN, CNP
Nurse Practitioner (Family)
4572 COUNTY ROAD 61
MOOSE LAKE, MN 55767
Carlton County (218) 485-4481
CLAIRE L ROSEN OTR/L
Occupational Therapist
4572 COUNTY ROAD 61
MOOSE LAKE, MN 55767
Carlton County (218) 485-4481
ESSENTIA HEALTH MOOSE LAKE
General Acute Care Hospital (Critical Access)
4572 COUNTY ROAD 61
MOOSE LAKE, MN 55767
Carlton County (218) 485-4481
DR. ANDREA KARIN KRATZKE NELSON MD
Family Medicine
4572 COUNTY ROAD 61
MOOSE LAKE, MN 55767
Carlton County (218) 485-2015
MS. ABBY MARIE SCHULTZ
Physical Medicine & Rehabilitation
4572 COUNTY ROAD 61
MOOSE LAKE, MN 55767
Carlton County (218) 485-4481
JAMES ALAN MACH JR.
Nurse Anesthetist, Certified Registered
4572 COUNTY ROAD 61
MOOSE LAKE, MN 55767
Carlton County (218) 485-4481

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 Samantha Leonard-ndomb's NPI number?

The NPI number for Samantha Leonard-ndomb is 1689016354. It was assigned to this individual provider in the NPPES registry on July 23, 2013. The provider is also known as Samantha Luci Leonard M.D..

Where is Samantha Leonard-ndomb located?

Samantha Leonard-ndomb practices at 4572 County Road 61, Moose Lake, MN 55767. The listed phone number is (218) 485-2015.

What is Samantha Leonard-ndomb's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Samantha Leonard-ndomb enrolled in Medicare?

Yes. Samantha Leonard-ndomb 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 Samantha Leonard-ndomb accept?

Health plans from HealthPartners, Medica, Sanford Health Plan and Security Health Plan list Samantha Leonard-ndomb 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 Samantha Leonard-ndomb affiliated with any hospitals?

According to CMS data, Samantha Leonard-ndomb is affiliated with Essentia Health St Mary's Medical Center, Essentia Health Sandstone and Essentia Health Moose Lake.

When was this NPI record last updated?

The NPPES record for Samantha Leonard-ndomb was last updated on April 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.