DR. LEONARDO B C BRASILIENSE MD
NPI 1689052664
Neurological Surgery in Boise, ID

Q: What is Leonardo Brasiliense's NPI number?

The NPI number for Leonardo Brasiliense is 1689052664. It was assigned to this individual provider in the NPPES registry on May 11, 2015.

Q: What is Leonardo Brasiliense's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Active since May 11, 2015PECOS EnrolledAccepts Medicare Assignment

71.81/100

CMS Quality Rating

1072 N LIBERTY ST STE 200, BOISE, ID 83704(208) 302-4100(208) 302-4135 Get Directions Write a Review

NPPES record last updated: August 31, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 31, 2023, Nov 30, 2022 (2 updates tracked since 2022).

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About Dr. Leonardo B C Brasiliense Md NPPES

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

DR. LEONARDO B C BRASILIENSE MD (NPI 1689052664) is an individual neurological surgery provider in Boise, Idaho, licensed in Idaho (M-17423) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with Saint Alphonsus Regional Medical Center, and maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1689052664

Entity TypeIndividualMale

Primary Taxonomy207T00000X

Provider Legal NameDR. LEONARDO B C BRASILIENSECredential: MD

Location Address1072 N LIBERTY ST STE 200Boise, ID 83704-8963

Mailing AddressPo Box 190930Boise, ID 83719-0930 · (208) 236-7051 · Fax (208) 367-5180

Phone(208) 302-4100

Fax(208) 302-4135

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateMay 11, 2015

Last NPPES UpdateAugust 31, 20232 updates tracked since enumeration

NPPES CertifiedAugust 31, 2023

✔ NPI 1689052664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207T00000X

Licenses✔ Licensed in ID · M-17423✔ Licensed in WA · MD61270647

Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

1072 N LIBERTY ST STE 200, Boise, ID 83704

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Secondary Practice Location 1

Location 1550 17th Ave Ste 110Seattle, WA 98122-5789 · Phone (206) 320-3470 · Fax (206) 320-3471

Other Identifiers 1

Medicaid2213825WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.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. Leonardo B C Brasiliense 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 ID5799037487

PECOS Enrollment IDI20231011003302

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

30 services30 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

28 services28 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.

19 services17 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

13 services13 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

13 services13 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

12 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Saint Alphonsus Regional Medical Center

Acute Care Hospitals · Boise, ID

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number130007

Location1055 North Curtis RoadBoise, ID 83706 · Ada County

Emergency services Birthing friendly

Saint Alphonsus Medical Center - Nampa

Acute Care Hospitals · Nampa, ID

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number130013

Location4300 E Flamingo AveNampa, ID 83687 · Canyon County

Emergency services Birthing friendly

Saint Alphonsus Medical Center - Ontario

Acute Care Hospitals · Ontario, OR

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number380052

Location351 SW 9th StreetOntario, OR 97914 · Malheur County

Emergency services

St. Alphonsus Medical Center - Baker City

Critical Access Hospitals · Baker City, OR

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number381315

Location3325 Pocahontas RoadBaker City, OR 97814 · Baker County

Emergency services

Grande Ronde Hospital

Critical Access Hospitals · La Grande, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number381321

Location900 Sunset DriveLa Grande, OR 97850 · Union County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83704 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

$121.27 typical visit price

range $52.44 – $160.17

Typical copayment $30.31 (range $13.11 – $40.04)

Most-billed visit code 99204

Established Patient

$65.77 typical visit price

range $16.68 – $130.93

Typical copayment $16.44 (range $4.17 – $32.73)

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.

71.81/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

88.62

Promoting Interoperability

Improvement Activities

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Other Providers at the Same Location NPPES 9

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

DR. NICHOLAS T. GAMBOA M.D.

Neurological Surgery