LEAH ROCHELLE GALE CNP
NPI 1700388527
Nurse Practitioner - Primary Care in Troy, OH

Active since March 07, 2018PECOS EnrolledAccepts Medicare Assignment
90.54/100
CMS Quality Rating
998 S DORSET RD, TROY, OH 45373(937) 336-9865(937) 339-6668 Get Directions Write a Review

NPPES record last updated: June 27, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 27, 2018, Mar 7, 2018 (2 updates tracked since 2018).

About Leah Rochelle Gale Cnp NPPES

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

LEAH ROCHELLE GALE CNP (NPI 1700388527) is an individual primary care provider in Troy, Ohio, licensed in Ohio (CNP.022427) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Troy, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1700388527
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameLEAH ROCHELLE GALECredential: CNP
Location Address998 S DORSET RDTroy, OH 45373
Mailing Address3170 Kettering Blvd Bldg B3Moraine, OH 45439-1924 · (937) 991-3191
Fax(937) 339-6668
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 7, 2018
Last NPPES UpdateJune 27, 20182 updates tracked since enumeration
✔ NPI 1700388527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in OH · CNP.022427
998 S DORSET RD, Troy, OH 45373

Secondary Practice Location 1

Location 131 S Stanfield Rd Ste 201Troy, OH 45373-2334 · Phone (937) 440-7788 · Fax (937) 440-7177

Other Identifiers 1

Medicaid0273491OH

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Leah Rochelle Gale Cnp 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 ID2668735143
PECOS Enrollment IDI20180416000616
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 Reassignments

3

Medicare enrollment records show Leah Gale reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
3130 N COUNTY ROAD 25A
Troy, OH 45373
  • Reassigned Medicare billing, Ohio enrollment
  • 405 clinicians in this Medicare group
Family Medicine
55 ELVA CT
Vandalia, OH 45377
  • Reassigned Medicare billing, Ohio enrollment
  • 744 clinicians in this Medicare group
Urgent Care
6700 COMMERCE CENTER DR
Dayton, OH 45414
  • Reassigned Medicare billing, Ohio enrollment
  • 63 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 2

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.

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.
38 services34 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.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45373 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

90.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.73
Promoting Interoperability100
Improvement Activities40
Cost87.75

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
51%119 patients3/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
56%160 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
32%195 patients2/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
74%65 patients4/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers30 claims47 services$5.74 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers11 claims11 services$1.05 avg. paid by Medicare
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
1 supplier13 claims390 services$2.62 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
1 supplier13 claims8,892 services$0.29 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier24 claims24 services$211.43 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 15

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

Family Medicine
998 S DORSET RD, 204
TROY, OH 45373
Preventive Medicine (Occupational Medicine)
998 S DORSET RD
TROY, OH 45373
Nurse Practitioner (Family)
998 S DORSET RD
TROY, OH 45373
Family Medicine
998 S DORSET RD
TROY, OH 45373
Nurse Practitioner (Family)
998 S DORSET RD
TROY, OH 45373
Internal Medicine (Cardiovascular Disease)
998 S DORSET RD, SUITE 204
TROY, OH 45373
Physical Medicine & Rehabilitation
998 S DORSET RD, STE 104
TROY, OH 45373
Internal Medicine (Cardiovascular Disease)
998 S DORSET RD, SUITE 206
TROY, OH 45373

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 Leah Gale's NPI number?

The NPI number for Leah Gale is 1700388527. It was assigned to this individual provider in the NPPES registry on March 7, 2018.

Where is Leah Gale located?

Leah Gale practices at 998 S Dorset Rd, Troy, OH 45373. The listed phone number is (937) 336-9865.

What is Leah Gale's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Leah Gale enrolled in Medicare?

Yes. Leah Gale 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.

Which organizations bill Medicare for Leah Gale's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Leah Gale reassigns Medicare benefits to 3 organizations: Upper Valley Professional Corporation (Troy, OH), Mvhe Inc (Vandalia, OH) and Premier Health Urgent Care, Inc. (Dayton, OH). Each 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 Leah Gale's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Leah Gale accept?

Health plans from AmeriHealth Caritas Next and MedMutual list Leah Gale 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.

When was this NPI record last updated?

The NPPES record for Leah Gale was last updated on June 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.