ERIC J LEESTMA
NPI 1700989233
Family Medicine in Demotte, IN

Active since September 07, 2006PECOS EnrolledAccepts Medicare Assignment
75.48/100
CMS Quality Rating
519 N HALLECK, DEMOTTE, IN 46310(219) 987-7750(219) 987-5750 Get Directions Write a Review

NPPES record last updated: May 10, 2010. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Eric J Leestma NPPES

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

ERIC J LEESTMA (NPI 1700989233) is an individual family medicine provider in Demotte, Indiana, licensed in Indiana (02000641A) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Central Dupage Hospital, and is a graduate of Chicago College Of Osteopathy (1978).

NPPES Registry Identity

NPI1700989233
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameERIC J LEESTMA
Location Address519 N HALLECKDemotte, IN 46310
Mailing AddressPo Box 850Demotte, IN 46310-0850 · (219) 987-7750 · Fax (219) 987-5750
Fax(219) 987-5750
Sole ProprietorYes
Medical School CMSChicago College Of OsteopathyGraduated 1978
Enumeration DateSeptember 7, 2006
Last NPPES UpdateMay 10, 2010
✔ NPI 1700989233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 02000641A
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.
519 N HALLECK, Demotte, IN 46310

Other Identifiers 6

Other000000084931IN · Anthem Bcbs
Medicare UPIND95508
Medicaid100209310AIN
Medicare PIN391870IN
Other36655IN · Indiana Health Network
Medicare PIN080088241

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

Eric J Leestma 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 ID8820997232
PECOS Enrollment IDI20100312000666
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 27

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 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.
879 services354 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.
654 services331 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
489 services81 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
380 services70 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
271 services211 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
266 services265 patients

Hospital Affiliations CMS Care Compare 5

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

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Methodist Hospitals Inc

Acute Care Hospitals · Gary, IN
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150002
Location600 Grant StGary, IN 46402 · Lake County
Emergency services Birthing friendly

Northwest Health - Porter

Acute Care Hospitals · Valparaiso, IN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number150035
Location85 East Us Hwy 6Valparaiso, IN 46383 · Porter County
Emergency services Birthing friendly

Franciscan Health Crown Point

Acute Care Hospitals · Crown Point, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150126
Location12750 Saint Francis DriveCrown Point, IN 46307 · Lake County
Emergency services Birthing friendly

Pinnacle Hospital

Acute Care Hospitals · Crown Point, IN
OwnershipPhysician
CMS Certification Number150166
Location9301 Connecticut DrCrown Point, IN 46307 · Lake County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46310 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

75.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality82.83
Promoting Interoperability98
Improvement Activities40
Cost37.12

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
0%134 patients
Appropriate Treatment for Upper Respiratory Infection (URI)
84%76 patients4/55-star benchmark: 100%
Breast Cancer Screening
34%620 patients2/55-star benchmark: 93%
Cervical Cancer Screening
15%945 patients1/55-star benchmark: 98%
Chlamydia Screening for Women
2%178 patients
Closing the Referral Loop: Receipt of Specialist Report
25%65 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
16%1,605 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
78%923 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
9%364 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
39%364 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
98%8,739 patients4/55-star benchmark: 100%
e-Prescribing
99%503 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
27%814 patients2/55-star benchmark: 100%
HIV Screening
2%2,452 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
20%3,018 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
8%2,753 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
28%5,629 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 4% · 2,381 patients
Patients screened: 4% · 2,381 patients
68%34 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
70%1,841 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
66%510 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 3% · 785 patients
Patients totalRate: 10% · 875 patients
12%875 patients3/55-star benchmark: 100%
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 2

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
6 suppliers19 claims74 services$5.84 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
2 suppliers12 claims12 services$215.65 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

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

Nurse Practitioner (Family)
519 N HALLECK
DEMOTTE, IN 46310

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 Eric Leestma's NPI number?

The NPI number for Eric Leestma is 1700989233. It was assigned to this individual provider in the NPPES registry on September 7, 2006.

Where is Eric Leestma located?

Eric Leestma practices at 519 N Halleck, Demotte, IN 46310. The listed phone number is (219) 987-7750.

What is Eric Leestma's specialty?

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

Is Eric Leestma enrolled in Medicare?

Yes. Eric Leestma 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 Eric Leestma accept?

Health plans from CareSource and UnitedHealthcare list Eric Leestma 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 Eric Leestma affiliated with any hospitals?

According to CMS data, Eric Leestma is affiliated with Northwestern Medicine Central Dupage Hospital, Methodist Hospitals Inc, Northwest Health - Porter, Franciscan Health Crown Point and Pinnacle Hospital.

When was this NPI record last updated?

The NPPES record for Eric Leestma was last updated on May 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.