MARK F LEONARD MD NPI 1720023559

Emergency Medicine in Arlington, WA

Individual Male Years of Experience 36 Emergency Medicine PECOS Enrolled Accepts Medicare Approved Payment

About MARK F LEONARD MD

Mark Leonard is a provider established in Arlington, Washington and his medical specialization is Emergency Medicine with more than 36 years of experience. He graduated from Michigan State University College Of Human Medicine in 1987. The NPI number of Mark Leonard is 1720023559 and was assigned on June 2006. The practitioner's primary taxonomy code is 207P00000X with license number MD00027106 (WA). The provider is registered as an individual and his NPI record was last updated 14 years ago.

NPI

1720023559

Provider Name MARK F LEONARD MD
Provider Location Address330 S STILLAGUAMISH AVE ARLINGTON, WA 98223
Provider Mailing Address505 S 336TH ST SUITE 600 FEDERAL WAY, WA 98003
GenderMale
NPI Entity TypeIndividual
Medical School NameMICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduation Year1987
Is Sole Proprietor?Yes
Enumeration Date06-17-2006
Last Update Date04-11-2008



Mark Leonard is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Mark Leonard is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Dayton General Hospital.

The typical physician office visit costs for Medicare beneficiaries in this area are: $22.63 for a new patient copayment and $26.15 for an established patient copayment.



Primary Taxonomy

Taxonomy Code207P00000X
ClassificationEmergency Medicine
TypeAllopathic & Osteopathic Physicians
License No.MD00027106
License StateWA
Taxonomy DescriptionAn emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Business Address

MARK F LEONARD MD
330 S STILLAGUAMISH AVE
ARLINGTON, WA
ZIP 98223
Phone: (360) 435-2133
Fax: (360) 435-0513

Get Directions


Mailing Address

MARK F LEONARD MD
505 S 336TH ST
SUITE 600
FEDERAL WAY, WA
ZIP 98003
Phone: (253) 838-6180
Fax: (253) 838-6418


PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID6901999457
PECOS Enrollment IDI20070829000786
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 98223 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99203
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$58.96 $178.29 $90.52
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$14.74 $44.57 $22.63
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99214
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$18.53 $145.92 $104.62
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.63 $36.48 $26.15

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Mark Leonard is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
DAYTON GENERAL HOSPITAL1012 SOUTH 3RD STREET
DAYTON, WA 99328
(509) 382-2531Critical Access Hospitals501302

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
E07738MEDICARE UPIN (02)WA
0220755OTHER (01)WALIWA
P00411763MEDICARE PIN (08)WA
G8867135MEDICARE PIN (08)WA
3069LEOTHER (01)WABSWA
1056779MEDICAID (05)WA

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1720023559
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2740026510
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 0 + 2 + 6 + 5 + 1 + 0 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1720023559 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1689622656 KAREN K. DORSING R.D.
Individual
Dietitian, Registered330 S STILLAGUAMISH AVE
ARLINGTON, WA 98223
(360) 435-2133
1497705800 ROBERT M. RUSSELL MD
Individual
Emergency Medicine (Emergency Medical Services)330 S STILLAGUAMISH AVE
ARLINGTON, WA 98223
(360) 435-2133
1609821586 WESLEY V. BRANSTITER CRNA
Individual
Registered Nurse330 S STILLAGUAMISH AVE
ARLINGTON, WA 98223
(206) 435-2133
1316992290 LAURA A. CASTLEBERRY CRNA
Individual
Nurse Anesthetist, Certified Registered330 S STILLAGUAMISH AVE
ARLINGTON, WA 98223
(206) 435-2133
1902851892 DREW F. SCHEELE MD
Individual
Anesthesiology330 S STILLAGUAMISH AVE
ARLINGTON, WA 98223
(206) 435-2133
1356398671DR. PETER R HUTCHINSON DO
Individual
Emergency Medicine330 S STILLAGUAMISH AVE
ARLINGTON, WA 98223
(360) 435-2133
1669410403 VALERIE GLEESON CRNA
Individual
Nurse Anesthetist, Certified Registered330 S STILLAGUAMISH AVE
ARLINGTON, WA 98223
(206) 435-2133
1942242508 WILLIAM H COYNE M.D.
Individual
Internal Medicine330 S STILLAGUAMISH AVE
ARLINGTON, WA 98223
(360) 435-2133
1598791501DR. CHI-NA KIM M.D.
Individual
Personal Emergency Response Attendant330 S STILLAGUAMISH AVE
ARLINGTON, WA 98223
(360) 435-2133
1487682514DR. ARNOLD S CRUZ D.O.
Individual
Emergency Medicine330 S STILLAGUAMISH AVE
ARLINGTON, WA 98223
(360) 435-2133
1639101892 DOLORES A THOMSON R.D.
Individual
Dietitian, Registered330 S STILLAGUAMISH AVE
ARLINGTON, WA 98223
(360) 435-2133
1043304363 LEANNE BRINK PA
Individual
Physician Assistant (Medical)330 S STILLAGUAMISH AVE
ARLINGTON, WA 98223
(360) 435-2133
1689757874MS. WENDI DIANE ALEXANDER ARNP
Individual
Nurse Practitioner330 S STILLAGUAMISH AVE
ARLINGTON, WA 98223
(360) 435-2133
1003935065CASCADE RADIOLOGY CONSULTANTS, INC. P.S.
Organization
Radiology (Diagnostic Radiology)330 S STILLAGUAMISH AVE
ARLINGTON, WA 98223
(425) 649-7540
1043403702PHYSICIANS ANESTHESIA OF MONROE
Organization
Anesthesiology330 S STILLAGUAMISH AVE
ARLINGTON, WA 98223
(360) 435-2133
1285829911DR. ROBERT LANE COCKRELL PHARMD
Individual
Pharmacist330 S STILLAGUAMISH AVE
ARLINGTON, WA 98223
(360) 435-2133
1093900565 LESLIE BRANDT HANSON PHARMACIST
Individual
Pharmacist330 S STILLAGUAMISH AVE
ARLINGTON, WA 98223
(360) 435-2133
1003001116 LYNNETTE DORTHEA SCOTT PHARMACIST
Individual
Pharmacist330 S STILLAGUAMISH AVE
ARLINGTON, WA 98223
(360) 435-2133
1053507046 DAVID MILES WENNING PHARMACIST
Individual
Pharmacist330 S STILLAGUAMISH AVE
ARLINGTON, WA 98223
(360) 435-2133
1073797965CASCADE VALLEY ANESTHESIA, PLLC
Organization
Anesthesiology330 S STILLAGUAMISH AVE
ARLINGTON, WA 98223
(425) 353-3788

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Mark F Leonard Md is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.