PIERRE M LEROUX MD
NPI 1720203854
Hospitalist in Melbourne, FL

Active since April 16, 2007PECOS EnrolledAccepts Medicare Assignment
8745 N WICKHAM RD, MELBOURNE, FL 32940(321) 434-9483(321) 434-9482 Get Directions Write a Review

NPPES record last updated: August 5, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pierre M Leroux Md NPPES

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

PIERRE M LEROUX MD (NPI 1720203854) is an individual hospitalist provider in Melbourne, Florida, licensed in Florida (ME100694) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Orlando Health, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1720203854
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NamePIERRE M LEROUXCredential: MD
Location Address8745 N WICKHAM RDMelbourne, FL 32940-5997
Mailing Address1223 Gateway DrMelbourne, FL 32901-2607 · (321) 725-4500 · Fax (321) 951-7408
Fax(321) 434-9482
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateApril 16, 2007
Last NPPES UpdateAugust 5, 2014
NPI 1720203854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in FL · ME100694
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedFamily MedicineTaxonomy 207Q00000X · License ME100694 (FL), 063486 (GA)
8745 N WICKHAM RD, Melbourne, FL 32940

Other Identifiers 4

Medicare PIN20208I6581GA
Medicaid000327400FL
Other68136FL · Bcbs
Medicare PINAQ917WFL

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

Pierre M Leroux 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 ID7618035213
PECOS Enrollment IDI20081027000500
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 3

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 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.
212 services203 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.
56 services56 patients
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.
25 services25 patients

Hospital Affiliations CMS Care Compare

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

Orlando Health

Acute Care Hospitals · Orlando, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100006
Location52 W Underwood StOrlando, FL 32806 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32940 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%20 patients5/55-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.

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.

Hospitalist
8745 N WICKHAM RD
MELBOURNE, FL 32940
Internal Medicine (Critical Care Medicine)
8745 N WICKHAM RD
MELBOURNE, FL 32940
Nurse Practitioner (Adult Health)
8745 N WICKHAM RD
MELBOURNE, FL 32940
Registered Nurse
8745 N WICKHAM RD
MELBOURNE, FL 32940
Hospitalist
8745 N WICKHAM RD
MELBOURNE, FL 32940
Hospitalist
8745 N WICKHAM RD
MELBOURNE, FL 32940
Emergency Medicine
8745 N WICKHAM RD
MELBOURNE, FL 32940
Hospitalist
8745 N WICKHAM RD
MELBOURNE, FL 32940

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 Pierre Leroux's NPI number?

The NPI number for Pierre Leroux is 1720203854. It was assigned to this individual provider in the NPPES registry on April 16, 2007.

Where is Pierre Leroux located?

Pierre Leroux practices at 8745 N Wickham Rd, Melbourne, FL 32940. The listed phone number is (321) 434-9483.

What is Pierre Leroux's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Pierre Leroux enrolled in Medicare?

Yes. Pierre Leroux 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 Pierre Leroux accept?

Health plans from Molina Healthcare list Pierre Leroux 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 Pierre Leroux affiliated with any hospitals?

According to CMS data, Pierre Leroux is affiliated with Orlando Health.

When was this NPI record last updated?

The NPPES record for Pierre Leroux was last updated on August 5, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.