LEIGH ANN NIETO M.D. - NPI 1740643824 - Pediatrics in Clarksville, IN

Q: What is Leigh Nieto's NPI number?

The NPI number for Leigh Nieto is 1740643824. It was assigned to this individual provider in the NPPES registry on April 5, 2016.

Q: What is Leigh Nieto's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Leigh Nieto was last updated on December 12, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Leigh Ann Nieto M.d. NPPES

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

LEIGH ANN NIETO M.D. (NPI 1740643824) is an individual pediatrics provider in Clarksville, Indiana, licensed in Indiana (01080796A) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Granger.

NPPES Registry Identity

NPI1740643824

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameLEIGH ANN NIETOCredential: M.D.

Location Address2051 CLEVIDENCE BLVD STE CClarksville, IN 47129-2278

Mailing AddressPo Box 776879Chicago, IL 60677-6879 · (502) 588-9490 · Fax (502) 272-5116

Phone(812) 280-6623

Fax(812) 280-6632

Sole ProprietorNo

Enumeration DateApril 5, 2016

Last NPPES UpdateDecember 12, 20232 updates tracked since enumeration

NPPES CertifiedDecember 12, 2023

✔ NPI 1740643824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in IN · 01080796A

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2051 CLEVIDENCE BLVD STE C, Clarksville, IN 47129

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Secondary Practice Location 1

Location 16913 N Main St Ste 200Granger, IN 46530-8039 · Phone (574) 647-4540 · Fax (574) 647-2567

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Leigh Ann Nieto M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47129 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.

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report

Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred

11%27 patients1/55-star benchmark: 95%

Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents

Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.

Patients nutrition: 57% · 91 patients

Patients physicalActivity: 56% · 91 patients

96%91 patients

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 7

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

MEGAN ELIZABETH PSIONES MD

Pediatrics