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DR. KETEVAN LEO M.D.
NPI 1750521571
Internal Medicine in Miami, FL

Active since March 06, 2009PECOS EnrolledAccepts Medicare Assignment
99.93/100
CMS Quality Rating
2550 S BAYSHORE DR, MIAMI, FL 33133(305) 210-2673 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 10, 2024, Oct 31, 2022, Oct 21, 2022 and 3 more (6 updates tracked since 2019).

About Dr. Ketevan Leo M.d. NPPES

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

DR. KETEVAN LEO M.D. (NPI 1750521571) is an individual internal medicine provider in Miami, Florida, licensed in Florida (ME103381) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1750521571
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. KETEVAN LEOCredential: M.D.
Location Address2550 S BAYSHORE DRMiami, FL 33133-4743
Mailing Address2550 S Bayshore Dr Ste 204Miami, FL 33133-4743
Phone(305) 210-2673
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateMarch 6, 2009
Last NPPES UpdateSeptember 10, 20246 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2024
✔ NPI 1750521571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME103381
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2550 S BAYSHORE DR, Miami, FL 33133
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Other Identifiers 2

Medicaid001168800FL
OtherP00765486FL · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc..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

Dr. Ketevan Leo M.d. 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 ID9335286830
PECOS Enrollment IDI20091031000066
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 Reassignment

Medicare enrollment records show Ketevan Leo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Core Concierge Health And Wellness LLC
Same address
Internal Medicine
2550 S BAYSHORE DR STE 204
Miami, FL 33133
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group
NPI 1285312694 (305) 210-2673

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
25 services12 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
20 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33133 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

99.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.3
Promoting Interoperability100
Improvement Activities40

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 Ketevan Leo's NPI number?

The NPI number for Ketevan Leo is 1750521571. It was assigned to this individual provider in the NPPES registry on March 6, 2009.

Where is Ketevan Leo located?

Ketevan Leo practices at 2550 S Bayshore Dr, Miami, FL 33133. The listed phone number is (305) 210-2673.

What is Ketevan Leo's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ketevan Leo enrolled in Medicare?

Yes. Ketevan Leo 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 organization bills Medicare for Ketevan Leo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ketevan Leo reassigns Medicare benefits to Core Concierge Health And Wellness LLC (Miami, FL). The 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 Ketevan Leo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ketevan Leo accept?

Health plans from Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Ketevan Leo 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 Ketevan Leo was last updated on September 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.