DR. EDWARD WILLIAM LEAHEY MD
NPI 1770584690
Internal Medicine - Cardiovascular Disease in Baytown, TX

Active since August 02, 2005PECOS EnrolledAccepts Medicare Assignment
91.72/100
CMS Quality Rating
4201 GARTH RD, 100, BAYTOWN, TX 77521(281) 422-3113(281) 427-6289 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 21, 2022, Sep 15, 2021 (2 updates tracked since 2021).

About Dr. Edward William Leahey Md NPPES

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

DR. EDWARD WILLIAM LEAHEY MD (NPI 1770584690) is an individual cardiovascular disease provider in Baytown, Texas, licensed in Texas (E9763) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Houston Methodist Hospital, and is a graduate of Geisel School Of Medicine At Dartmouth (1976).

NPPES Registry Identity

NPI1770584690
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. EDWARD WILLIAM LEAHEYCredential: MD
Location Address4201 GARTH RD, 100Baytown, TX 77521-3167
Mailing Address4201 Garth Rd Ste 100Baytown, TX 77521-3154 · (281) 422-3113 · Fax (281) 427-6289
Fax(281) 427-6289
Sole ProprietorNo
Medical School CMSGeisel School Of Medicine At DartmouthGraduated 1976
Enumeration DateAugust 2, 2005
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2021
NPI 1770584690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in TX · E9763
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License E9763 (TX)
Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X · License E9763 (TX)
4201 GARTH RD, Baytown, TX 77521

Other Identifiers 11

Other0095PVTX · Bc/bs
Medicaid180530102TX
OtherDF1985TX · Medicare Rr
Other009337TX · Medicare Grou
Other2832697TX · Cigna
Other4080535TX · Aetna Hmo
Medicaid133830308TX
Other9567607TX · Ghi
Other8AG820TX · Bc/bs
Other00542TX · Aetna Ppo
Other10014586TX · Amerigroup

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

Dr. Edward William Leahey 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 ID3274591920
PECOS Enrollment IDI20050606000830
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 30

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 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.
1,481 services507 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
984 services497 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.
951 services154 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
789 services198 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
396 services383 patients
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.
283 services212 patients

Hospital Affiliations CMS Care Compare 3

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

Houston Methodist Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450358
Location6565 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Houston Methodist Baytown Hospital

Acute Care Hospitals · Baytown, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450424
Location4401 Garth RoadBaytown, TX 77521 · Harris County
Emergency services Birthing friendly

Houston Methodist Clear Lake Hospital

Acute Care Hospitals · Nassau Bay, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450709
Location18300 Houston Methodist DrNassau Bay, TX 77058 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77521 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
Most-billed visit code 99213
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.

91.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality83.45
Improvement Activities40

Reported Quality Measures

Advance Care Plan
98%1,159 patients4/55-star benchmark: 100%
Coronary Artery Disease (CAD): Antiplatelet Therapy
92%646 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
98%4,295 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%1,829 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 25% · 1,167 patients
Patients screened: 25% · 1,167 patients
84%37 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,179 patients
Patients totalRate: 0% · 1,179 patients
0%1,179 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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers11 claims20 services$29.08 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
3 suppliers13 claims13 services$10.05 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers15 claims85 services$1.63 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers32 claims32 services$25.48 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 20

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

Preventive Medicine (Occupational Medicine)
4201 GARTH RD, #119
BAYTOWN, TX 77521
Nurse Practitioner (Family)
4201 GARTH RD, 212
BAYTOWN, TX 77521
Psychologist
4201 GARTH RD, STE 290
BAYTOWN, TX 77521
Internal Medicine (Pulmonary Disease)
4201 GARTH RD
BAYTOWN, TX 77521
Internal Medicine (Gastroenterology)
4201 GARTH RD, SUITE 119
BAYTOWN, TX 77521
Orthopaedic Surgery
4201 GARTH RD, SUITE 107
BAYTOWN, TX 77521
Nurse Practitioner (Acute Care)
4201 GARTH RD, EMERGENCY ROOM
BAYTOWN, TX 77521
Nurse Practitioner
4201 GARTH RD, SUITE 208
BAYTOWN, TX 77521

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 Edward Leahey's NPI number?

The NPI number for Edward Leahey is 1770584690. It was assigned to this individual provider in the NPPES registry on August 2, 2005.

Where is Edward Leahey located?

Edward Leahey practices at 4201 Garth Rd 100, Baytown, TX 77521. The listed phone number is (281) 422-3113.

What is Edward Leahey's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Edward Leahey enrolled in Medicare?

Yes. Edward Leahey 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 Edward Leahey accept?

Health plans from Blue Cross and Blue Shield of Texas list Edward Leahey 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 Edward Leahey affiliated with any hospitals?

According to CMS data, Edward Leahey is affiliated with Houston Methodist Hospital, Houston Methodist Baytown Hospital and Houston Methodist Clear Lake Hospital.

When was this NPI record last updated?

The NPPES record for Edward Leahey was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.