RICHARD J LEONE JR. MD, PHD
NPI 1821058850
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Mount Vernon, WA

Q: What is Richard Leone's NPI number?

The NPI number for Richard Leone is 1821058850. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Q: What is Richard Leone's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Q: When was this NPI record last updated?

The NPPES record for Richard Leone was last updated on October 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.

Active since March 24, 2006PECOS EnrolledAccepts Medicare Assignment

94.7/100

CMS Quality Rating

1400 E KINCAID ST, MOUNT VERNON, WA 98274(360) 428-2586(360) 428-6470 Get Directions Write a Review

NPPES record last updated: October 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 24, 2021, Nov 18, 2020, Jan 6, 2019 and 3 more (6 updates tracked since 2018).

On this page

About Richard J Leone Jr. Md, Phd NPPES

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

RICHARD J LEONE JR. MD, PHD (NPI 1821058850) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Mount Vernon, Washington, licensed in Washington (MD00043429) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with St Vincent Healthcare, and maintains a secondary practice location in Billings.

NPPES Registry Identity

NPI1821058850

Entity TypeIndividualMale

Primary Taxonomy208G00000X

Provider Legal NameRICHARD J LEONE JR.Credential: MD, PHD

Location Address1400 E KINCAID STMount Vernon, WA 98274-4127

Mailing Address1400 E Kincaid StMount Vernon, WA 98274-4127 · (360) 814-2586 · Fax (604) 286-4703

Phone(360) 428-2586

Fax(360) 428-6470

Sole ProprietorNo

Medical School CMSRutgers, Robert Woood Johnson Medical SchoolGraduated 1994

Enumeration DateMarch 24, 2006

Last NPPES UpdateOctober 23, 20256 updates tracked since enumeration

NPPES CertifiedOctober 23, 2025

✔ NPI 1821058850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

License✔ Licensed in WA · MD00043429

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

1400 E KINCAID ST, Mount Vernon, WA 98274

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Secondary Practice Location 1

Location 12900 12th Ave N Ste 400EBillings, MT 59101-7514 · Phone (406) 238-6820

Other Identifiers 4

Other6879LEWA · Regence

Medicaid1019786WA

Other7268581WA · Aetna

Other0196559WA · L&i And Crime Victims

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans 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 and accepts Medicare assignment

Richard J Leone Jr. Md, Phd 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 ID1254322142

PECOS Enrollment IDI20040519001594, I20240624000297

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 8

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

62 services62 patients

Needle biopsy of windpipe cartilage, airway, and/or lung using an endoscope 31629

A needle biopsy of windpipe cartilage, airway, or lung involves using a thin, flexible tube with a camera (endoscope) to access and collect tissue samples. This procedure helps doctors diagnose lung conditions or diseases effectively and safely.

49 services45 patients

Computer-assisted image-guided navigation of lung airways using an endoscope 31627

This procedure involves the use of a special camera, called an endoscope, and computer technology to create real-time images of your lung airways. This helps doctors navigate through your lungs accurately, aiding in diagnosis or treatment.

48 services45 patients

Biopsy of lobe of lung using an endoscope, 1 lobe 31628

A lung biopsy is a procedure where a small piece of lung tissue is taken for testing. An endoscope, a flexible tube with a light and camera, is used. It's inserted through the mouth or nose, down the windpipe, and into one lobe of the lung.

48 services45 patients

Removal of lymph nodes of chest cavity using an endoscope 32674

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to access and remove lymph nodes in the chest cavity. It's a minimally invasive method, which can help in diagnosing or treating certain conditions.

17 services17 patients

Exam of lung with removal of lung lobe using an endoscope 32663

This is a procedure where an endoscope, a thin tube with a light and camera, is used to examine the lung and remove a lobe if necessary. It's less invasive than traditional surgery, resulting in shorter recovery time.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

St Vincent Healthcare

Acute Care Hospitals · Billings, MT

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number270049

Location1233 N 30th StBillings, MT 59101 · Yellowstone County

Emergency services Birthing friendly

Skagit Valley Hospital

Acute Care Hospitals · Mount Vernon, WA

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number500003

Location1415 E Kincaid StreetMount Vernon, WA 98274 · Skagit County

Emergency services Birthing friendly

Cascade Valley Hospital

Acute Care Hospitals · Arlington, WA

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number500060

Location330 S Stillaguamish AveArlington, WA 98223 · Snohomish County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98274 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

$172.80 typical visit price

range $57.27 – $172.80

Typical copayment $43.20 (range $14.31 – $43.20)

Most-billed visit code 99205

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

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.

94.7/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

85.76

Promoting Interoperability

100

Improvement Activities

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.

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