MICHAEL LE MD
NPI 1821350059
Orthopaedic Surgery in Temple Terrace, FL

Active since June 13, 2012PECOS EnrolledAccepts Medicare Assignment
60.97/100
CMS Quality Rating
13020 N TELECOM PKWY, TEMPLE TERRACE, FL 33637(813) 978-9700(813) 558-6187 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Aug 7, 2017 and 3 more (6 updates tracked since 2017).

About Michael Le Md NPPES

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

MICHAEL LE MD (NPI 1821350059) is an individual orthopaedic surgery provider in Temple Terrace, Florida, licensed in Florida (ME131508) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Spartanburg Medical Center, and is a graduate of University Of South Carolina School Of Medicine (2012).

NPPES Registry Identity

NPI1821350059
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameMICHAEL LECredential: MD
Location Address13020 N TELECOM PKWYTemple Terrace, FL 33637-0925
Mailing Address13020 N Telecom PkwyTemple Terrace, FL 33637-0925 · (813) 978-9700 · Fax (813) 558-6187
Fax(813) 558-6187
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2012
Enumeration DateJune 13, 2012
Last NPPES UpdateJuly 21, 20226 updates tracked since enumeration
NPI 1821350059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in FL · ME131508 Licensed in NC · 182656
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
13020 N TELECOM PKWY, Temple Terrace, FL 33637

Other Identifiers 3

Medicaid020422700FL
OtherJA326ZFL · Medicare
OtherZTR9FFL · Bcbs

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

Michael Le 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 ID5395016604
PECOS Enrollment IDI20180829001459
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 35

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.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
770 services140 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
516 services169 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.
506 services315 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
330 services186 patients
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.
313 services218 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
173 services72 patients

Hospital Affiliations CMS Care Compare 2

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

Spartanburg Medical Center

Acute Care Hospitals · Spartanburg, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420007
Location101 E Wood StSpartanburg, SC 29303 · Spartanburg County
Emergency services Birthing friendly

Cherokee Medical Center

Acute Care Hospitals · Gaffney, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420043
Location1530 N Limestone StGaffney, SC 29340 · Cherokee County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33637 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

60.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality51.13
Promoting Interoperability92
Improvement Activities40
Cost25.43

Reported Quality Measures

Breast Cancer Screening
0%747 patients1/55-star benchmark: 93%
Cervical Cancer Screening
0%793 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
62%332 patients3/55-star benchmark: 87%
Diabetes: Eye Exam
0%26 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
85%26 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
9%4,717 patients1/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
28%811 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
20%2,180 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
1%2,244 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%4,239 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 8% · 1,783 patients
8%1,783 patients
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
80%46 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 841 patients
Patients totalRate: 4% · 842 patients
4%842 patients4/55-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 3

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

Osteogenesis stimulator, electrical, non-invasive, other than spinal applications E0747
DME-Other DME · category DE000N
1 supplier11 claims11 services$3,468.01 avg. paid by Medicare
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf L1902
DME-Orthotic Devices · category DF003N
1 supplier20 claims21 services$60.96 avg. paid by Medicare
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
2 suppliers50 claims50 services$222.01 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.

Physician Assistant (Surgical)
13020 N TELECOM PKWY
TEMPLE TERRACE, FL 33637
Physical Therapy Assistant
13020 N TELECOM PKWY
TEMPLE TERRACE, FL 33637
Physician Assistant
13020 N TELECOM PKWY
TEMPLE TERRACE, FL 33637
Physician Assistant
13020 N TELECOM PKWY
TEMPLE TERRACE, FL 33637
Physician Assistant
13020 N TELECOM PKWY
TEMPLE TERRACE, FL 33637
Physical Therapist
13020 N TELECOM PKWY
TEMPLE TERRACE, FL 33637
Physical Therapy Assistant
13020 N TELECOM PKWY
TEMPLE TERRACE, FL 33637
Physical Therapist (Orthopedic)
13020 N TELECOM PKWY
TEMPLE TERRACE, FL 33637

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 Michael Le's NPI number?

The NPI number for Michael Le is 1821350059. It was assigned to this individual provider in the NPPES registry on June 13, 2012.

Where is Michael Le located?

Michael Le practices at 13020 N Telecom Pkwy, Temple Terrace, FL 33637. The listed phone number is (813) 978-9700.

What is Michael Le's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Michael Le enrolled in Medicare?

Yes. Michael Le 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 Michael Le accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and InStil Health and 2 other insurers list Michael Le 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 Michael Le affiliated with any hospitals?

According to CMS data, Michael Le is affiliated with Spartanburg Medical Center and Cherokee Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Le 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.