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DR. JAMES FRANCIS LEONI JR. M.D.
NPI 1821394644
Emergency Medicine - Pediatric Emergency Medicine in Madera, CA

Active since January 27, 2011PECOS EnrolledAccepts Medicare Assignment
93.09/100
CMS Quality Rating
9300 VALLEY CHILDRENS PL # FC06, MADERA, CA 93636(559) 353-3000 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 20, 2026, Dec 2, 2021, Jan 13, 2021 and 4 more (7 updates tracked since 2016).

About Dr. James Francis Leoni Jr. M.d. NPPES

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

DR. JAMES FRANCIS LEONI JR. M.D. (NPI 1821394644) is an individual pediatric emergency medicine provider in Madera, California, licensed in California (A160802) and active in the NPI registry since January 2011. He is enrolled in Medicare PECOS, is affiliated with Baptist Medical Center, and is a graduate of University Of California, Davis School Of Medicine (2013).

NPPES Registry Identity

NPI1821394644
Entity TypeIndividualMale
Primary Taxonomy207PP0204X
Provider Legal NameDR. JAMES FRANCIS LEONI JR.Credential: M.D.
Location Address9300 VALLEY CHILDRENS PL # FC06Madera, CA 93636-8761
Mailing Address9300 Valley Childrens Pl # Sc05Madera, CA 93636-8761 · (559) 353-5700
Phone(559) 353-3000
Sole ProprietorNo
Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 2013
Enumeration DateJanuary 27, 2011
Last NPPES UpdateMay 20, 20267 updates tracked since enumeration
NPPES CertifiedMay 20, 2026
✔ NPI 1821394644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207PP0204X
License✔ Licensed in CA · A160802
Definition
Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department.
9300 VALLEY CHILDRENS PL # FC06, Madera, CA 93636
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Molina Healthcare 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

Dr. James Francis Leoni Jr. 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 ID3274818554
PECOS Enrollment IDI20201006002938
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 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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
57 services57 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Baptist Medical Center

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450058
Location111 Dallas StreetSan Antonio, TX 78205 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93636 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

93.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.95
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

KAYLA BARNES M.D.
Emergency Medicine (Pediatric Emergency Medicine)
9300 VALLEY CHILDRENS PL # FC06
MADERA, CA 93636
Madera County (559) 353-5803
MICHAEL HAZBOUN M.D.
Pediatrics
9300 VALLEY CHILDRENS PL # FC06
MADERA, CA 93636
Madera County (559) 353-5803
WILLIAM JAMES WINTER III PA-C
Physician Assistant
9300 VALLEY CHILDRENS PL # FC06
MADERA, CA 93636
Madera County (559) 353-5803
BRENT ANTHONY FEUDALE M.D.
Pediatrics (Pediatric Emergency Medicine)
9300 VALLEY CHILDRENS PL # FC06
MADERA, CA 93636
Madera County (559) 353-5803

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 James Leoni's NPI number?

The NPI number for James Leoni is 1821394644. It was assigned to this individual provider in the NPPES registry on January 27, 2011.

Where is James Leoni located?

James Leoni practices at 9300 Valley Childrens Pl # Fc06, Madera, CA 93636. The listed phone number is (559) 353-3000.

What is James Leoni's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Pediatric Emergency Medicine, with taxonomy code 207PP0204X.

Is James Leoni enrolled in Medicare?

Yes. James Leoni 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 James Leoni accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Molina Healthcare, Premera Blue Cross Blue Shield of Alaska and Sendero Health Plans, Local Nonprofit list James Leoni 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 James Leoni affiliated with any hospitals?

According to CMS data, James Leoni is affiliated with Baptist Medical Center.

When was this NPI record last updated?

The NPPES record for James Leoni was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.