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JOHN CHARLES LEIGHTON JR. MD
NPI 1861461162
Internal Medicine - Hematology & Oncology in Philadelphia, PA

Active since March 17, 2006PECOS EnrolledAccepts Medicare Assignment
5501 OLD YORK ROAD, BRAEMER BLDG 2ND FL, PHILADELPHIA, PA 19141(215) 456-3880(215) 456-3437 Get Directions Write a Review

NPPES record last updated: March 14, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About John Charles Leighton Jr. Md NPPES

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

JOHN CHARLES LEIGHTON JR. MD (NPI 1861461162) is an individual hematology & oncology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD045885L) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Albert Einstein Medical Center, and is a graduate of Temple University School Of Medicine (1989).

NPPES Registry Identity

NPI1861461162
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameJOHN CHARLES LEIGHTON JR.Credential: MD
Location Address5501 OLD YORK ROAD, BRAEMER BLDG 2ND FLPhiladelphia, PA 19141
Mailing Address5501 Old York Rd Fl Center1Philadelphia, PA 19141-3018 · (215) 456-3880 · Fax (215) 456-3437
Phone(215) 456-3880
Fax(215) 456-3437
Sole ProprietorYes
Medical School CMSTemple University School Of MedicineGraduated 1989
Enumeration DateMarch 17, 2006
Last NPPES UpdateMarch 14, 2023
NPPES CertifiedMarch 14, 2023
✔ NPI 1861461162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in PA · MD045885L
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
5501 OLD YORK ROAD, Philadelphia, PA 19141
Open in Google Maps ↗

Other Identifiers 1

Medicaid0015447690003PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

John Charles Leighton Jr. 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 ID5597942680
PECOS Enrollment IDI20110526000320
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 9

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
255 services71 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.
175 services97 patients
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.
38 services30 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
34 services33 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.
32 services28 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
26 services26 patients

Hospital Affiliations CMS Care Compare

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

Albert Einstein Medical Center

Acute Care Hospitals · Philadelphia, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390142
Location5501 Old York RoadPhiladelphia, PA 19141 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19141 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
$180.99 typical visit price
range $59.88 – $180.99
Typical copayment $45.24 (range $14.97 – $45.24)
Most-billed visit code 99205
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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.

MS. ANNA GLINIANSKA DDS
Dentist
5501 OLD YORK ROAD, EINSTEIN HEALTHCARE NETWORK
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-8033
SAMIA ALEEM M.D.
Pediatrics (Neonatal-Perinatal Medicine)
5501 OLD YORK ROAD, ALBERT EINSTEIN MEDICAL CENTER
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-7595
EDWARD SUTTON JR.
Physician Assistant
5501 OLD YORK ROAD, EINSTEINMEDICAL CENTER TABOR EMERGENCY PHYSICIANS
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-8037
LAURA MCGARRY DO
Urology
5501 OLD YORK ROAD, ALBERT EINSTEIN MEDICAL CENTER
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-5140
SUE Y LEE MD
Orthopaedic Surgery
5501 OLD YORK ROAD, WILLOWCREST ROAD 4TH FL
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-7900
ANNA SADUJKO
Student in an Organized Health Care Education/Training Program
5501 OLD YORK ROAD
PHILADELPHIA, PA 19141
Philadelphia County (484) 622-1000
MS. BARBARA J HARE CRNP
Nurse Practitioner (Obstetrics & Gynecology)
5501 OLD YORK ROAD, PALEY 3 OB-GYN
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-7180
DENISE D. NAJJAR M.D.
Pathology (Neuropathology)
5501 OLD YORK ROAD, TOWER GRD FL
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-6157

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 John Leighton's NPI number?

The NPI number for John Leighton is 1861461162. It was assigned to this individual provider in the NPPES registry on March 17, 2006.

Where is John Leighton located?

John Leighton practices at 5501 Old York Road Braemer Bldg 2nd Fl, Philadelphia, PA 19141. The listed phone number is (215) 456-3880.

What is John Leighton's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is John Leighton enrolled in Medicare?

Yes. John Leighton 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 John Leighton accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list John Leighton 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 John Leighton affiliated with any hospitals?

According to CMS data, John Leighton is affiliated with Albert Einstein Medical Center.

When was this NPI record last updated?

The NPPES record for John Leighton was last updated on March 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.