LEILA ETTEFAGH M.D.
NPI 1861887911
Pain Medicine - Interventional Pain Medicine in Novi, MI

Active since April 04, 2015PECOS EnrolledAccepts Medicare Assignment
84.24/100
CMS Quality Rating
26750 PROVIDENCE PKWY STE 200, NOVI, MI 48374(866) 974-2673(866) 939-2673 Get Directions Write a Review

NPPES record last updated: June 13, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Leila Ettefagh M.d. NPPES

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

LEILA ETTEFAGH M.D. (NPI 1861887911) is an individual interventional pain medicine provider in Novi, Michigan, licensed in Michigan (4301117341) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with Ascension Providence Hospital, Southfield And Novi, and maintains a secondary practice location in Detroit.

NPPES Registry Identity

NPI1861887911
Entity TypeIndividualFemale
Primary Taxonomy208VP0014X
Provider Legal NameLEILA ETTEFAGHCredential: M.D.
Location Address26750 PROVIDENCE PKWY STE 200Novi, MI 48374-1212
Mailing Address26750 Providence Pkwy Ste 200Novi, MI 48374-1212 · (866) 974-2673 · Fax (866) 939-2673
Fax(866) 939-2673
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateApril 4, 2015
Last NPPES UpdateJune 13, 2022
NPPES CertifiedJune 13, 2022
NPI 1861887911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License Licensed in MI · 4301117341
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License 4301117341 (MI)
26750 PROVIDENCE PKWY STE 200, Novi, MI 48374

Secondary Practice Location 1

Location 1261 Mack Ave Ste 188Detroit, MI 48201-2417 · Phone (313) 745-4600 · Fax (313) 966-8294

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

Leila Ettefagh 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 ID7719218874
PECOS Enrollment IDI20191004000443
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 16

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
405 services22 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
364 services45 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.
180 services82 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
63 services63 patients
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.
47 services47 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.
47 services34 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension Providence Hospital, Southfield And Novi

Acute Care Hospitals · Southfield, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230019
Location16001 W Nine Mile RdSouthfield, MI 48075 · Oakland County
Emergency services Birthing friendly

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48374 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

84.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.17
Promoting Interoperability100
Improvement Activities40
Cost76.32

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
41%402 patients2/55-star benchmark: 87%
Controlling High Blood Pressure
0%52 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
95%1,862 patients4/55-star benchmark: 100%
e-Prescribing
99%408 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
1%377 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
99%984 patients5/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%1,507 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 100% · 762 patients
Patients screened: 100% · 762 patients
100%91 patients5/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
90%883 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
83%72 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 337 patients
Patients totalRate: 3% · 337 patients
3%337 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 2

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$58.16 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$27.48 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 16

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

Orthopaedic Surgery
26750 PROVIDENCE PKWY STE 200
NOVI, MI 48374
Orthopaedic Surgery
26750 PROVIDENCE PKWY STE 200
NOVI, MI 48374
Physician Assistant (Surgical)
26750 PROVIDENCE PKWY STE 200
NOVI, MI 48374
Orthopaedic Surgery
26750 PROVIDENCE PKWY STE 200
NOVI, MI 48374
Physician Assistant
26750 PROVIDENCE PKWY STE 200
NOVI, MI 48374
Orthopaedic Surgery
26750 PROVIDENCE PKWY STE 200
NOVI, MI 48374
Student in an Organized Health Care Education/Training Program
26750 PROVIDENCE PKWY STE 200
NOVI, MI 48374
Orthopaedic Surgery
26750 PROVIDENCE PKWY STE 200
NOVI, MI 48374

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 Leila Ettefagh's NPI number?

The NPI number for Leila Ettefagh is 1861887911. It was assigned to this individual provider in the NPPES registry on April 4, 2015.

Where is Leila Ettefagh located?

Leila Ettefagh practices at 26750 Providence Pkwy Ste 200, Novi, MI 48374. The listed phone number is (866) 974-2673.

What is Leila Ettefagh's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Leila Ettefagh enrolled in Medicare?

Yes. Leila Ettefagh 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 Leila Ettefagh accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and UnitedHealthcare list Leila Ettefagh 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 Leila Ettefagh affiliated with any hospitals?

According to CMS data, Leila Ettefagh is affiliated with Ascension Providence Hospital, Southfield And Novi and Beaumont Hospital Royal Oak.

When was this NPI record last updated?

The NPPES record for Leila Ettefagh was last updated on June 13, 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.