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: July 19, 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 6

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

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.
136 services18 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
71 services48 patients
New patient office or other outpatient visit, 45-59 minutes 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.
54 services54 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.
44 services43 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.
19 services15 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

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

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.

MIPS Quality Measures

The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.

Quality Measure Performance Number of Patients
Closing the Referral Loop: Receipt of Specialist Report 41% 402
Controlling High Blood Pressure 0% 52
Documentation of Current Medications in the Medical Record 95% 1862
e-Prescribing 99% 408
Falls: Screening for Future Fall Risk 1% 377
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 99% 984
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 0% 1507
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100% 762
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100% 91
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100% 762
Provide Patients Electronic Access to Their Health Information 90% 883
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 83% 72
Use of High-Risk Medications in Older Adults 0% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
337
Use of High-Risk Medications in Older Adults 3% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
337
Use of High-Risk Medications in Older Adults 3% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
337

Other Providers at the Same Location NPPES 17

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

Physician Assistant (Surgical)
26750 PROVIDENCE PKWY STE 200
NOVI, MI 48374
Physical Therapist (Orthopedic)
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
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
Orthopaedic Surgery
26750 PROVIDENCE PKWY STE 200
NOVI, MI 48374

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861887911, enumerated as an "individual" on April 04, 2015.

The provider is located at 26750 PROVIDENCE PKWY STE 200 NOVI, MI 48374 and the phone number is (866) 974-2673.

Pain Medicine with taxonomy code 208VP0014X and a focus in Interventional Pain Medicine.

The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.

Leila Ettefagh is affiliated with: ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI.