FRANK LEON JR. DO
NPI 1881702116
Internal Medicine - Gastroenterology in Weston, WI

Active since August 27, 2006PECOS EnrolledAccepts Medicare Assignment
82.79/100
CMS Quality Rating
3501 CRANBERRY BLVD, WESTON, WI 54476(715) 393-1000 Get Directions Write a Review

NPPES record last updated: November 17, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Frank Leon Jr. Do NPPES

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

FRANK LEON JR. DO (NPI 1881702116) is an individual gastroenterology provider in Weston, Wisconsin, licensed in Wisconsin (46994) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Aspirus Stevens Point Hospital & Clinics, Inc., and is a graduate of Kansas City University Of Physicians And Surgeons (1997).

NPPES Registry Identity

NPI1881702116
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameFRANK LEON JR.Credential: DO
Location Address3501 CRANBERRY BLVDWeston, WI 54476-5213
Mailing Address1000 N Oak AveMarshfield, WI 54449-5703 · (715) 387-5511
Sole ProprietorNo
Medical School CMSKansas City University Of Physicians And SurgeonsGraduated 1997
Enumeration DateAugust 27, 2006
Last NPPES UpdateNovember 17, 2022
NPI 1881702116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in WI · 46994
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
3501 CRANBERRY BLVD, Weston, WI 54476

Other Identifiers 1

MedicaidAPPRWI

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

Frank Leon Jr. Do 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 ID1850365156
PECOS Enrollment IDI20040823001036
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 3

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
68 services68 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
39 services39 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
27 services27 patients

Hospital Affiliations CMS Care Compare 3

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

Aspirus Stevens Point Hospital & Clinics, Inc.

Acute Care Hospitals · Stevens Point, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520002
Location900 Illinois AveStevens Point, WI 54481 · Portage County
Emergency services Birthing friendly

Marshfield Medical Center

Acute Care Hospitals · Marshfield, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520037
Location611 St Joseph AveMarshfield, WI 54449 · Wood County
Emergency services Birthing friendly

Marshfield Medical Center - Weston

Acute Care Hospitals · Weston, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520202
Location3400 Ministry ParkwayWeston, WI 54476 · Marathon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54476 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

82.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.98
Promoting Interoperability99
Improvement Activities40
Cost66.19

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.

Internal Medicine
3501 CRANBERRY BLVD
WESTON, WI 54476
Internal Medicine (Clinical Cardiac Electrophysiology)
3501 CRANBERRY BLVD
WESTON, WI 54476
Physician Assistant
3501 CRANBERRY BLVD
WESTON, WI 54476
Otolaryngology
3501 CRANBERRY BLVD
WESTON, WI 54476
Orthopaedic Surgery
3501 CRANBERRY BLVD
WESTON, WI 54476
Family Medicine
3501 CRANBERRY BLVD
WESTON, WI 54476
Nurse Practitioner
3501 CRANBERRY BLVD
WESTON, WI 54476
Obstetrics & Gynecology
3501 CRANBERRY BLVD
WESTON, WI 54476

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 Frank Leon's NPI number?

The NPI number for Frank Leon is 1881702116. It was assigned to this individual provider in the NPPES registry on August 27, 2006.

Where is Frank Leon located?

Frank Leon practices at 3501 Cranberry Blvd, Weston, WI 54476. The listed phone number is (715) 393-1000.

What is Frank Leon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Frank Leon enrolled in Medicare?

Yes. Frank Leon 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 Frank Leon accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Medica and Sanford Health Plan list Frank Leon 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 Frank Leon affiliated with any hospitals?

According to CMS data, Frank Leon is affiliated with Aspirus Stevens Point Hospital & Clinics, Inc., Marshfield Medical Center and Marshfield Medical Center - Weston.

When was this NPI record last updated?

The NPPES record for Frank Leon was last updated on November 17, 2022. 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.