DR. JOHN C LEADINGHAM OD
NPI 1891762514
Optometrist in Ashland, KY

Active since March 01, 2006PECOS EnrolledAccepts Medicare Assignment
1330 CARTER AVE, ASHLAND, KY 41101(606) 325-9659(606) 329-1258 Get Directions Write a Review

NPPES record last updated: October 13, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. John C Leadingham Od NPPES

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

DR. JOHN C LEADINGHAM OD (NPI 1891762514) is an individual optometrist in Ashland, Kentucky, licensed in Kentucky (1659-DT) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2005).

NPPES Registry Identity

NPI1891762514
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JOHN C LEADINGHAMCredential: OD
Location Address1330 CARTER AVEAshland, KY 41101-7544
Mailing AddressPo Box 1069Ashland, KY 41105-1069 · (606) 325-9659 · Fax (606) 329-1258
Fax(606) 329-1258
Sole ProprietorYes
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2005
Enumeration DateMarch 1, 2006
Last NPPES UpdateOctober 13, 2014
NPI 1891762514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in KY · 1659-DT
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

1330 CARTER AVE, Ashland, KY 41101

Other Identifiers 2

Medicare ID-Type Unspecified0785902KY
Medicare UPINV08326KY

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

Dr. John C Leadingham Od 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 ID1850306580
PECOS Enrollment IDI20060216000042
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 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 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.
139 services139 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.
32 services32 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
27 services19 patients
Exam of visual field with intermediate testing 92082
An exam of the visual field with intermediate testing is a procedure that checks your peripheral (side) vision. It helps to identify blind spots which could be a sign of eye diseases. This non-invasive test is painless and quick.
21 services19 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.
18 services18 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41101 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers14 claims14 services$60.26 avg. paid by Medicare
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers13 claims26 services$39.46 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 3

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

Optometrist (Vision Therapy)
1330 CARTER AVE, STE 3
ASHLAND, KY 41101
Optometrist
1330 CARTER AVE, SUITE 1
ASHLAND, KY 41101
Optometrist (Vision Therapy)
1330 CARTER AVE
ASHLAND, KY 41101

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 Leadingham's NPI number?

The NPI number for John Leadingham is 1891762514. It was assigned to this individual provider in the NPPES registry on March 1, 2006.

Where is John Leadingham located?

John Leadingham practices at 1330 Carter Ave, Ashland, KY 41101. The listed phone number is (606) 325-9659.

What is John Leadingham's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is John Leadingham enrolled in Medicare?

Yes. John Leadingham 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 Leadingham accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Blue Cross Blue Shield of Wyoming and 5 other insurers list John Leadingham 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.

When was this NPI record last updated?

The NPPES record for John Leadingham was last updated on October 13, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.