RALPH ALBERT LEON MD
NPI 1891789459
Family Medicine in Sterling, VA

Active since September 09, 2005PECOS EnrolledAccepts Medicare Assignment
92.61/100
CMS Quality Rating
46440 BENEDICT DRIVE, SUITE 107, STERLING, VA 20164(703) 450-1125(703) 450-1145 Get Directions Write a Review

NPPES record last updated: April 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ralph Albert Leon Md NPPES

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

RALPH ALBERT LEON MD (NPI 1891789459) is an individual family medicine provider in Sterling, Virginia, licensed in Virginia (0101233437) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of University Of South Florida College Of Medicine (1989).

NPPES Registry Identity

NPI1891789459
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRALPH ALBERT LEONCredential: MD
Location Address46440 BENEDICT DRIVE, SUITE 107Sterling, VA 20164-6602
Mailing Address224 D Cornwall Street Nw, Ste 403Leesburg, VA 20176-2704 · (703) 737-6010 · Fax (703) 443-8643
Fax(703) 450-1145
Sole ProprietorNo
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 1989
Enumeration DateSeptember 9, 2005
Last NPPES UpdateApril 10, 2024
NPPES CertifiedApril 10, 2024
NPI 1891789459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in VA · 0101233437
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
46440 BENEDICT DRIVE, SUITE 107, Sterling, VA 20164

Other Identifiers 4

Medicaid30016324280001VA
OtherP00005888VA · Rr Medicare Pin
Medicaid05646278VA
Medicaid1891789459VA

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

Ralph Albert Leon 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 ID2668363664
PECOS Enrollment IDI20110307000993
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 7

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.
132 services83 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
94 services57 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
63 services63 patients
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.
29 services29 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
15 services15 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20164 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

92.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.22
Promoting Interoperability100
Improvement Activities40

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers17 claims50 services$6.51 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers11 claims19 services$1.17 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 10

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

Family Medicine
46440 BENEDICT DRIVE, SUITE 107
STERLING, VA 20164
Nurse Practitioner (Family)
46440 BENEDICT DRIVE, SUITE 107
STERLING, VA 20164
Nurse Practitioner (Family)
46440 BENEDICT DRIVE, SUITE 107
STERLING, VA 20164
Clinic/Center (Urgent Care)
46440 BENEDICT DRIVE, SUITE 107
STERLING, VA 20164
Family Medicine
46440 BENEDICT DRIVE, SUITE 107
STERLING, VA 20164
Nurse Practitioner (Family)
46440 BENEDICT DRIVE, SUITE 107
STERLING, VA 20164
Physician Assistant
46440 BENEDICT DRIVE, SUITE 107
STERLING, VA 20164
Physician Assistant
46440 BENEDICT DRIVE, SUITE 107
STERLING, VA 20164

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 Ralph Leon's NPI number?

The NPI number for Ralph Leon is 1891789459. It was assigned to this individual provider in the NPPES registry on September 9, 2005.

Where is Ralph Leon located?

Ralph Leon practices at 46440 Benedict Drive, Suite 107, Sterling, VA 20164. The listed phone number is (703) 450-1125.

What is Ralph Leon's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ralph Leon enrolled in Medicare?

Yes. Ralph 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.

When was this NPI record last updated?

The NPPES record for Ralph Leon was last updated on April 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.