JEFFREY RANDALL LEIDY DMD
NPI 1891934592
Dentist in Virginia Beach, VA

Q: What is Jeffrey Leidy's NPI number?

The NPI number for Jeffrey Leidy is 1891934592. It was assigned to this individual provider in the NPPES registry on February 19, 2009.

Q: What is Jeffrey Leidy's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: Is Jeffrey Leidy enrolled in Medicare?

No. Jeffrey Leidy has opted out of Medicare through January 2, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Leidy was last updated on February 19, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since February 19, 2009Opted out of Medicare · through Jan 2, 2028

1301 FIRST COLONIAL ROAD, VIRGINIA BEACH, VA 23454(757) 463-1500(757) 463-8727 Get Directions Write a Review

NPPES record last updated: February 19, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Jeffrey Randall Leidy Dmd NPPES

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

JEFFREY RANDALL LEIDY DMD (NPI 1891934592) is an individual dentist in Virginia Beach, Virginia, licensed in Virginia (0401006498) and active in the NPI registry since February 2009. He has opted out of Medicare through January 2, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1891934592

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameJEFFREY RANDALL LEIDYCredential: DMD

Location Address1301 FIRST COLONIAL ROADVirginia Beach, VA 23454

Mailing Address1301 First Colonial RoadVirginia Beach, VA 23454 · (757) 463-1500 · Fax (757) 463-8727

Phone(757) 463-1500

Fax(757) 463-8727

Sole ProprietorNo

Enumeration DateFebruary 19, 2009

✔ NPI 1891934592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in VA · 0401006498

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1301 FIRST COLONIAL ROAD, Virginia Beach, VA 23454

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Jeffrey Randall Leidy Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 2, 2014 through January 2, 2028.

Opt-Out Effective DateJanuary 2, 2014

Opt-Out In Effect ThroughJanuary 2, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23454 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

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

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.

Other Providers at the Same Location NPPES

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

VIRGINIA ENHANCED DENTAL SERVICES

Dentist

1301 FIRST COLONIAL ROAD
VIRGINIA BEACH, VA 23454

Virginia Beach City (757) 463-1500

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 Jeffrey Leidy's NPI number?

The NPI number for Jeffrey Leidy is 1891934592. It was assigned to this individual provider in the NPPES registry on February 19, 2009.

Where is Jeffrey Leidy located?

Jeffrey Leidy practices at 1301 First Colonial Road, Virginia Beach, VA 23454. The listed phone number is (757) 463-1500.

What is Jeffrey Leidy's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Jeffrey Leidy enrolled in Medicare?

No. Jeffrey Leidy has opted out of Medicare through January 2, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Jeffrey Leidy accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Jeffrey Leidy 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 Jeffrey Leidy was last updated on February 19, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.