DR. THOMAS LEOPOLD MD
NPI 1902898737
Internal Medicine - Cardiovascular Disease in South Plainfield, NJ

Q: What is Thomas Leopold's NPI number?

The NPI number for Thomas Leopold is 1902898737. It was assigned to this individual provider in the NPPES registry on August 18, 2005.

Q: What is Thomas Leopold's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Leopold was last updated on June 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 August 18, 2005PECOS EnrolledAccepts Medicare Assignment

1511 PARK AVE, 2ND FLOOR, SOUTH PLAINFIELD, NJ 07080(908) 756-4438(908) 756-9160 Get Directions Write a Review

NPPES record last updated: June 20, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Thomas Leopold Md NPPES

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

DR. THOMAS LEOPOLD MD (NPI 1902898737) is an individual cardiovascular disease provider in South Plainfield, New Jersey, licensed in New Jersey (MA47902) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Morristown Medical Center, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (1979).

NPPES Registry Identity

NPI1902898737

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameDR. THOMAS LEOPOLDCredential: MD

Location Address1511 PARK AVE, 2ND FLOORSouth Plainfield, NJ 07080-5516

Mailing AddressPo Box 416457Boston, MA 02241-6457 · (844) 362-1735 · Fax (973) 290-7495

Phone(908) 756-4438

Fax(908) 756-9160

Sole ProprietorNo

Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 1979

Enumeration DateAugust 18, 2005

Last NPPES UpdateJune 20, 2019

✔ NPI 1902898737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in NJ · MA47902

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

1511 PARK AVE, South Plainfield, NJ 07080

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Thomas Leopold 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 ID941296206

PECOS Enrollment IDI20051220000273

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.

Medicare Billing Reassignments

Medicare enrollment records show Thomas Leopold reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Hospital Group, Inc.

4.0 mi

Neurology

65 JAMES ST
Edison, NJ 08820

Reassigned Medicare billing, New Jersey enrollment
165 clinicians in this Medicare group

NPI 1487680013 (732) 321-7010

Hmh Hospitals Corporation

4.0 mi

Family Medicine

65 JAMES ST
Edison, NJ 08820

Reassigned Medicare billing, New Jersey enrollment
164 clinicians in this Medicare group

NPI 1356016661 (732) 321-7000

Cardiovascular Health Consultants, P.A.

13 mi

Legal Medicine

100 MADISON AVE
Morristown, NJ 07960

Reassigned Medicare billing, New Jersey enrollment
161 clinicians in this Medicare group

NPI 1437291739 (732) 919-3590

Practice Associates Medical Group

13 mi

Internal Medicine

100 MADISON AVENUE, INTEROFFICE #68
Morristown, NJ 07960

Reassigned Medicare billing, New Jersey enrollment
1,699 clinicians in this Medicare group

NPI 1427016385 (844) 264-2250

Hackensack Meridian Health Medical Group - Specialty Care PC

24 mi

Surgical Critical Care

331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701

Reassigned Medicare billing, New Jersey enrollment
2,844 clinicians in this Medicare group

NPI 1215989249 (732) 807-0800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 12

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

1,456 services1,099 patients

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.

252 services140 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

185 services151 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

126 services72 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

95 services94 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

84 services80 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

73 services73 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

71 services71 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.

50 services39 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

50 services48 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.

42 services42 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.

35 services30 patients

Hospital Affiliations CMS Care Compare 3

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

Morristown Medical Center

Acute Care Hospitals · Morristown, NJ

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310015

Location100 Madison AveMorristown, NJ 07960 · Morris County

Emergency services Birthing friendly

Overlook Medical Center

Acute Care Hospitals · Summit, NJ

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310051

Location99 Beauvoir AvenueSummit, NJ 07901 · Union County

Emergency services Birthing friendly

Jfk Medical Center

Acute Care Hospitals · Edison, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310108

Location65 James StreetEdison, NJ 08820 · Middlesex County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07080 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

$144.86 typical visit price

range $63.84 – $190.92

Typical copayment $36.21 (range $15.96 – $47.73)

Most-billed visit code 99204

Established Patient

$79.09 typical visit price

range $20.97 – $155.92

Typical copayment $19.77 (range $5.24 – $38.98)

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 11

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

DR. GARY B BREITBART M.D.

Surgery (Vascular Surgery)

1511 PARK AVE
SOUTH PLAINFIELD, NJ 07080

Middlesex County (908) 561-9500

KIMBERLY SAGE FNP

Nurse Practitioner (Family)

1511 PARK AVE
SOUTH PLAINFIELD, NJ 07080

Middlesex County (908) 561-9500

DR. EDWIN BLUMBERG MD

Internal Medicine (Cardiovascular Disease)

1511 PARK AVE, 2ND FLOOR
SOUTH PLAINFIELD, NJ 07080

Middlesex County (908) 756-4438

PARK INTERNAL MEDICINE LLC

Internal Medicine

1511 PARK AVE, 3RD FLOOR, STE # A
SOUTH PLAINFIELD, NJ 07080

Middlesex County (551) 322-6162

MR. RYAN P BROWN MD

Internal Medicine (Nephrology)

1511 PARK AVE, 3RD FLOOR
SOUTH PLAINFIELD, NJ 07080

Middlesex County (908) 757-4544

GEOFFREY WONG MD

Surgery (Vascular Surgery)

1511 PARK AVE, THIRD FLOOR
SOUTH PLAINFIELD, NJ 07080

Middlesex County (908) 561-9500

DR. DAVID M RICHMAND M.D.

Surgery (Vascular Surgery)

1511 PARK AVE
SOUTH PLAINFIELD, NJ 07080

Middlesex County (908) 561-9500

GARDEN STATE SURGICAL ASSOCIATES, P.A.

Surgery (Vascular Surgery)

1511 PARK AVE
SOUTH PLAINFIELD, NJ 07080

Middlesex County (908) 561-9500

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 Thomas Leopold's NPI number?

The NPI number for Thomas Leopold is 1902898737. It was assigned to this individual provider in the NPPES registry on August 18, 2005.

Where is Thomas Leopold located?

Thomas Leopold practices at 1511 Park Ave 2nd Floor, South Plainfield, NJ 07080. The listed phone number is (908) 756-4438.

What is Thomas Leopold's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Thomas Leopold enrolled in Medicare?

Yes. Thomas Leopold 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.

Which organizations bill Medicare for Thomas Leopold's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Leopold reassigns Medicare benefits to 5 organizations: Community Hospital Group, Inc. (Edison, NJ), Hmh Hospitals Corporation (Edison, NJ), Cardiovascular Health Consultants, P.A. (Morristown, NJ), Practice Associates Medical Group (Morristown, NJ) and Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Thomas Leopold's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Leopold accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Thomas Leopold 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 Thomas Leopold affiliated with any hospitals?

According to CMS data, Thomas Leopold is affiliated with Morristown Medical Center, Overlook Medical Center and Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Thomas Leopold was last updated on June 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.