DR. EDWARD SEBASTIAN LEYVA MD
NPI 1922331776
Family Medicine in El Paso, TX

Active since September 11, 2009PECOS EnrolledAccepts Medicare Assignment
4532 N MESA ST STE 2A, EL PASO, TX 79912(915) 544-0326(915) 544-2897 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 28, 2025, Aug 7, 2019, Jan 20, 2017 (3 updates tracked since 2017).

About Dr. Edward Sebastian Leyva Md NPPES

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

DR. EDWARD SEBASTIAN LEYVA MD (NPI 1922331776) is an individual family medicine provider in El Paso, Texas, licensed in Texas (N3830) and active in the NPI registry since September 2009. He is enrolled in Medicare PECOS, is affiliated with Sierra Medical Center, and is a graduate of University Of Texas Medical School At Houston (2006).

NPPES Registry Identity

NPI1922331776
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. EDWARD SEBASTIAN LEYVACredential: MD
Location Address4532 N MESA ST STE 2AEl Paso, TX 79912-6287
Mailing AddressPo Box 3157El Paso, TX 79923-3157 · (915) 577-0051 · Fax (915) 577-0054
Fax(915) 544-2897
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2006
Enumeration DateSeptember 11, 2009
Last NPPES UpdateMay 28, 20253 updates tracked since enumeration
NPPES CertifiedMay 28, 2025
NPI 1922331776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · N3830
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.
4532 N MESA ST STE 2A, El Paso, TX 79912

Other Identifiers 1

Medicaid209447601TX

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. Edward Sebastian Leyva 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 ID9032258116
PECOS Enrollment IDI20091210000737
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 4

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.
227 services103 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.
29 services20 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
19 services19 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Sierra Medical Center

Acute Care Hospitals · El Paso, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450668
Location1625 Medical Center DrEl Paso, TX 79902 · El Paso County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79912 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%150 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 13

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers17 claims17 services$30.18 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers36 claims36 services$70.55 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers28 claims57 services$29.04 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
6 suppliers14 claims66 services$14.91 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
7 suppliers19 claims19 services$48.58 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
8 suppliers40 claims40 services$14.04 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 9

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

Internal Medicine (Rheumatology)
4532 N MESA ST STE 2A
EL PASO, TX 79912
Nurse Practitioner (Acute Care)
4532 N MESA ST STE 2A
EL PASO, TX 79912
Internal Medicine
4532 N MESA ST STE 2A
EL PASO, TX 79912
Physical Medicine & Rehabilitation (Pain Medicine)
4532 N MESA ST STE 2A
EL PASO, TX 79912
Internal Medicine (Rheumatology)
4532 N MESA ST STE 2A
EL PASO, TX 79912
Optometrist
4532 N MESA ST STE 2A
EL PASO, TX 79912
Internal Medicine
4532 N MESA ST STE 2A
EL PASO, TX 79912
Physician Assistant
4532 N MESA ST STE 2A
EL PASO, TX 79912

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 Edward Leyva's NPI number?

The NPI number for Edward Leyva is 1922331776. It was assigned to this individual provider in the NPPES registry on September 11, 2009.

Where is Edward Leyva located?

Edward Leyva practices at 4532 N Mesa St Ste 2A, El Paso, TX 79912. The listed phone number is (915) 544-0326.

What is Edward Leyva's specialty?

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

Is Edward Leyva enrolled in Medicare?

Yes. Edward Leyva 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 Edward Leyva accept?

Health plans from Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc. and WellPoint list Edward Leyva 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 Edward Leyva affiliated with any hospitals?

According to CMS data, Edward Leyva is affiliated with Sierra Medical Center.

When was this NPI record last updated?

The NPPES record for Edward Leyva was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.