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JAMES AUGUST LEINHART
NPI 1922374834
Emergency Medicine in Albuquerque, NM

Active since March 25, 2012PECOS EnrolledAccepts Medicare Assignment
MSC 10 5560, I UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131(505) 272-5062(505) 272-6503 Get Directions Write a Review

NPPES record last updated: February 13, 2019. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Feb 13, 2019, Dec 7, 2017 (2 updates tracked since 2017).

About James August Leinhart NPPES

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

JAMES AUGUST LEINHART (NPI 1922374834) is an individual emergency medicine provider in Albuquerque, New Mexico, licensed in New York (296065) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS, is affiliated with Aurelia Osborn Fox Memorial Hospital, and is a graduate of East Tennessee State University Quillen College Of Medicine (2012).

NPPES Registry Identity

NPI1922374834
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJAMES AUGUST LEINHART
Location AddressMSC 10 5560, I UNIVERSITY OF NEW MEXICOAlbuquerque, NM 87131-0001
Mailing Address1 Atwell RdCooperstown, NY 13326-1301 · (607) 547-4762
Phone(505) 272-5062
Fax(505) 272-6503
Sole ProprietorNo
Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 2012
Enumeration DateMarch 25, 2012
Last NPPES UpdateFebruary 13, 20192 updates tracked since enumeration
✔ NPI 1922374834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in NY · 296065✔ Licensed in NM · MD2015-0646
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
MSC 10 5560, Albuquerque, NM 87131
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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

James August Leinhart 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 ID6507091527
PECOS Enrollment IDI20190221001397
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

4

Medicare enrollment records show James Leinhart reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

O'connor Hospital
1,777 mi
Critical Access
460 ANDES RD
Delhi, NY 13753
  • Reassigned Medicare billing, New York enrollment
  • 199 clinicians in this Medicare group
NPI 1891728192 (607) 746-0326
Mary Imogene Bassett Hospital
1,780 mi
Multi-Specialty
1 ATWELL RD
Cooperstown, NY 13326
  • Reassigned Medicare billing, New York enrollment
  • 1,052 clinicians in this Medicare group
NPI 1083664221 (607) 547-6858
Little Falls Hospital
1,786 mi
Critical Access
140 BURWELL ST
Little Falls, NY 13365
  • Reassigned Medicare billing, New York enrollment
  • 202 clinicians in this Medicare group
NPI 1558321919 (315) 823-5281
Bassett Hospital Of Schoharie County
1,802 mi
Critical Access
178 GRANDVIEW DR
Cobleskill, NY 12043
  • Reassigned Medicare billing, New York enrollment
  • 202 clinicians in this Medicare group
NPI 1891862579 (518) 254-3456

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 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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
131 services126 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
124 services124 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
67 services67 patients
Emergency department visit with straightforward medical decision making 99282
An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.
13 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Aurelia Osborn Fox Memorial Hospital

Acute Care Hospitals · Oneonta, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330085
LocationOne Norton AvenueOneonta, NY 13820 · Otsego County
Emergency services

Bassett Healthcare

Acute Care Hospitals · Cooperstown, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330136
LocationOne Atwell RoadCooperstown, NY 13326 · Otsego County
Emergency services Birthing friendly

O'connor Hospital

Critical Access Hospitals · Delhi, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331305
Location460 Andes RoadDelhi, NY 13753 · Delaware County
Emergency services

Little Falls Hospital

Critical Access Hospitals · Little Falls, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331311
Location140 Burwell StreetLittle Falls, NY 13365 · Herkimer County
Emergency services

Cobleskill Regional Hospital

Critical Access Hospitals · Cobleskill, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number331320
Location178 Grandview DriveCobleskill, NY 12043 · Schoharie County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87131 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

Other Providers at the Same Location NPPES 2

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

SARA BUSH
Emergency Medicine
MSC 10 5560, UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-5062
TIFFANY PETERSON M.D.
Emergency Medicine
MSC 10 5560, UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-5062

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 James Leinhart's NPI number?

The NPI number for James Leinhart is 1922374834. It was assigned to this individual provider in the NPPES registry on March 25, 2012.

Where is James Leinhart located?

James Leinhart practices at Msc 10 5560 I University Of New Mexico, Albuquerque, NM 87131. The listed phone number is (505) 272-5062.

What is James Leinhart's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is James Leinhart enrolled in Medicare?

Yes. James Leinhart 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 James Leinhart's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Leinhart reassigns Medicare benefits to 4 organizations: O'connor Hospital (Delhi, NY), Mary Imogene Bassett Hospital (Cooperstown, NY), Little Falls Hospital (Little Falls, NY) and Bassett Hospital Of Schoharie County (Cobleskill, NY). 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 James Leinhart's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is James Leinhart affiliated with any hospitals?

According to CMS data, James Leinhart is affiliated with Aurelia Osborn Fox Memorial Hospital, Bassett Healthcare, O'connor Hospital, Little Falls Hospital and Cobleskill Regional Hospital.

When was this NPI record last updated?

The NPPES record for James Leinhart was last updated on February 13, 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.