MARIAH DEE GIPSON-LEROUX PA
NPI 1922671403
Physician Assistant in Charlotte, NC

Q: What is Mariah Gipson-leroux's NPI number?

The NPI number for Mariah Gipson-leroux is 1922671403. It was assigned to this individual provider in the NPPES registry on July 21, 2021.

Q: What is Mariah Gipson-leroux's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since July 21, 2021PECOS Enrolled

100/100

CMS Quality Rating

131 PROVIDENCE RD STE 200, CHARLOTTE, NC 28207(980) 256-2233 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 15, 2025, Dec 14, 2021, Nov 16, 2021 and 3 more (6 updates tracked since 2021).

On this page

About Mariah Dee Gipson-leroux Pa NPPES

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

MARIAH DEE GIPSON-LEROUX PA (NPI 1922671403) is an individual physician assistant in Charlotte, North Carolina and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922671403

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMARIAH DEE GIPSON-LEROUXCredential: PA

Location Address131 PROVIDENCE RD STE 200Charlotte, NC 28207-1235

Mailing Address131 Providence Rd Ste 200Charlotte, NC 28207-1235 · (980) 256-2233

Phone(980) 256-2233

Sole ProprietorNo

Enumeration DateJuly 21, 2021

Last NPPES UpdateSeptember 15, 20256 updates tracked since enumeration

NPPES CertifiedSeptember 15, 2025

✔ NPI 1922671403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

131 PROVIDENCE RD STE 200, Charlotte, NC 28207

Open in Google Maps ↗

Other Identifiers 2

Other027407NY · Nysed Physician Assistant License

Other0010-15427NC · Ncmb

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mariah Dee Gipson-leroux Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28207 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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.

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 7

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

ERIC BARUA M.D.

Anesthesiology