HEATHER LEISY MD, MBA, MPH
NPI 1942590518
Preventive Medicine - Public Health & General Preventive Medicine in Sacramento, CA

Active since April 15, 2011PECOS EnrolledAccepts Medicare Assignment
4301 X ST, SACRAMENTO, CA 95817(800) 282-3284 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 8, 2024, May 3, 2019, Aug 14, 2018 (3 updates tracked since 2018).

About Heather Leisy Md, Mba, Mph NPPES

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

HEATHER LEISY MD, MBA, MPH (NPI 1942590518) is an individual public health & general preventive medicine provider in Sacramento, California, licensed in California (193607) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Florence, and is a graduate of Medical University Of South Carolina College Of Medicine (2011).

NPPES Registry Identity

NPI1942590518
Entity TypeIndividualFemale
Primary Taxonomy2083P0901X
Provider Legal NameHEATHER LEISYCredential: MD, MBA, MPH
Location Address4301 X STSacramento, CA 95817-2214
Mailing Address360 N Irby StFlorence, SC 29501-2808 · (843) 667-9414 · Fax (843) 667-1362
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2011
Enumeration DateApril 15, 2011
Last NPPES UpdateAugust 8, 20243 updates tracked since enumeration
NPPES CertifiedAugust 8, 2024
✔ NPI 1942590518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Public Health & General Preventive MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0901X
Licenses✔ Licensed in CA · 193607✔ Licensed in SC · MD52531
Definition
Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.
4301 X ST, Sacramento, CA 95817

Other Names 1

Professional Name (2)Dr. Heather Leisy

Secondary Practice Location 1

Location 1360 N Irby StFlorence, SC 29501 · Phone (843) 667-9414 · Fax (843) 667-1362

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

Heather Leisy Md, Mba, Mph 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 ID4688900087
PECOS Enrollment IDI20250509003375
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 Reassignment

Medicare enrollment records show Heather Leisy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
4860 Y ST, STE 200
Sacramento, CA 95817
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Regents Of The University Of California
  • 918 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95817 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
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 20

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

Dietitian, Registered
4301 X ST
SACRAMENTO, CA 95817
Dietitian, Registered (Nutrition, Pediatric)
4301 X ST
SACRAMENTO, CA 95817
Student in an Organized Health Care Education/Training Program
4301 X ST
SACRAMENTO, CA 95817
Nurse Practitioner (Acute Care)
4301 X ST
SACRAMENTO, CA 95817
Nurse Anesthetist, Certified Registered
4301 X ST
SACRAMENTO, CA 95817
Dietitian, Registered
4301 X ST
SACRAMENTO, CA 95817
Anesthesiology
4301 X ST
SACRAMENTO, CA 95817
Pediatrics
4301 X ST
SACRAMENTO, CA 95817

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 Heather Leisy's NPI number?

The NPI number for Heather Leisy is 1942590518. It was assigned to this individual provider in the NPPES registry on April 15, 2011. The provider is also known as Dr. Heather Leisy.

Where is Heather Leisy located?

Heather Leisy practices at 4301 X St, Sacramento, CA 95817. The listed phone number is (800) 282-3284.

What is Heather Leisy's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Public Health & General Preventive Medicine, with taxonomy code 2083P0901X.

Is Heather Leisy enrolled in Medicare?

Yes. Heather Leisy 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 organization bills Medicare for Heather Leisy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Leisy reassigns Medicare benefits to Regents Of The University Of Ca (Sacramento, CA). The 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 Heather Leisy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Heather Leisy was last updated on August 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.