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DEREK GRAYDON LEALE MD
NPI 1942769088
Ophthalmology in Sewickley, PA

Active since March 18, 2019PECOS EnrolledAccepts Medicare Assignment
95.15/100
CMS Quality Rating
2591 WEXFORD BAYNE RD STE 104, SEWICKLEY, PA 15143(724) 933-5588(724) 933-6051 Get Directions Write a Review

NPPES record last updated: July 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 6, 2023, Mar 18, 2019 (2 updates tracked since 2019).

About Derek Graydon Leale Md NPPES

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

DEREK GRAYDON LEALE MD (NPI 1942769088) is an individual ophthalmology provider in Sewickley, Pennsylvania, licensed in Pennsylvania (MD480402) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Upmc Jameson, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1942769088
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDEREK GRAYDON LEALECredential: MD
Location Address2591 WEXFORD BAYNE RD STE 104Sewickley, PA 15143-8676
Mailing Address2591 Wexford Bayne Rd Ste 104Sewickley, PA 15143-8676 · (724) 933-5588 · Fax (724) 933-6051
Phone(724) 933-5588
Fax(724) 933-6051
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 18, 2019
Last NPPES UpdateJuly 6, 20232 updates tracked since enumeration
NPPES CertifiedJuly 6, 2023
✔ NPI 1942769088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in PA · MD480402
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
2591 WEXFORD BAYNE RD STE 104, Sewickley, PA 15143
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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

Derek Graydon Leale 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 ID5799010013
PECOS Enrollment IDI20230523001349
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 7

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.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
250 services144 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.
194 services194 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
176 services158 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
148 services120 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
100 services100 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.
65 services63 patients

Hospital Affiliations CMS Care Compare 2

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

Upmc Jameson

Acute Care Hospitals · New Castle, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390016
Location1211 Wilmington AvenueNew Castle, PA 16105 · Lawrence County
Emergency services

Edgewood Surgical Hospital

Acute Care Hospitals · Transfer, PA
OwnershipPhysician
CMS Certification Number390307
Location239 Edgewood Drive ExtensionTransfer, PA 16154 · Mercer County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15143 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

95.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost83.86

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.

SIGHTLINE SS LLC
Clinic/Center (Ambulatory Surgical)
2591 WEXFORD BAYNE RD STE 104
SEWICKLEY, PA 15143
Allegheny County (724) 933-5588
MARISA LYNN CIAMACCA OD, MS
Optometrist
2591 WEXFORD BAYNE RD STE 104
SEWICKLEY, PA 15143
Allegheny County (724) 933-5588

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 Derek Leale's NPI number?

The NPI number for Derek Leale is 1942769088. It was assigned to this individual provider in the NPPES registry on March 18, 2019.

Where is Derek Leale located?

Derek Leale practices at 2591 Wexford Bayne Rd Ste 104, Sewickley, PA 15143. The listed phone number is (724) 933-5588.

What is Derek Leale's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Derek Leale enrolled in Medicare?

Yes. Derek Leale 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.

Is Derek Leale affiliated with any hospitals?

According to CMS data, Derek Leale is affiliated with Upmc Jameson and Edgewood Surgical Hospital.

When was this NPI record last updated?

The NPPES record for Derek Leale was last updated on July 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.