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JENNIFER E LEIBOLD PA-C
NPI 1962710103
Physician Assistant in Dayton, OH

Active since September 22, 2010PECOS EnrolledAccepts Medicare Assignment
5491 FAR HILLS AVE, DAYTON, OH 45429(937) 436-5763 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 5, 2026, Jul 23, 2024 (2 updates tracked since 2024).

About Jennifer E Leibold Pa-c NPPES

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

JENNIFER E LEIBOLD PA-C (NPI 1962710103) is an individual physician assistant in Dayton, Ohio, licensed in Ohio (50001562) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1962710103
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJENNIFER E LEIBOLDCredential: PA-C
Location Address5491 FAR HILLS AVEDayton, OH 45429-2325
Mailing Address1430 Oak Ct Ste 100Beavercreek, OH 45430-1064 · (937) 404-1101 · Fax (937) 404-1210
Phone(937) 436-5763
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 22, 2010
Last NPPES UpdateMarch 5, 20262 updates tracked since enumeration
NPPES CertifiedMarch 5, 2026
✔ NPI 1962710103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in OH · 50001562
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.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 50.001562 (OH)
Also ListedTechnician · Personal Care AttendantTaxonomy 3747P1801X
5491 FAR HILLS AVE, Dayton, OH 45429
Open in Google Maps ↗

Secondary Practice Locations 2

Location 16210 Brandt Pike Ste 102Huber Heights, OH 45424-4019 · Phone (937) 236-8630
Location 29150 N Main St Ste 100Englewood, OH 45415-1123 · Phone (937) 771-3039

Other Identifiers 1

Medicaid0104799OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Jennifer E Leibold Pa-c 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 ID7618092123
PECOS Enrollment IDI20100921000047
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.

Hospital Affiliations CMS Care Compare 5

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

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

Kettering Health Main Campus

Acute Care Hospitals · Kettering, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360079
Location3535 Southern BoulevardKettering, OH 45429 · Montgomery County
Emergency services Birthing friendly

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360133
Location405 Grand AvenueDayton, OH 45405 · Montgomery County
Birthing friendly

Upper Valley Medical Center

Acute Care Hospitals · Troy, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360174
Location3130 North County Road 25ATroy, OH 45373 · Miami County
Emergency services Birthing friendly

Ohio Valley Surgical Hospital

Acute Care Hospitals · Springfield, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number360355
Location100 West Main StreetSpringfield, OH 45502 · Clark County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45429 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 9

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

RHONDA S SKAGGS LMT
Massage Therapist
5491 FAR HILLS AVE
DAYTON, OH 45429
Montgomery County (937) 233-8510
BUCKEYE BRACE
Durable Medical Equipment & Medical Supplies
5491 FAR HILLS AVE
DAYTON, OH 45429
Montgomery County (937) 436-1348
DAYTON ORTHOPEDIC SURGERY AND SPORTS MEDICINE CENTER
Exclusive Provider Organization
5491 FAR HILLS AVE
KETTERING, OH 45429
Montgomery County (937) 436-5763
DENITA FULLAM PTA
Physical Therapy Assistant
5491 FAR HILLS AVE
DAYTON, OH 45429
Montgomery County (937) 436-5763
AMBER LYN CHURCH AT
Specialist
5491 FAR HILLS AVE
DAYTON, OH 45429
Montgomery County (937) 436-5763
MRS. CHELSEA MARIE MUNCY PTA
Physical Therapy Assistant
5491 FAR HILLS AVE
DAYTON, OH 45429
Montgomery County (937) 436-5763
JONATHAN JAMES GILLMAN PA-C
Physician Assistant
5491 FAR HILLS AVE
DAYTON, OH 45429
Montgomery County (937) 436-5763
DAYTON ORTHOPAEDIC SURGERY & SPORTS MEDICINE CENTER
Orthopaedic Surgery (Sports Medicine)
5491 FAR HILLS AVE
DAYTON, OH 45429
Montgomery County (937) 436-5763

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 Jennifer Leibold's NPI number?

The NPI number for Jennifer Leibold is 1962710103. It was assigned to this individual provider in the NPPES registry on September 22, 2010.

Where is Jennifer Leibold located?

Jennifer Leibold practices at 5491 Far Hills Ave, Dayton, OH 45429. The listed phone number is (937) 436-5763.

What is Jennifer Leibold's specialty?

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

Is Jennifer Leibold enrolled in Medicare?

Yes. Jennifer Leibold 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 Jennifer Leibold accept?

Health plans from Anthem Blue Cross and Blue Shield list Jennifer Leibold 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 Jennifer Leibold affiliated with any hospitals?

According to CMS data, Jennifer Leibold is affiliated with Miami Valley Hospital, Kettering Health Main Campus, Kettering Health Dayton, Upper Valley Medical Center and Ohio Valley Surgical Hospital.

When was this NPI record last updated?

The NPPES record for Jennifer Leibold was last updated on March 5, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.