LEO MEDINA APRN
NPI 1972967875
Nurse Practitioner - Adult Health in Houston, TX

Q: What is Leo Medina's NPI number?

The NPI number for Leo Medina is 1972967875. It was assigned to this individual provider in the NPPES registry on April 7, 2016.

Q: What is Leo Medina's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Leo Medina was last updated on August 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 07, 2016PECOS EnrolledAccepts Medicare Assignment

6445 MAIN ST STE 2600, HOUSTON, TX 77030(713) 441-5451(713) 791-5274 Get Directions Write a Review

NPPES record last updated: August 5, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 5, 2022, Oct 8, 2020, Apr 11, 2017 (3 updates tracked since 2017).

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About Leo Medina Aprn NPPES

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

LEO MEDINA APRN (NPI 1972967875) is an individual adult health provider in Houston, Texas, licensed in Texas (AP130533) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Houston Methodist Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1972967875

Entity TypeIndividualMale

Primary Taxonomy363LA2200X

Provider Legal NameLEO MEDINACredential: APRN

Location Address6445 MAIN ST STE 2600Houston, TX 77030-1502

Mailing Address6445 Main St Ste 2600Houston, TX 77030-1502 · (713) 441-5451 · Fax (713) 791-5274

Phone(713) 441-5451

Fax(713) 791-5274

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateApril 7, 2016

Last NPPES UpdateAugust 5, 20223 updates tracked since enumeration

NPPES CertifiedAugust 5, 2022

✔ NPI 1972967875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in TX · AP130533

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License AP130533 (TX)

6445 MAIN ST STE 2600, Houston, TX 77030

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Community Health Choice, Molina Healthcare.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

Leo Medina Aprn 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 ID7214209907

PECOS Enrollment IDI20170815003123

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 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

198 services92 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

86 services61 patients

Hospital Affiliations CMS Care Compare 2

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

Houston Methodist Hospital

Acute Care Hospitals · Houston, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450358

Location6565 FanninHouston, TX 77030 · Harris County

Emergency services Birthing friendly

Houston Methodist West Hospital

Acute Care Hospitals · Houston, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number670077

Location18500 Katy FreewayHouston, TX 77094 · Harris County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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

$90.40 typical visit price

range $58.24 – $176.98

Typical copayment $22.60 (range $14.56 – $44.24)

Most-billed visit code 99203

Established Patient

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221

DME-Other DME · category DE017N

2 suppliers66 claims66 services$18.37 avg. paid by Medicare

Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222

DME-Medical/Surgical Supplies · category DA000N

2 suppliers68 claims140 services$35.31 avg. paid by Medicare

Injection, dobutamine hydrochloride, per 250 mg J1250

Treatment-Injections and Infusions (nononcologic) · category RI000N

1 supplier17 claims297 services$4.99 avg. paid by Medicare

Injection, milrinone lactate, 5 mg J2260

Treatment-Injections and Infusions (nononcologic) · category RI026N

2 suppliers51 claims2,450 services$1.36 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

MRS. LINDA CRYSTAL PONCE AGACNP-BC

Nurse Practitioner (Critical Care Medicine)

6445 MAIN ST STE 2600
HOUSTON, TX 77030

Harris County (713) 441-5445

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 Leo Medina's NPI number?

The NPI number for Leo Medina is 1972967875. It was assigned to this individual provider in the NPPES registry on April 7, 2016.

Where is Leo Medina located?

Leo Medina practices at 6445 Main St Ste 2600, Houston, TX 77030. The listed phone number is (713) 441-5451.

What is Leo Medina's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Leo Medina enrolled in Medicare?

Yes. Leo Medina 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 Leo Medina accept?

Health plans from Community Health Choice and Molina Healthcare list Leo Medina 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 Leo Medina affiliated with any hospitals?

According to CMS data, Leo Medina is affiliated with Houston Methodist Hospital and Houston Methodist West Hospital.

When was this NPI record last updated?

The NPPES record for Leo Medina was last updated on August 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.