Active NPI
David Bryan Leach, M.D
- Ophthalmology Physician
- Moscow, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- M8044
- Practice address
- 2500 W a St
Suite 202
Moscow, ID 83843-6000 - Phone
- (208) 882-4662
- Fax
- (208) 883-6557
- NPI assigned
- Dec 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | M8044 | ID | Primary |
Addresses
Primary practice location
2500 W a St
Suite 202
Moscow, ID 83843-6000
Mailing address
2500 W a St
Suite 202
Moscow, ID 83843-6000
Phone (208) 882-4662
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 805779000 | Medicaid | ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of Kentucky College of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2500 W a St
Suite 202
Moscow, ID 83843-6000
Phone (208) 882-4662
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.15 of 100
- Quality
- 94.34
- Improvement activities
- 40
- Cost
- 84.71
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 347 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M8044 | ID | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clearview Eye Clinic LTD | Ophthalmology | Current | Accepting new patients |
| Clearview Surgery Center, LLC | Ophthalmology | Current | Accepting new patients |
Locations
2840 Juniper Dr
Lewiston, ID 83501
Phone (208) 746-4100
2840 Juniper Dr
Ste 201A
Lewiston, ID 83501
2500 W A St
Ste 202
Moscow, ID 83843
Phone (208) 746-5100
804 S Washington St
Ste B
Moscow, ID 83843
Phone (208) 882-4662
835 SE Bishop Blvd
Pullman, WA 99163
Phone (509) 332-2541
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ambulatory Surgical Clinic/Center
- Lewiston, ID
- NPI 1265816003
Ophthalmology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299110400000",
"number": "1043379944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 W A ST",
"address_2": "SUITE 202",
"city": "MOSCOW",
"state": "ID",
"postal_code": "838436000",
"telephone_number": "208-882-4662",
"fax_number": "208-883-6557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 W A ST",
"address_2": "SUITE 202",
"city": "MOSCOW",
"state": "ID",
"postal_code": "838436000",
"telephone_number": "208-882-4662",
"fax_number": "208-883-6557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEACH",
"first_name": "DAVID",
"middle_name": "BRYAN",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-06",
"last_updated": "2011-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "ID",
"license": "M8044",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "805779000",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moscow, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.