Active NPI
Richard J. Leidinger, M.D.
- Urology Physician
- Berlin, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 042.0012561
- Practice address
- 286 Hospital Loop
Berlin, VT 05602-9523 - Phone
- (802) 371-4820
- Fax
- (802) 371-4855
- NPI assigned
- Sep 28, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 013870 | ME | |
| Urology Physician | 208800000X | 042.0012561 | VT | Primary |
Addresses
Primary practice location
286 Hospital Loop
Berlin, VT 05602-9523
Mailing address
PO Box 547
Barre, VT 05641-0547
Phone (802) 371-4820
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1021260 | Medicaid | VT | |
| 003108601 | Other | VT | MEDICARE PIN LINKED TO VN3891 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
140 Academy St
Presque Isle, ME 04769-3102
146 Academy St
Presque Isle, ME 04769-3102
Hospital & facility affiliations
- Northern Light a R Gould Hospital
- Northern Maine Medical Center
- Cary Medical Center
- Houlton Regional Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.33 of 100
- Quality
- 71.56
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 76.21
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013870 | ME | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Penobscot Bay Physicians & Associates | Current | Accepting new patients | |
| The Aroostook Medical Center | Current | Accepting new patients | |
| The Aroostook Medical Center | Current | Accepting new patients | |
| Central Vermont Medical Center Inc | Urology | Past | Accepting new patients |
Locations
931 Union St
Fl 3
Bangor, ME 04401
140 Academy St
Ste 10
Presque Isle, ME 04769
Phone (207) 764-3734
140 Academy St
#10
Presque Isle, ME 04769
Phone (207) 764-3734
6 Glen Cove Dr
Rockport, ME 04856
Phone (207) 596-8000
3 Glen Cove Dr
#3
Rockport, ME 04856
Phone (207) 301-5400
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Northern Light Acute Rehabilitation | Hospital | Corporate Director | Sep 30, 2023 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Northern Light Acute Rehabilitation
- Rehabilitation Hospital
- Presque Isle, ME
- NPI 1265551212
Corporate Director
Organizations & group practices 4
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.
-
dba Northern Light A.R. Gould Hospital
- General Acute Care Hospital
- Presque Isle, ME
- NPI 1396858999
-
- Multi-Specialty Clinic/Center
- Rockport, ME
- NPI 1497799720
-
dba Northern Light Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Presque Isle, ME
- NPI 1982723037
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Houlton, ME
- NPI 1508823741
-
dba NMMC Medical Office Building
- Multi-Specialty Clinic/Center
- Fort Kent, ME
- NPI 1144073297
Hospital
-
- Critical Access Hospital
- Fort Kent, ME
- NPI 1568465144
-
dba Northern Light A.R. Gould Hospital
- General Acute Care Hospital
- Presque Isle, ME
- NPI 1396858999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363564800000",
"number": "1073605994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 547",
"city": "BARRE",
"state": "VT",
"postal_code": "056410547",
"telephone_number": "802-371-4820",
"fax_number": "802-371-4855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "286 HOSPITAL LOOP",
"city": "BERLIN",
"state": "VT",
"postal_code": "056029523",
"telephone_number": "802-371-4820",
"fax_number": "802-371-4855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEIDINGER",
"first_name": "RICHARD",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2013-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "ME",
"license": "013870",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "VT",
"license": "042.0012561",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1021260",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN LINKED TO VN3891",
"identifier": "003108601",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Berlin, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.