Active NPI
Nathan Leisenring, MD
- Dermatology Physician
- York, PA
National Provider Identifier
1770110371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- MD484597
- Practice address
- 205 Saint Charles Way
York, PA 17402-4659 - Phone
- (717) 741-4666
- NPI assigned
- Mar 24, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | RTL21-0327 | NC | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dermatology Physician | 207N00000X | MD484597 | PA | Primary |
Addresses
Primary practice location
205 Saint Charles Way
York, PA 17402-4659
Mailing address
205 Saint Charles Way
York, PA 17402-4659
Phone (717) 741-4666
Other practice location 1
91 Cumberland Pkwy
Mechanicsburg, PA 17055-5676
Phone (717) 972-0275
Other practice location 2
246 Hanover St
Gettysburg, PA 17325-1911
Phone (717) 334-2811
Other practice location 3
525 McCosh St
Hanover, PA 17331-2238
Phone (717) 632-2711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- 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
- Dermatology
- Education
- Duke University School of Medicine, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
205 Grandview Ave
Suite 203
Camp Hill, PA 17011-1708
Phone (717) 741-4666
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.05 of 100
- Quality
- 100
- Promoting interoperability
- 93
- Improvement activities
- 40
- Cost
- 82.65
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 56 |
| Removal of skin lesions | 599 |
| Removal or shaving of skin growth | 24 |
| Skin biopsy | 241 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RTL21-0327 | NC | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dermatology Associates of York Inc | Dermatology | Current | Accepting new patients |
Locations
205 Grandview Ave
Ste 203
Camp Hill, PA 17011
Phone (717) 741-4666
246 Hanover St
Gettysburg, PA 17325
Phone (717) 334-2811
525 McCosh St
Hanover, PA 17331
Phone (717) 632-2711
91 Cumberland Pkwy
Mechanicsburg, PA 17055
Phone (717) 741-4666
205 Saint Charles Way
York, PA 17402
Phone (717) 741-4666
Interoperability endpoints
- nleisenring@dermyork.medentdirect.com
Organizations & group practices 1
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.
-
- Dermatology Physician
- York, PA
- NPI 1245204023
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Harrisburg, PA
- NPI 1265537674
-
- General Acute Care Hospital
- Harrisburg, PA
- NPI 1407813603
-
dba UPMC Pinnacle West Shore
- General Acute Care Hospital
- Mechanicsburg, PA
- NPI 1972613305
-
- General Acute Care Hospital
- York, PA
- NPI 1326060492
-
dba York Hospital Community Health Center
- Clinic/Center
- York, PA
- NPI 1497814040
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727654400000",
"number": "1770110371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 SAINT CHARLES WAY",
"city": "YORK",
"state": "PA",
"postal_code": "174024659",
"telephone_number": "717-741-4666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 SAINT CHARLES WAY",
"city": "YORK",
"state": "PA",
"postal_code": "174024659",
"telephone_number": "717-741-4666"
}
],
"practiceLocations": [
{
"address_1": "91 Cumberland Pkwy",
"address_purpose": "LOCATION",
"city": "Mechanicsburg",
"state": "PA",
"postal_code": "170555676",
"country_code": "US",
"telephone_number": "717-972-0275",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "246 Hanover St",
"address_purpose": "LOCATION",
"city": "Gettysburg",
"state": "PA",
"postal_code": "173251911",
"country_code": "US",
"telephone_number": "717-334-2811",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "525 McCosh St",
"address_purpose": "LOCATION",
"city": "Hanover",
"state": "PA",
"postal_code": "173312238",
"country_code": "US",
"telephone_number": "717-632-2711",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEISENRING",
"first_name": "NATHAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-24",
"last_updated": "2024-09-30",
"certification_date": "2024-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NC",
"license": "RTL21-0327",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "PA",
"license": "MD484597",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.