NPIMap

Individual provider Active NPI

Dustin Ryan Leek, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Waxahachie, TX
National Provider Identifier
1902291362
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
R3129 Issued in TX
Practice address
1006 Legacy Ranch Rd # 104
Waxahachie, TX 75165-1293
Phone
(817) 290-7246
NPI assigned
Apr 2, 2015
Last updated
Sep 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X R3129 TX
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X R3129 TX Primary

Addresses

Primary practice location

1006 Legacy Ranch Rd # 104
Waxahachie, TX 75165-1293

Mailing address

1006 Legacy Ranch Rd # 104
Waxahachie, TX 75165-1293
Phone (469) 290-7246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210726001122 TX Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 0941603187 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
Loma Linda University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Eclipse Clinic PLLCGroup PAC ID 9032512272, 4 clinicians

Practice addresses (Care Compare)

1006 Legacy Ranch Rd
Suite 104
Waxahachie, TX 75165-1293
Phone (817) 526-4604

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R3129TXMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eclipse Clinic PLLC Pain Medicine CurrentSince Apr 17, 2021 Accepting new patients
LTH Family Medicine CurrentSince Jan 14, 2026 Accepting new patients
Clearsky Rehabilitation Hospital of Mansfield, LLC Past Accepting new patients
Fpacp Ellis LLC Past Accepting new patients

Locations

1006 Legacy Ranch Rd
#104
Waxahachie, TX 75165
Phone (817) 290-7246

1006 Legacy Ranch Rd
Ste 104
Waxahachie, TX 75165
Phone (817) 526-4604

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22507/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/FHCCDD

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.

FacilityTypeRoleSince
Focused Care of WaxahachieWaxahachie, TX, CCN 455591 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Feb 1, 2024
Feb 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Fpacp Ellis LLC

    dba Focused Care of Waxahachie

    • Skilled Nursing Facility
    • Waxahachie, TX
    • NPI 1609312370

    Adp of the SNF, Operational/Managerial Control

    CMS ownership

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1902291362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 LEGACY RANCH RD # 104",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751651293",
            "telephone_number": "469-290-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 LEGACY RANCH RD # 104",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751651293",
            "telephone_number": "817-290-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEEK",
        "first_name": "DUSTIN",
        "middle_name": "RYAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-02",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "R3129",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "TX",
            "license": "R3129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waxahachie, TX

Sources for this page

Verify at the official NPI Registry.