Individual provider Active NPI

Josia D Leipholtz, OD

  • Optometrist
  • Columbia, MO
National Provider Identifier
1922067644
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2002015319 Issued in MO
Practice address
1410 Forum Katy Pkwy
Suite 100
Columbia, MO 65203
Phone
(573) 441-7070
Fax
(573) 441-2288
NPI assigned
Mar 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2002015319 MO Primary

Addresses

Primary practice location

1410 Forum Katy Pkwy
Suite 100
Columbia, MO 65203

Mailing address

1410 Forum Katy Pkwy
Suite 100
Columbia, MO 65203
Phone (573) 441-7070

Other identifiers 2

IdentifierTypeStateIssuer
237691805OtherMOMBNDD
2002015319OtherMOLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060410000623 MO Practitioner - Optometry 2769491380 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Timothy D McGarity MD PCGroup PAC ID 0941488928, 4 clinicians

Practice addresses (Care Compare)

1205 N Missouri St
Samaritan Hospital
Macon, MO 63552-2095
Phone (660) 385-8700

1410 Forum Katy Pkwy
Columbia, MO 65203-6583

Merit-based Incentive Payment System (MIPS)

Final score
88.15 of 100Reported as group
Quality
86.6
Improvement activities
40
Cost
78.38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Timothy D McGarity MD PC CurrentSince Mar 1, 2012 Accepting new patients
Mercy Health Services, LLC Optometrist Past Accepting new patients

Locations

1410 Forum Katy Pkwy
Ste 100
Columbia, MO 65203
Phone (573) 441-7070

1205 N Missouri St
Macon, MO 63552
Phone (660) 385-3151

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.

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1922067644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 FORUM KATY PKWY",
            "address_2": "SUITE 100",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "65203",
            "telephone_number": "573-441-7070",
            "fax_number": "573-441-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 FORUM KATY PKWY",
            "address_2": "SUITE 100",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "65203",
            "telephone_number": "573-441-7070",
            "fax_number": "573-441-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIPHOLTZ",
        "first_name": "JOSIA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-21",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2002015319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MBNDD",
            "identifier": "237691805",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "2002015319",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.