Individual provider Active NPI

Derek Graydon Leale, MD

  • Ophthalmology Physician
  • Sewickley, PA
National Provider Identifier
1942769088
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD480402 Issued in PA
Practice address
2591 Wexford Bayne Rd Ste 104
Sewickley, PA 15143-8676
Phone
(724) 933-5588
Fax
(724) 933-6051
NPI assigned
Mar 18, 2019
Last updated
Jul 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD480402 PA Primary

Addresses

Primary practice location

2591 Wexford Bayne Rd Ste 104
Sewickley, PA 15143-8676

Mailing address

2591 Wexford Bayne Rd Ste 104
Sewickley, PA 15143-8676
Phone (724) 933-5588

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230523001349 PA Practitioner - Ophthalmology 5799010013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sightline Ophthalmic Associates, P.C.Group PAC ID 6305758517, 8 clinicians

Practice addresses (Care Compare)

2100 Corporate Dr
Suite 400
Wexford, PA 15090-7647
Phone (724) 933-5588

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.55 of 100Reported as group
Quality
100
Improvement activities
40
Cost
75.17

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery481

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD480402PAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sightline Ophthalmic Associates, P.C. Ophthalmology CurrentSince Jul 1, 2023 Accepting new patients
Sightline SS LLC CurrentSince Jul 1, 2023 Accepting new patients

Locations

110 Central Square Dr
Beaver Falls, PA 15010
Phone (724) 933-5588

177 Enclave Dr
New Castle, PA 16105
Phone (724) 248-2020

2591 Wexford Bayne Rd
Ste 104
Sewickley, PA 15143
Phone (724) 933-5473

2100 Corporate Dr
Ste 400
Wexford, PA 15090
Phone (724) 933-5588

Interoperability endpoints

  • Direct secure messaging: dleale@slec.intellechartdirect.net

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

Hospital & facility affiliations 5

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": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1942769088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2591 WEXFORD BAYNE RD STE 104",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151438676",
            "telephone_number": "724-933-5588",
            "fax_number": "724-933-6051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2591 WEXFORD BAYNE RD STE 104",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151438676",
            "telephone_number": "724-933-5588",
            "fax_number": "724-933-6051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEALE",
        "first_name": "DEREK",
        "middle_name": "GRAYDON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-18",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD480402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewickley, PA

Sources for this page

Verify at the official NPI Registry.