Active NPI
Mark G Leitner, DPM
- Podiatrist
- Brandon, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO2569
- Practice address
- 206 Buckingham PL Ste 101
Brandon, FL 33511-4910 - Phone
- (813) 571-2977
- Fax
- (813) 654-9545
- NPI assigned
- Jul 20, 2005
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PO2569 | FL | Primary |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO2569 | FL |
Addresses
Primary practice location
206 Buckingham PL Ste 101
Brandon, FL 33511-4910
Mailing address
15815 Shaddock Dr Ste 130
Winter Garden, FL 34787-5773
Phone (407) 605-2321
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00415451 | Other | FL | RAILROAD MEDICARE |
| 202703 | Other | FL | AMERIGROUP |
| 10172301 | Other | FL | CITRUS |
| 864973 | Other | FL | UHC |
| 76166 | Other | FL | BEECHSTREET |
| PO2569 | Other | LICENSE NO | |
| 1006007 | Other | FL | HEALTHNET/CAREPLUS |
| 390319200 | Medicaid | FL | |
| 4961325 | Other | FL | CIGNA |
| 65462 | Other | FL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
206 Buckingham PL
Suite 101
Brandon, FL 33511-4910
Phone (844) 663-3769
Hospital & facility affiliations
- Pinnacle Home Care
- HCA Florida Brandon Hospital
- HCA Florida South Tampa Hospital
- Adventhealth Tampa
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.42 of 100
- Quality
- 66.04
- Promoting interoperability
- 87
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 160 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 335 |
| Removal or shaving of skin growth | 147 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark G Leitner DPM PA | Podiatrist | Current | Accepting new patients |
| Ankle & Foot Associates PA | Podiatrist | Past | Accepting new patients |
Locations
206 Buckingham Pl
Ste 101
Brandon, FL 33511
Phone (813) 571-2977
132 S Moon Ave
Brandon, FL 33511
Phone (813) 315-8950
Interoperability endpoints
- mark.leitner.2@29395.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Podiatrist
- Brandon, FL
- NPI 1376621888
-
- Podiatrist
- Winter Garden, FL
- NPI 1437207933
-
- Podiatrist
- Tampa, FL
- NPI 1417074196
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brandon, FL
- NPI 1669427258
-
- Home Health Agency
- Tampa, FL
- NPI 1437663465
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1053321919
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1871935072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776038400000",
"number": "1962401067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15815 SHADDOCK DR STE 130",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347875773",
"telephone_number": "407-605-2321",
"fax_number": "407-671-4155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 BUCKINGHAM PL STE 101",
"city": "BRANDON",
"state": "FL",
"postal_code": "335114910",
"telephone_number": "813-571-2977",
"fax_number": "813-654-9545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEITNER",
"first_name": "MARK",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-20",
"last_updated": "2026-04-13",
"certification_date": "2026-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "FL",
"license": "PO2569",
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PO2569",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00415451",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "202703",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CITRUS",
"identifier": "10172301",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "864973",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEECHSTREET",
"identifier": "76166",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NO",
"identifier": "PO2569",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET/CAREPLUS",
"identifier": "1006007",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "390319200",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "4961325",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "65462",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; 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.