Active NPI
Robert S Leak, MD
- Orthopaedic Hand Surgery Physician
- Myrtle Beach, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Hand Surgery Physician
- License
- 23258
- Practice address
- 210 Village Center Blvd
Suite 200
Myrtle Beach, SC 29579-6683 - Phone
- (843) 236-3222
- Fax
- (843) 236-3005
- NPI assigned
- Apr 22, 2006
- 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 |
|---|---|---|---|---|
| Orthopaedic Hand Surgery Physician | 207XS0106X | 23258 | SC | Primary |
| Orthopaedic Surgery Physician | 207X00000X | 23258 | SC |
Addresses
Primary practice location
210 Village Center Blvd
Suite 200
Myrtle Beach, SC 29579-6683
Mailing address
210 Village Center Blvd
Suite 200
Myrtle Beach, SC 29579-6683
Phone (843) 236-3222
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8906243 | Medicaid | NC | |
| T74602 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- 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
- Hand Surgery
- Education
- University of Oklahoma College of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
210 Village Ctr Blvd
Suite 200
Myrtle Beach, SC 29579-6706
Phone (843) 353-3460
Hospital & facility affiliations
- Grand Strand Regional Medical Center
- McLeod Loris Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.45 of 100
- Promoting interoperability
- 97
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23258 | SC | MD | Orthopaedic Hand Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthosc, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Orthosc, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Carolina Bone & Joint Surgery Center | Orthopaedic Surgery | Current | Accepting new patients |
| Orthosc, LLC | Orthopaedic Surgery | Past | Accepting new patients |
Locations
2376 Cypress Cir
Ste 300
Conway, SC 29526
Phone (843) 347-7222
210 Village Center Blvd
Ste 200
Myrtle Beach, SC 29579
Phone (843) 236-3222
Interoperability endpoints
- rleak27418@directmcleodehealth.org
- https://api.platform.athenahealth.com/17161/brand/1/csg/1/fhir/r4
- robert.leak.1@17161.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Murrells Inlet, SC
- NPI 1861902728
-
- Ambulatory Surgical Clinic/Center
- Myrtle Beach, SC
- NPI 1316924632
Orthopaedic Surgery
-
- Orthopaedic Surgery Physician
- Conway, SC
- NPI 1275369787
-
- Orthopaedic Surgery Physician
- North Myrtle Beach, SC
- NPI 1568100691
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Myrlte Beach, SC
- NPI 1083668669
-
- General Acute Care Hospital
- Loris, SC
- NPI 1306123344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408924800000",
"number": "1962468587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 VILLAGE CENTER BLVD",
"address_2": "SUITE 200",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295796683",
"telephone_number": "843-236-3222",
"fax_number": "843-236-3005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 VILLAGE CENTER BLVD",
"address_2": "SUITE 200",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295796683",
"telephone_number": "843-236-3222",
"fax_number": "843-236-3005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEAK",
"first_name": "ROBERT",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-22",
"last_updated": "2014-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "SC",
"license": "23258",
"primary": true
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "SC",
"license": "23258",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8906243",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "T74602",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; 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.