Mark Stanton Leslie, MD
Individual provider Active NPI Orthopaedic Hand Surgery Physician · Traverse City, MI
NPI 1992701460 · NPPES record last updated Oct 22, 2020
Key facts
- NPI
- 1992701460
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Hand Surgery Physician 207XS0106X
- License
- 4301044780 (MI)
- Practice address
- 701 W Front St
Suite 100
Traverse City, MI 49684-2287 - Phone
- (231) 935-0800
- NPI assigned
- Jun 21, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Orthopedic Surgery
- Education
- Wayne State University School of Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hand Surgery of Northern Michigan PLC
Practice addresses (Care Compare)
701 W Front St
Suite 100
Traverse City, MI 49684-2287
Phone (231) 935-0800
Hospital & facility affiliations
- Munson Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 18 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of nail tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060217000365 | MI | Practitioner - Orthopedic Surgery |
8527058841 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hand Surgery of Northern Michigan PLC | Hand Surgery | Current |
Accepting new patients |
| Hand Surgery of Northern Michigan PLC | Hand Surgery | Current |
Accepting new patients |
| Jay H Jones MD PC | Past | Accepting new patients | |
| Hand Surgery of Northern Michigan PLC | Past | Accepting new patients |
Locations
701 Third St
Traverse City, MI 49684
Phone (231) 935-0733
701 W Front St
Ste 100
Traverse City, MI 49684
Phone (231) 935-0800
Interoperability endpoints
- mark.leslie@hsnmi.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Hand Surgery Physician | 207XS0106X | 4301044780 | MI | Yes |
Addresses
Primary practice location
701 W Front St
Suite 100
Traverse City, MI 49684-2287
Mailing address
701 W Front St
Suite 100
Traverse City, MI 49684-2287
Phone (231) 935-0800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4212833 | Medicaid | MI | |
| 0B81023 | Other | MI | BCBSM |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mark.leslie@hsnmi.eclinicalworksdirectplus.com |
Other providers in Traverse City, MI
- Lori Ann Lemonnier
- Rebecca Lentz
- Joe Brian Leppek
- Eric Lerche
- Donald Anthony Leright
- Darryl F Lesoski
- Joseph G Lessard
- Lucy Ava Lessner
- Amy Letizio
- Saule Maria Letizio
All providers in Traverse City, MI · Orthopaedic Hand Surgery Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.