STEPHANIE ANN MCLEISH (M.D.) – Dermatology Physician, NPI 1104850460

STEPHANIE ANN MCLEISH (M.D.) is a healthcare provider. based in Anchorage, Alaska. specializing in Dermatology Physician. They hold the professional credentials M.D.. They hold a License No. 119435 (AK). The NPI Number for STEPHANIE ANN MCLEISH (M.D.) is 1104850460

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE ANN MCLEISH (M.D.)
NPI
1104850460
Phone
(907) 646-8500
Address
3841 PIPER ST STE T4-020
Enumeration Date
10 July 2006
Last Update Date
13 August 2019

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Secondary Phone
9076468500
Graduation Year
1997 (29 years ago)
PAC ID
1254317985
Group Practice PAC ID
1153609813
Professional Enrollment ID
I20170915001426
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for STEPHANIE ANN MCLEISH (M.D.)

  • 3841 PIPER ST STE T4-020

    ANCHORAGE, AK 995084673

    Phone: (907) 646-8500

    Type: Location

  • 2440, East Tudor Road, Anchorage, Alaska, 99507, United States

    ANCHORAGE, AK 995071185

    Phone: (830) 730-0680

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 93 Open Payments records for all available years, with a total value of $2,261.

Total Amount is formed as General ($2,261) + Research ($0) + Ownership ($0) = $2,261.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: ABBVIE INC. ($583).

Total Amount

$2,261

General + Research + Ownership

Payments

93

Total payment records

General Amount

$2,261

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-10-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170915001426IDermatologyAKTBD
I20231003003793IDermatologyAZTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes1,041957$0
17003Destruction of precancer skin growth, 2-14 growths696222$0
17000Destruction of precancer skin growth, 1 growth380363$0
11102Biopsy of related skin growth, first growth317305$0
17110Destruction of skin growth, 1-14 growths266253$0
View full utilization report →

Insurance plans in this area (ZIP 99508)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153609813View full group profile
NameSpecialtyState
D E R M A T O L O G YOR
Physician AssistantNV
Physician AssistantID
D E R M A T O L O G YNV
-ID
D E R M A T O L O G YOH
Physician AssistantTX
Physician AssistantOR
Physician AssistantOR
Physician AssistantWA

Reviews

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Frequently asked questions

How do payers reference STEPHANIE ANN MCLEISH (M.D.)?
For STEPHANIE ANN MCLEISH (M.D.), use NPI 1104850460 as the unique 10-digit identifier.
Is STEPHANIE ANN MCLEISH (M.D.) still an active registrant?
STEPHANIE ANN MCLEISH (M.D.) carries an active NPI according to the public dataset.
What area of care is associated with STEPHANIE ANN MCLEISH (M.D.)?
STEPHANIE ANN MCLEISH (M.D.)'s record emphasizes Dermatology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for STEPHANIE ANN MCLEISH (M.D.)?
Travel planning: use Anchorage, Alaska as the reference point for STEPHANIE ANN MCLEISH (M.D.), then confirm.
Does STEPHANIE ANN MCLEISH (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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