LESLIE II TOLLIVER (PA-C) – Surgical Physician Assistant, NPI 1679920565

LESLIE II TOLLIVER (PA-C) is a healthcare provider. based in Anchorage, Alaska. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for LESLIE II TOLLIVER (PA-C) is 1679920565

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
LESLIE II TOLLIVER (PA-C)
NPI
1679920565
Phone
(907) 351-8401
Address
2101 E 74TH AVE # 12C
Enumeration Date
20 May 2016
Last Update Date
15 September 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9077771850
Graduation Year
2016 (10 years ago)
PAC ID
3779865167
Group Practice PAC ID
0446653117
Professional Enrollment ID
I20170301001730
Address ID
AK995084642AN3801XDRXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness75
Years active:10State licenses:0Digital endpointsOther names

551 PHYSICIAN ASSISTANT in AK

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Provider Addresses for LESLIE II TOLLIVER (PA-C)

  • East 74th Avenue, Anchorage, Alaska, 99507, United States

    ANCHORAGE, AK 995072776

    Phone: (907) 351-8401

    Type: Mailing

  • 4100, Lake Otis Parkway, Rogers Park, Anchorage, Alaska, 99508, United States

    SUITE 206

    ANCHORAGE, AK 995085229

    Phone: (907) 929-7337

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $97.

Total Amount is formed as General ($97) + Research ($0) + Ownership ($0) = $97.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: PFIZER INC. ($51).

Total Amount

$97

General + Research + Ownership

Payments

6

Total payment records

General Amount

$97

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2017-03-01

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
I20170119001583IPhysician AssistantTXTBD
I20170301001730IPhysician AssistantAKTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes436261$0
99213Established patient office or other outpatient visit, 20-29 minutes243196$0
36415Insertion of needle into vein for collection of blood sample198127$0
80053Blood test, comprehensive group of blood chemicals12999$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count11192$0
View full utilization report →

Insurance plans in this area (ZIP 99507)

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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: 0446653117View full group profile
NameSpecialtyState
Family PracticeAK
Physician AssistantAK
Family PracticeAK
Family PracticeAK
Family PracticeAK
Family PracticeAK
Family PracticeAK
Physician AssistantID
Physician AssistantAK
Family Practice, General SurgeryAK

Reviews

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Frequently asked questions

What is the 10-digit NPI for LESLIE II TOLLIVER (PA-C)?
LESLIE II TOLLIVER (PA-C) — NPI 1679920565 — is the standard way to identify this listing.
Is LESLIE II TOLLIVER (PA-C) listed as active for patients and plans?
The listing shows LESLIE II TOLLIVER (PA-C) as active in the NPI system.
What is LESLIE II TOLLIVER (PA-C)'s specialty?
The listing groups LESLIE II TOLLIVER (PA-C) with Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
What area does LESLIE II TOLLIVER (PA-C) serve?
LESLIE II TOLLIVER (PA-C)'s listing highlights Anchorage, Alaska; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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