LEON A DRISS (MD) – Internal Medicine Physician, NPI 1669445706

LEON A DRISS (MD) is a healthcare provider. based in Lakeside, Arizona. specializing in INTERNAL MEDICINE, GERIATRIC MEDICINE, HOSPICE/PALLIATIVE CARE. They hold the professional credentials MD. They hold a License No. 12761 (AZ). The NPI Number for LEON A DRISS (MD) is 1669445706

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
LEON A DRISS (MD)
NPI
1669445706
Phone
(928) 367-1077
Address
PO BOX 888
Enumeration Date
9 February 2006
Last Update Date
18 June 2024

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF WISCONSIN
Secondary Phone
9283671077
Graduation Year
1980 (46 years ago)
PAC ID
4385531516
Group Practice PAC ID
2860481033
Professional Enrollment ID
I20051103000015
Address ID
AZ859297014LA300XXBLVD501
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,585 INTERNAL MEDICINE in AZ

Provider Addresses for LEON A DRISS (MD)

  • PO BOX 888

    LAKESIDE, AZ 859290888

    Phone: (928) 367-1077

    Fax: (928) 367-1027

    Type: Mailing

  • 5300 S SUTTER DR STE 12

    SHOW LOW, AZ 859018055

    Phone: (928) 251-2541

    Fax: (833) 450-5183

    Type: Mailing

  • 5300 S SUTTER DR STE A

    SHOW LOW, AZ 859018054

    Phone: (928) 251-4244

    Fax: (833) 539-1739

    Type: Mailing

  • West White Mountain Boulevard, Lakeside, Pinetop-Lakeside, Navajo County, Arizona, 85929, United States

    SUITE A

    LAKESIDE, AZ 859297014

    Phone: (928) 367-1077

    Fax: (928) 367-1027

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 62 Open Payments records for all available years, with a total value of $1,874.

Total Amount is formed as General ($1,874) + Research ($0) + Ownership ($0) = $1,874.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Sekisui Diagnostics, LLC ($750).

Total Amount

$1,874

General + Research + Ownership

Payments

62

Total payment records

General Amount

$1,874

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

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: 2005-11-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20051103000015IInternal MedicineAZTBD

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 minutes957406$0
82962Blood glucose (sugar) test performed by hand-held instrument528196$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month35753$0
99215Established patient office or other outpatient visit, 40-54 minutes284167$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes261130$0
View full utilization report →

Insurance plans in this area (ZIP 85929)

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Provider's Procedures

LEON A DRISS (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEAZ85610Blood test, clotting time25742
INTERNAL MEDICINEAZ90670Pneumococcal vaccine for injection into muscle8686

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: 2860481033View full group profile
NameSpecialtyState
Nurse PractitionerAZ

Reviews

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Frequently asked questions

Where can patients find LEON A DRISS (MD)'s NPI?
You can confirm LEON A DRISS (MD) with NPI 1669445706; it appears in the national provider directory.
Does this profile mean LEON A DRISS (MD) is currently active?
Yes — LEON A DRISS (MD) appears active in the national provider directory.
What field does LEON A DRISS (MD) work in?
You can think of LEON A DRISS (MD) as practicing within Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for LEON A DRISS (MD)?
The page summarizes Lakeside, Arizona for LEON A DRISS (MD); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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