MELANIE RAE LEEDY (OD) – Optometrist, NPI 1689234742

MELANIE RAE LEEDY (OD) is a healthcare provider. based in Woodland park, Colorado. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OPT.0003492 (CO). The NPI Number for MELANIE RAE LEEDY (OD) is 1689234742

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MELANIE RAE LEEDY (OD)
NPI
1689234742
Phone
(719) 641-5432
Address
203 S BOUNDARY ST
Enumeration Date
19 June 2019
Last Update Date
8 July 2024

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
3078563937
Graduation Year
2019 (7 years ago)
PAC ID
4385973387
Group Practice PAC ID
7416222781
Professional Enrollment ID
I20250204001849
Address ID
WY825014413RI400XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

851 OPTOMETRY in CO

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Provider Addresses for MELANIE RAE LEEDY (OD)

  • 203, South Boundary Street, Woodland Park, Teller County, Colorado, 80863, United States

    WOODLAND PARK, CO 808633105

    Phone: (719) 641-5432

    Type: Mailing

  • North Freeway, Pueblo, Pueblo County, Colorado, 81003, United States

    PUEBLO, CO 810082153

    Phone: (719) 207-8628

    Type: Location

  • 115 RED CANYON RD

    LANDER, WY 825209418

    Phone: (719) 641-5432

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-02-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20190916002884IOptometryCOTBD
I20200708001313IOptometryTXTBD
I20250204001849IOptometryWYTBD

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 minutes4444$0
99213Established patient office or other outpatient visit, 20-29 minutes3224$0
View full utilization report →

Insurance plans in this area (ZIP 80863)

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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: 7416222781View full group profile
NameSpecialtyState
O P T O M E T R YUT
-WY

Reviews

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Frequently asked questions

Where can patients find MELANIE RAE LEEDY (OD)'s NPI?
You can confirm MELANIE RAE LEEDY (OD) with NPI 1689234742; it appears in the national provider directory.
Does this profile mean MELANIE RAE LEEDY (OD) is currently active?
Yes — MELANIE RAE LEEDY (OD) appears active in the national provider directory.
What does MELANIE RAE LEEDY (OD) treat or focus on?
Patients typically see MELANIE RAE LEEDY (OD) under the specialty Optometrist. Clinical services aligned with this taxonomy classification.
Where is MELANIE RAE LEEDY (OD)'s primary listing?
We display Woodland Park, Colorado because that is what the record indicates for MELANIE RAE LEEDY (OD).
Is MELANIE RAE LEEDY (OD) a real provider?
This page reflects official NPPES data for NPI 1689234742. Always confirm identity and privileges with the practice and licensing boards.

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