DEIRDRE LEAKE (MD) – Facial Plastic Surgery Physician, NPI 1073617585
Facial Plastic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
732 OTOLARYNGOLOGY in FL
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Provider Addresses for DEIRDRE LEAKE (MD)
15280 NW 79TH CT STE 200
MIAMI LAKES, FL 330165873
Phone: (305) 558-3724
Fax: (786) 907-4485
Type: Mailing
3, San Bartola Drive, Bailey Plaza, St. Augustine South, Saint Johns County, Florida, 32086, United States
ST AUGUSTINE, FL 320865767
Phone: (904) 823-8823
Fax: (904) 808-8587
Type: Mailing
Tree Boulevard, St. Augustine, St. Johns County, Florida, 32084, United States
SUITE 10
ST AUGUSTINE, FL 320845715
Phone: (904) 810-5434
Fax: (904) 810-5282
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $493.
Total Amount is formed as General ($493) + Research ($0) + Ownership ($0) = $493.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: ABBVIE INC. ($355).
Total Amount
$493
General + Research + Ownership
Payments
21
Total payment records
General Amount
$493
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2005-09-14
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050914000082 | I | Otolaryngology | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 2,743 | 294 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 576 | 327 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 419 | 222 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 403 | 232 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 153 | 115 | $0 |
Insurance plans in this area (ZIP 33016)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OTOLARYNGOLOGY | FL | 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 12 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| O T O L A R Y N G O L O G Y | FL | |
| O T O L A R Y N G O L O G Y | FL | |
| Qualified Audiologist | FL | |
| O T O L A R Y N G O L O G Y | FL | |
| Qualified Audiologist | FL | |
| O T O L A R Y N G O L O G Y | FL | |
| Qualified Audiologist | FL | |
| Qualified Audiologist | FL | |
| O T O L A R Y N G O L O G Y | FL |
Reviews
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