DR. EFRAIN ACOSTA-LEON (MD) – Psychiatry Physician, NPI 1134559123

DR. EFRAIN ACOSTA-LEON (MD) is a healthcare provider. based in Atlantis, Florida. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. ME120361 (FL). The NPI Number for DR. EFRAIN ACOSTA-LEON (MD) is 1134559123

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. EFRAIN ACOSTA-LEON (MD)
NPI
1134559123
Phone
(561) 964-7511
Address
5503 S CONGRESS AVE
Enumeration Date
12 November 2013
Last Update Date
16 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5614685600
Graduation Year
2004 (22 years ago)
PAC ID
4981823036
Group Practice PAC ID
1153313218
Professional Enrollment ID
I20140922002812
Address ID
FL349814823FO4500XRDXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:12State licenses:1Digital endpointsOther names

1,953 PSYCHIATRY in FL

Provider Addresses for DR. EFRAIN ACOSTA-LEON (MD)

  • 5503 S CONGRESS AVE

    ATLANTIS, FL 334626625

    Phone: (561) 964-7511

    Fax: (561) 964-7544

    Type: Mailing

  • 2201 45TH ST

    WEST PALM BEACH, FL 334072047

    Phone: (561) 964-7511

    Fax: (561) 964-7544

    Type: Location

  • 555 S COLORADO AVE STE 111A

    STUART, FL 349943025

    Phone: (917) 513-6588

    Fax: (917) 900-1759

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 58 Open Payments records for all available years, with a total value of $1,563.

Total Amount is formed as General ($1,563) + Research ($0) + Ownership ($0) = $1,563.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($358).

Total Amount

$1,563

General + Research + Ownership

Payments

58

Total payment records

General Amount

$1,563

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

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: 2014-09-22

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
I20140922002812IPsychiatryFLTBD

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
99211Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional46981$0
99213Established patient office or other outpatient visit, 20-29 minutes5242$0
99215Established patient office or other outpatient visit, 40-54 minutes1818$0
View full utilization report →

Insurance plans in this area (ZIP 33462)

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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: 1153313218View full group profile

Reviews

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Frequently asked questions

What is DR. EFRAIN ACOSTA-LEON (MD)'s NPI number?
DR. EFRAIN ACOSTA-LEON (MD)'s NPI is 1134559123 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to DR. EFRAIN ACOSTA-LEON (MD)?
You should see DR. EFRAIN ACOSTA-LEON (MD) as active in CMS-hosted NPPES data.
What clinical focus is listed for DR. EFRAIN ACOSTA-LEON (MD)?
At a glance, DR. EFRAIN ACOSTA-LEON (MD) is tied to Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Is DR. EFRAIN ACOSTA-LEON (MD) associated with Atlantis?
Public fields place DR. EFRAIN ACOSTA-LEON (MD) around Atlantis, Florida. Always confirm the exact site before visiting.
Does DR. EFRAIN ACOSTA-LEON (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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