DR. LEO ALFRED III CARNEY (DO) – Family Medicine Physician, NPI 1811972706
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,174 FAMILY PRACTICE in VA
Provider Addresses for DR. LEO ALFRED III CARNEY (DO)
Lillian Highway, West Pensacola, Escambia County, Florida, 32506, United States
FAMILY MEDCINE DEPARTMENT
PENSACOLA, FL 325120001
Phone: (850) 505-6601
Type: Mailing
42010 Village Center Plz Ste 100
Stone Ridge, VA 201053036
Phone: (703) 775-4999
Type: Location
824 S DIAMOND ST
NAMPA, ID 836865960
Phone: (208) 606-0396
Type: Location
42010 VILLAGE CENTER PLZ STE 100
STONE RIDGE, VA 201053036
Phone: (703) 775-4999
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: 2025-08-29
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230403002324 | I | Osteopathic Manipulative Medicine | VA | TBD |
| I20230707000638 | I | Family Practice | ID | TBD |
| I20250829001518 | I | Family Practice | DC | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32512)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | ID | |
| Clinical Social Worker | ID | |
| Physician Assistant | ID |
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