DR. GLENN RALPH LEAVITT (DO) – Obstetrics & Gynecology Physician, NPI 1386644318
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
201 OBSTETRICS/GYNECOLOGY in ID
Provider Addresses for DR. GLENN RALPH LEAVITT (DO)
1550 ELK CRK
IDAHO FALLS, ID 834048322
Phone: (208) 529-5942
Fax: (208) 529-5951
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 33 Open Payments records for all available years, with a total value of $2,931.
Total Amount is formed as General ($759) + Research ($2,173) + Ownership ($0) = $2,931.
Last reported payment date: 2024-10-02 • Largest payer in this snapshot: SANOFI PASTEUR INC. ($2,173).
Total Amount
$2,931
General + Research + Ownership
Payments
33
Total payment records
General Amount
$759
General payments
Research Amount
$2,173
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SANOFI PASTEUR INC. | $2,173 |
| Caldera Medical, Inc | $317 |
| ABBVIE INC. | $200 |
| Astellas Pharma US Inc | $111 |
| Boston Scientific Corporation | $74 |
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: 2006-01-09
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 |
|---|---|---|---|---|
| I20060109000176 | I | Obstetrics/Gynecology | ID | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 31 | 24 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 24 | 19 | $0 |
| 76830 | Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina | 14 | 13 | $0 |
| 51715 | Injection of implant material beneath lining of bladder and/or urethra using an endoscope | 13 | 13 | $0 |
| 81002 | Urinalysis, manual test | 12 | 12 | $0 |
Insurance plans in this area (ZIP 83404)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | ID | |
| Physician Assistant | ID | |
| - | ID | |
| Physician Assistant | ID | |
| Physician Assistant | ID |
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