DR. DOUGLAS MICHAEL LEONE (M.D.) – Dermatology Physician, NPI 1255523296
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
703 DERMATOLOGY in IL
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Provider Addresses for DR. DOUGLAS MICHAEL LEONE (M.D.)
3024, East Empire Street, Bloomington, McLean County, Illinois, 61704, United States
STE E & F
BLOOMINGTON, IL 617045402
Phone: (309) 451-3376
Fax: (309) 452-3376
Type: Location
3302 Gerig Dr Ste 100
Bloomington, IL 617046343
Phone: (309) 533-7070
Fax: (855) 710-6552
Type: Location
2011 Rock St Ste C
Peru, IL 613541392
Phone: (815) 410-4555
Fax: (855) 710-6552
Type: Location
110 BUSINESS PARK DR STE C
BRANSON, MO 656167449
Phone: (417) 336-0033
Fax: (309) 452-3376
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 83 Open Payments records for all available years, with a total value of $2,294.
Total Amount is formed as General ($2,294) + Research ($0) + Ownership ($0) = $2,294.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: ABBVIE INC. ($936).
Total Amount
$2,294
General + Research + Ownership
Payments
83
Total payment records
General Amount
$2,294
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $936 |
| Sun Pharmaceutical Industries Inc. | $183 |
| Organogenesis Inc. | $183 |
| Janssen Biotech, Inc. | $134 |
| ConvaTec Inc. | $71 |
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: 2023-04-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20130618000631 | I | Micrographic Dermatologic Surgery (Mds) | IL | TBD |
| I20220926000866 | I | Dermatology | MO | TBD |
| I20230331001495 | I | Dermatology | FL | TBD |
| I20230428002672 | I | Dermatology | LA | 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 | 1,785 | 341 | $0 |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 703 | 456 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 596 | 455 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 572 | 480 | $0 |
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 429 | 324 | $0 |
Insurance plans in this area (ZIP 61704)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | IL | |
| P A T H O L O G Y | IL | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | MO | |
| Physician Assistant | IL | |
| Physician Assistant | IL | |
| Physician Assistant | IL |
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