JOHN GERARD JR. DELEONIBUS (PA-C) – Surgical Physician Assistant, NPI 1669034310

JOHN GERARD JR. DELEONIBUS (PA-C) is a healthcare provider. based in Davidsonville, Maryland. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA14181 (TX). The NPI Number for JOHN GERARD JR. DELEONIBUS (PA-C) is 1669034310

Main info

Male
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
JOHN GERARD JR. DELEONIBUS (PA-C)
NPI
1669034310
Phone
(443) 758-6090
Address
735 INTREPID WAY
Enumeration Date
2 July 2019
Last Update Date
30 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4062382500
Graduation Year
2019 (7 years ago)
PAC ID
7911310230
Group Practice PAC ID
6002993516
Professional Enrollment ID
I20250320001462
Address ID
MT591010703BI2800XNXXX401

Contacts

Main Contact
unknown
Main Contact
unkown
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Other namesUpdated within 12 months

13,243 PHYSICIAN ASSISTANT in NY

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Provider Addresses for JOHN GERARD JR. DELEONIBUS (PA-C)

  • 735 INTREPID WAY

    DAVIDSONVILLE, MD 210351305

    Phone: (443) 758-6090

    Type: Mailing

  • Montefiore Medical Center West Campus Moses Division Hospital, 111, East 210th Street, The Bronx, Bronx County, New York, 10467, United States

    BRONX, NY 104672401

    Phone: (718) 920-4321

    Type: Location

  • 2800 S TEXAS AVE STE 102

    BRYAN, TX 778025361

    Phone: (443) 758-6090

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $23.

Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.

Last reported payment date: 2024-01-18 • Largest payer in this snapshot: Boston Scientific Corporation ($23).

Total Amount

$23

General + Research + Ownership

Payments

1

Total payment records

General Amount

$23

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-18

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2025-03-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20210106000546IPhysician AssistantTXTBD
I20250320001462IPhysician AssistantMTTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes15982$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes8584$0
99238Hospital discharge day management, 30 minutes or less4444$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 21035)

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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: 6002993516View full group profile
NameSpecialtyState
Physician AssistantMT
Certified Registered Nurse Anesthetist (Crna)AL
General PracticeWA
-OH
Physician AssistantMT
Nurse PractitionerID
Physician AssistantMT
Diagnostic RadiologyMT
Certified Registered Nurse Anesthetist (Crna)MT
-MT

Reviews

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Frequently asked questions

What identifier follows JOHN GERARD JR. DELEONIBUS (PA-C) across health systems?
The NPI 1669034310 uniquely identifies JOHN GERARD JR. DELEONIBUS (PA-C) in U.S. healthcare data.
Is JOHN GERARD JR. DELEONIBUS (PA-C)'s NPI status active today?
Active status means JOHN GERARD JR. DELEONIBUS (PA-C)'s NPI record is not deactivated in the public file.
Which specialty label fits JOHN GERARD JR. DELEONIBUS (PA-C)?
NPPES ties JOHN GERARD JR. DELEONIBUS (PA-C) to Surgical Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is JOHN GERARD JR. DELEONIBUS (PA-C) tied to Davidsonville, Maryland?
If you are local to Davidsonville, Maryland, JOHN GERARD JR. DELEONIBUS (PA-C) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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