MR. JAN F LEITAO-PINA (MD) – General Practice Physician, NPI 1063414266

MR. JAN F LEITAO-PINA (MD) is a healthcare provider. based in Worcester, Massachusetts. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 79217 (MA). The NPI Number for MR. JAN F LEITAO-PINA (MD) is 1063414266

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
MR. JAN F LEITAO-PINA (MD)
NPI
1063414266
Phone
(508) 853-8700
Address
21 EASTERN AVE
Enumeration Date
1 June 2005
Last Update Date
30 March 2026

Doctor Profile

Medical School Name
UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Secondary Phone
5088560458
Graduation Year
1992 (34 years ago)
PAC ID
5193613826
Group Practice PAC ID
8921056276
Professional Enrollment ID
I20040305000295
Address ID
MA016053154WO102XXDRXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:21State licenses:1Digital endpointsOther names

7,722 INTERNAL MEDICINE in MA

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Provider Addresses for MR. JAN F LEITAO-PINA (MD)

  • 21, Eastern Avenue, Webster, Worcester County, Massachusetts, 01570, United States

    WORCESTER, MA 016053094

    Phone: (508) 853-8700

    Fax: (508) 853-8733

    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)

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: 2004-03-05

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
I20040305000295IInternal MedicineMATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes265116$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit9393$0
99213Established patient office or other outpatient visit, 20-29 minutes5747$0
99215Established patient office or other outpatient visit, 40-54 minutes1917$0
View full utilization report →

Insurance plans in this area (ZIP 01605)

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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: 8921056276View full group profile
NameSpecialtyState
E N D O C R I N O L O G YMA
P A T H O L O G YMA
-MA
A N E S T H E S I O L O G YMA
Cardiac SurgeryMA
Internal Medicine, Geriatric MedicineMA
H E M A T O L O G Y/ O N C O L O G YMA
Interventional Cardiology, Cardiovascular Disease (Cardiology)MA
U R O L O G YMA
-MA

Reviews

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Frequently asked questions

Does MR. JAN F LEITAO-PINA (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MR. JAN F LEITAO-PINA (MD) uses 1063414266.
Is MR. JAN F LEITAO-PINA (MD) still practicing?
MR. JAN F LEITAO-PINA (MD) is currently listed as active in the public NPI registry.
What taxonomy line describes MR. JAN F LEITAO-PINA (MD)?
For research purposes, treat MR. JAN F LEITAO-PINA (MD) as General Practice Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is MR. JAN F LEITAO-PINA (MD) based?
MR. JAN F LEITAO-PINA (MD) is tied to Worcester, Massachusetts in the data we show; additional addresses may exist on the full record.
Why does MR. JAN F LEITAO-PINA (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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