JENNIFER L LEATHE (MD) – Pediatrics Physician, NPI 1093773608

JENNIFER L LEATHE (MD) is a healthcare provider. based in Beverly, Massachusetts. specializing in PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. 154089 (MA). The NPI Number for JENNIFER L LEATHE (MD) is 1093773608

Main info

Female
36 Years Of Experience
Name
JENNIFER L LEATHE (MD)
NPI
1093773608
Phone
(978) 745-3050
Address
30 TOZER RD STE 101
Enumeration Date
3 May 2006
Last Update Date
2 March 2026

Doctor Profile

Medical School Name
NEW YORK MEDICAL COLLEGE
Secondary Phone
9787453050
Graduation Year
1990 (36 years ago)
PAC ID
9830558857
Group Practice PAC ID
4284648270
Professional Enrollment ID
I20250225000383
Address ID
MA019155510BE30XXXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

1,245 PEDIATRIC MEDICINE in MA

Provider Addresses for JENNIFER L LEATHE (MD)

  • 30 TOZER RD STE 101

    BEVERLY, MA 019155514

    Phone: (978) 745-3050

    Fax: (978) 745-7014

    Type: Location

  • 900 Cummings Center, Cummings Center, Rial Side, Beverly, Essex County, Massachusetts, 01915-4202, United States

    SUITE 113T

    BEVERLY, MA 01915

    Phone: (978) 777-3877

    Fax: (978) 774-7510

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $175.

Total Amount is formed as General ($175) + Research ($0) + Ownership ($0) = $175.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: IRONSHORE PHARMACEUTICALS INC. ($62).

Total Amount

$175

General + Research + Ownership

Payments

9

Total payment records

General Amount

$175

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

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: 2025-02-25

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
I20250225000383IPediatric 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01915)

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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: 4284648270View full group profile
NameSpecialtyState
Pediatric MedicineMA
Pediatric MedicineMA
Pediatric MedicineMA
Pediatric MedicineMA
Nurse PractitionerMA
Rheumatology, Pediatric MedicineMA
Certified Clinical Nurse Specialist (Cns)MA
Pediatric MedicineMA
Pediatric MedicineMA
Pediatric MedicineMA

Reviews

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Frequently asked questions

How do payers reference JENNIFER L LEATHE (MD)?
For JENNIFER L LEATHE (MD), use NPI 1093773608 as the unique 10-digit identifier.
Would JENNIFER L LEATHE (MD) appear as active to a payer?
You can treat JENNIFER L LEATHE (MD) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for JENNIFER L LEATHE (MD)?
At a glance, JENNIFER L LEATHE (MD) is tied to Pediatrics Physician. Clinical services aligned with this taxonomy classification.
Where in Massachusetts is JENNIFER L LEATHE (MD) registered?
Use Beverly, Massachusetts as the headline location for JENNIFER L LEATHE (MD) here.
Does JENNIFER L LEATHE (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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