DR. LEONARD G III QUALLICH (MD) – Gastroenterology Physician, NPI 1093797326
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
648 GASTROENTEROLOGY in MI
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Provider Addresses for DR. LEONARD G III QUALLICH (MD)
UnaSource Health, 4600, Investment Drive, Troy, Oakland County, Michigan, 48098, United States
STE 380
TROY, MI 48098
Phone: (248) 267-5025
Fax: (248) 267-5026
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 11 Open Payments records for all available years, with a total value of $233.
Total Amount is formed as General ($233) + Research ($0) + Ownership ($0) = $233.
Last reported payment date: 2024-10-16 • Largest payer in this snapshot: ABBVIE INC. ($158).
Total Amount
$233
General + Research + Ownership
Payments
11
Total payment records
General Amount
$233
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $158 |
| Mauna Kea Technologies, Inc. | $32 |
| Celgene Corporation | $24 |
| Sandoz Inc. | $19 |
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: 2004-12-22
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 |
|---|---|---|---|---|
| I20041222000354 | I | Gastroenterology | MI | 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 |
|---|---|---|---|---|
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 168 | 168 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 136 | 120 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 125 | 115 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 117 | 102 | $0 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 36 | 36 | $0 |
Insurance plans in this area (ZIP 48098)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | MI | 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 32 | 31 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| G A S T R O E N T E R O L O G Y | MI | |
| P A T H O L O G Y | MI | |
| G A S T R O E N T E R O L O G Y | IN | |
| Gastroenterology, Internal Medicine | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Gastroenterology, Internal Medicine | MI | |
| G A S T R O E N T E R O L O G Y | MI | |
| Nurse Practitioner | MI | |
| G A S T R O E N T E R O L O G Y | MI |
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