DR. LEROY O. JESKE (D.O.) – Family Medicine Physician, NPI 1205839446

DR. LEROY O. JESKE (D.O.) is a healthcare provider. based in Broken arrow, Oklahoma. specializing in Family Medicine Physician. They hold the professional credentials D.O.. They hold a License No. 1832 (OK). The NPI Number for DR. LEROY O. JESKE (D.O.) is 1205839446

Main info

Male
50 Years Of Experience
Accepts Medicare Assignment
Name
DR. LEROY O. JESKE (D.O.)
NPI
1205839446
Phone
(918) 455-7777
Address
3100 S ELM PL
Enumeration Date
23 May 2005
Last Update Date
15 September 2022

Doctor Profile

Medical School Name
KANSAS CITY COLLEGE OF MEDICINE AND SURGERY
Secondary Phone
9184557777
Graduation Year
1976 (50 years ago)
PAC ID
4385623081
Group Practice PAC ID
2769675446
Professional Enrollment ID
I20101026001518
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:21State licenses:1Digital endpointsOther names

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Provider Addresses for DR. LEROY O. JESKE (D.O.)

  • South Elm Place, Broken Arrow, Tulsa County, Oklahoma, 74102, United States

    STE A

    BROKEN ARROW, OK 740127950

    Phone: (918) 455-7777

    Fax: (918) 455-8105

    Type: Mailing

  • 6600 S YALE AVE STE 1400

    TULSA, OK 741363331

    Phone: (888) 247-0125

    Fax: (918) 502-8210

    Type: Mailing

  • 3100 S ELM PL STE A

    BROKEN ARROW, OK 740127950

    Phone: (918) 455-7777

    Fax: (918) 455-8105

    Type: Location

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 74012)

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Provider's Procedures

DR. LEROY O. JESKE (D.O.) performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEOK83036Hemoglobin A1C level287152
FAMILY MEDICINEOK90670Pneumococcal vaccine for injection into muscle121120

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: 2769675446View full group profile
NameSpecialtyState
DR. BRYAN L. DALTON (D.O.)
-OK
DR. DANIEL K. WOOSTER (DO)
-OK

Reviews

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Frequently asked questions

What federal number belongs to DR. LEROY O. JESKE (D.O.)?
The federal identifier for DR. LEROY O. JESKE (D.O.) is NPI 1205839446.
Is DR. LEROY O. JESKE (D.O.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DR. LEROY O. JESKE (D.O.)'s specialty in plain language?
Clinically, the directory lists DR. LEROY O. JESKE (D.O.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. LEROY O. JESKE (D.O.)?
The page summarizes Broken Arrow, Oklahoma for DR. LEROY O. JESKE (D.O.); expand the address list for detail.
Is DR. LEROY O. JESKE (D.O.) a real provider?
This page reflects official NPPES data for NPI 1205839446. Always confirm identity and privileges with the practice and licensing boards.

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