DR. KELLY LEAF (MD) – Emergency Medicine Physician, NPI 1023071016

DR. KELLY LEAF (MD) is a healthcare provider. based in Gresham, Oregon. specializing in EMERGENCY MEDICINE, FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. MD22901 (OR). The NPI Number for DR. KELLY LEAF (MD) is 1023071016

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. KELLY LEAF (MD)
NPI
1023071016
Phone
(503) 674-1122
Address
24800 SE STARK ST
Enumeration Date
10 April 2006
Last Update Date
3 November 2015

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5038489110
Graduation Year
1997 (29 years ago)
PAC ID
9234199829
Professional Enrollment ID
I20041018000936
Address ID
OR970034411BE17600STXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

827 EMERGENCY MEDICINE in OR

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Provider Addresses for DR. KELLY LEAF (MD)

  • Legacy Mount Hood Medical Center, 24800, Southeast Stark Street, Gresham, Metro, Multnomah County, Oregon, 97030, United States

    EMERGENCY DEPARTMENT

    GRESHAM, OR 970303378

    Phone: (503) 674-1122

    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: 2004-10-18

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
I20041018000936IEmergency MedicineORTBD

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 minutes19240$0
81003Automated urinalysis test3414$0
36415Insertion of needle into vein for collection of blood sample3113$0
99204New patient office or other outpatient visit, 45-59 minutes2727$0
View full utilization report →

Insurance plans in this area (ZIP 97030)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. KELLY LEAF (MD)?
DR. KELLY LEAF (MD) — NPI 1023071016 — is the standard way to identify this listing.
Is DR. KELLY LEAF (MD) still practicing?
DR. KELLY LEAF (MD) is currently listed as active in the public NPI registry.
What healthcare role does DR. KELLY LEAF (MD) hold?
Scheduling teams often label DR. KELLY LEAF (MD) under Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does DR. KELLY LEAF (MD) serve?
DR. KELLY LEAF (MD)'s listing highlights Gresham, Oregon; more addresses can appear in NPPES.
Is the information about DR. KELLY LEAF (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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