STEPHEN A LEONARDO (PA-C) – Medical Physician Assistant, NPI 1366447641

STEPHEN A LEONARDO (PA-C) is a healthcare provider. based in Portland, Oregon. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA00900 (OR). The NPI Number for STEPHEN A LEONARDO (PA-C) is 1366447641

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
STEPHEN A LEONARDO (PA-C)
NPI
1366447641
Phone
(503) 228-4414
Address
11790 SW BARNES RD STE 330
Enumeration Date
14 June 2005
Last Update Date
23 July 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5033384500
Graduation Year
2003 (23 years ago)
PAC ID
6002905742
Group Practice PAC ID
5294643359
Professional Enrollment ID
I20071204000460
Address ID
OR971467308WA1639XLNXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,876 PHYSICIAN ASSISTANT in OR

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Provider Addresses for STEPHEN A LEONARDO (PA-C)

  • Southwest Barnes Road, Sylvan-Highlands, Portland, Metro, Multnomah County, Oregon, 97210, United States

    PORTLAND, OR 972255935

    Phone: (503) 228-4414

    Fax: (503) 228-7293

    Type: Mailing

  • 302, Exchange Street, Doughboy, Astoria, Clatsop County, Oregon, 97103, United States

    ASTORIA, OR 971033364

    Phone: (503) 338-2993

    Fax: (503) 338-2996

    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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-12-04

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
I20071204000460IPhysician AssistantORTBD

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 97225)

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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: 5294643359View full group profile
NameSpecialtyState
Nurse PractitionerAZ
Orthopedic SurgeryIA
Pulmonary DiseaseOR
-OR
Nurse PractitionerOR
Certified Registered Nurse Anesthetist (Crna)MO
Emergency MedicineWA
O B S T E T R I C S/ G Y N E C O L O G YWA
Diagnostic RadiologyME
-CO

Reviews

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Frequently asked questions

What identifier follows STEPHEN A LEONARDO (PA-C) across health systems?
The NPI 1366447641 uniquely identifies STEPHEN A LEONARDO (PA-C) in U.S. healthcare data.
Should I treat STEPHEN A LEONARDO (PA-C) as an active provider?
Patients and plans typically see STEPHEN A LEONARDO (PA-C) as active in the national extract.
What type of care does STEPHEN A LEONARDO (PA-C) provide?
STEPHEN A LEONARDO (PA-C)'s profile centers on Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to STEPHEN A LEONARDO (PA-C)?
STEPHEN A LEONARDO (PA-C) shows a connection to Portland, Oregon in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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