DR. LEONARDO C PROFENNA (MD) – Undersea and Hyperbaric Medicine (Preventive Medicine) Physician, NPI 1801880869

DR. LEONARDO C PROFENNA (MD) is a healthcare provider. based in Floresville, Texas. specializing in Undersea and Hyperbaric Medicine (Preventive Medicine) Physician. They hold the professional credentials MD. They hold a License No. P2157 (TX). The NPI Number for DR. LEONARDO C PROFENNA (MD) is 1801880869

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. LEONARDO C PROFENNA (MD)
NPI
1801880869
Phone
(830) 393-1730
Address
497 10TH ST STE 104
Enumeration Date
7 September 2005
Last Update Date
10 May 2022

Doctor Profile

Medical School Name
CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Secondary Phone
8303931300
Graduation Year
1991 (35 years ago)
PAC ID
8426294497
Group Practice PAC ID
6204878606
Professional Enrollment ID
I20130913000387
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. LEONARDO C PROFENNA (MD)

  • 10th Street, Floresville, Wilson County, Texas, United States

    FLORESVILLE, TX 781143178

    Phone: (830) 393-1730

    Fax: (830) 393-1739

    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 3 Open Payments records for all available years, with a total value of $49.

Total Amount is formed as General ($49) + Research ($0) + Ownership ($0) = $49.

Last reported payment date: 2023-12-20 • Largest payer in this snapshot: Medline Industries LP ($32).

Total Amount

$49

General + Research + Ownership

Payments

3

Total payment records

General Amount

$49

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-20

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: 2013-09-13

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
I20130913000387IUndersea And Hyperbaric MedicineTXTBD

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 minutes8328$0
View full utilization report →

Insurance plans in this area (ZIP 78114)

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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: 6204878606View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YCA
Nurse PractitionerTX
Family PracticeTX
Cardiovascular Disease (Cardiology)TX
O T O L A R Y N G O L O G YTX
Nurse PractitionerTX
Family PracticeTX
Family PracticeTX
Family PracticeTX
-TX

Reviews

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Frequently asked questions

Is there an official ID for DR. LEONARDO C PROFENNA (MD) in U.S. healthcare records?
The official identifier for DR. LEONARDO C PROFENNA (MD) is NPI 1801880869.
Is DR. LEONARDO C PROFENNA (MD) still an active registrant?
DR. LEONARDO C PROFENNA (MD) carries an active NPI according to the public dataset.
What kind of doctor is DR. LEONARDO C PROFENNA (MD)?
DR. LEONARDO C PROFENNA (MD) is associated with Undersea and Hyperbaric Medicine (Preventive Medicine) Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DR. LEONARDO C PROFENNA (MD) associated with Floresville?
Public fields place DR. LEONARDO C PROFENNA (MD) around Floresville, Texas. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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