DR. ISAAC LEAKE III WORNOM – Plastic and Reconstructive Surgery Physician, NPI 1568407070
Plastic and Reconstructive Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
183 PLASTIC AND RECONSTRUCTIVE SURGERY in VA
Provider Addresses for DR. ISAAC LEAKE III WORNOM
14401 Sommerville Ct
Midlothian, VA 231136836
Phone: (804) 285-4115
Fax: (804) 673-6714
Type: Location
1630 WILKES RIDGE PKWY STE 201
RICHMOND, VA 232337460
Phone: (804) 285-4115
Fax: (804) 673-6714
Type: Location
Sommerville Court, Winterfield Park, Midlothian, Chesterfield County, Virginia, 23113, United States
MIDLOTHIAN, VA 231136836
Phone: (804) 285-4115
Fax: (804) 673-6714
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 20 Open Payments records for all available years, with a total value of $498.
Total Amount is formed as General ($498) + Research ($0) + Ownership ($0) = $498.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Mentor Worldwide LLC ($232).
Total Amount
$498
General + Research + Ownership
Payments
20
Total payment records
General Amount
$498
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Mentor Worldwide LLC | $232 |
| REVANCE THERAPEUTICS, INC. | $137 |
| Musculoskeletal Transplant Foundation Inc. | $78 |
| ABBVIE INC. | $35 |
| Medtronic, Inc. | $17 |
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: 2004-05-10
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 |
|---|---|---|---|---|
| I20040510001413 | I | Plastic And Reconstructive Surgery | VA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 89 | 64 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 51 | 51 | $0 |
| 12032 | Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm | 16 | 15 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 23113)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PLASTIC AND RECONSTRUCTIVE SURGERY | VA | 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 11 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Plastic And Reconstructive Surgery | VA | |
| Plastic And Reconstructive Surgery | VA | |
| Plastic And Reconstructive Surgery | VA | |
| Plastic And Reconstructive Surgery | VA |
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