DR. LEONARD EDWARD PHILO (M.D.) – Gastroenterology Physician, NPI 1396893699

DR. LEONARD EDWARD PHILO (M.D.) is a healthcare provider. based in Liberty lake, Washington. specializing in GASTROENTEROLOGY. They hold the professional credentials M.D.. They hold a License No. 0101236912 (VA). The NPI Number for DR. LEONARD EDWARD PHILO (M.D.) is 1396893699

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. LEONARD EDWARD PHILO (M.D.)
NPI
1396893699
Phone
(866) 747-2455
Address
PO BOX 32
Enumeration Date
5 January 2007
Last Update Date
9 November 2021

Doctor Profile

Medical School Name
UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Secondary Phone
2535032547
Graduation Year
2003 (23 years ago)
PAC ID
5193016194
Group Practice PAC ID
6204194848
Professional Enrollment ID
I20210303001722
Address ID
WA984052318TA2202XSTXX405
Telehealth
Yes

Contacts

Secure Messaging
lphilo1468033@wm.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

474 GASTROENTEROLOGY in WA

Provider Addresses for DR. LEONARD EDWARD PHILO (M.D.)

  • PO BOX 32

    LIBERTY LAKE, WA 990190032

    Phone: (866) 747-2455

    Type: Mailing

  • 1017 S 2ND AVE STE 3

    WALLA WALLA, WA 993624183

    Phone: (509) 897-8200

    Type: Location

  • 5304 SPORT CLUB RUN

    SUFFOLK, VA 234354218

    Phone: (757) 483-4118

    Type: Mailing

  • 9168 2nd St

    Norfolk, VA 235112328

    Phone: (757) 967-6175

    Type: Location

  • 2nd Street, Norfolk, Virginia, 23501, United States

    NORFOLK, VA 235112328

    Phone: (757) 967-6175

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 48 Open Payments records for all available years, with a total value of $2,324.

Total Amount is formed as General ($2,324) + Research ($0) + Ownership ($0) = $2,324.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: ABBVIE INC. ($677).

Total Amount

$2,324

General + Research + Ownership

Payments

48

Total payment records

General Amount

$2,324

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

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: 2021-03-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20170105001550IGastroenterologyCATBD
I20210303001722IGastroenterologyWATBD

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
45380Biopsy of large bowel using a flexible endoscope197197$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare143143$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope123121$0
99204New patient office or other outpatient visit, 45-59 minutes7070$0
99203New patient office or other outpatient visit, 30-44 minutes4848$0
View full utilization report →

Insurance plans in this area (ZIP 99019)

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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: 6204194848View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)AK
Certified Registered Nurse Anesthetist (Crna)PA
Physician AssistantWA
-WA
Internal MedicineWA
Certified Registered Nurse Anesthetist (Crna)WA
G A S T R O E N T E R O L O G YWA
Nurse PractitionerCO
Certified Registered Nurse Anesthetist (Crna)WA
G A S T R O E N T E R O L O G YCO

Reviews

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Frequently asked questions

How is DR. LEONARD EDWARD PHILO (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. LEONARD EDWARD PHILO (M.D.) with NPI 1396893699.
Does CMS list DR. LEONARD EDWARD PHILO (M.D.) as active?
Yes — DR. LEONARD EDWARD PHILO (M.D.) is active in the NPI listing used on this page.
What is DR. LEONARD EDWARD PHILO (M.D.)'s specialty?
The listing groups DR. LEONARD EDWARD PHILO (M.D.) with Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Where is DR. LEONARD EDWARD PHILO (M.D.) based?
DR. LEONARD EDWARD PHILO (M.D.) is tied to Liberty Lake, Washington in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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