LEIF A REDAL (M.D.) – Family Medicine Physician, NPI 1629073598
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,141 FAMILY PRACTICE in WA
Provider Addresses for LEIF A REDAL (M.D.)
8097 Harborview Rd
Blaine, WA 982309639
Phone: (360) 371-5855
Fax: (360) 371-5857
Type: Location
Western Avenue, Boulder, Boulder County, Colorado, 80303-1229, United States
BOULDER, CO 803012709
Phone: (303) 415-8940
Fax: (303) 425-9259
Type: Mailing
Superior Drive, Superior, Boulder County, Colorado, 80027, United States
SUPERIOR, CO 800278653
Phone: (303) 415-8940
Fax: (303) 425-9259
Type: Location
8097 HARBORVIEW RD
BLAINE, WA 982309639
Phone: (360) 371-5855
Fax: (360) 371-5857
Type: Mailing
511 CROSSING DR
LAFAYETTE, CO 800262628
Phone: (303) 269-2875
Fax: (303) 269-2876
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: 2011-01-07
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 |
|---|---|---|---|---|
| I20110107000656 | I | Family Practice | CO | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 110 | 59 | $0 |
Insurance plans in this area (ZIP 98230)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | CO | 90670 | Pneumococcal vaccine for injection into muscle | 14 | 14 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CO | |
| Internal Medicine | CO | |
| Nurse Practitioner | CO | |
| Family Practice | CO | |
| Internal Medicine | CO | |
| Physician Assistant | CO | |
| Internal Medicine | CO | |
| Internal Medicine | CO | |
| Internal Medicine | CO | |
| Family Practice | CO |
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