Efrain Acosta-Leon, MD
NPI 1134559123 · Psychiatry Physician · Stuart, FL
Enrolled with Medicare as Practitioner - Psychiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Efrain Acosta-Leon, MD is a Psychiatry Physician provider in Stuart, FL (NPI 1134559123).
Provider details
- NPI number
- 1134559123
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- ME120361 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
12 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,809 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Office Or Other Outpatient Visit for the Evaluation and Management of Established Patient That May Not Require Presence of Healthcare Professional99211 | 699 | $9 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 670 | $67 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 218 | $146 |
| Psychiatric Diagnostic Evaluation90791 | 110 | $148 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 67 | $67 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 15 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Benztropine Mesylate | 34 | 17 |
| Quetiapine Fumarate | 34 | 14 |
| Divalproex Sodium | 24 | 15 |
| Fluphenazine Hcl | 23 | — |
| Hydroxyzine Pamoate | 23 | 12 |
| Risperidone | 20 | — |
| Olanzapine | 20 | — |
| Trazodone Hcl | 18 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$569 across 28 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-11-12
- Last updated
- 2023-03-16
- Certified
- 2023-03-16
Frequently asked questions
- What is Efrain Acosta-Leon's NPI number?
- Efrain Acosta-Leon's National Provider Identifier (NPI) is 1134559123, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Efrain Acosta-Leon's specialty?
- Efrain Acosta-Leon is listed in the NPPES registry with a primary specialty of Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Efrain Acosta-Leon located?
- Efrain Acosta-Leon's practice location on file with NPPES is 555 S Colorado Ave Ste 111a, Stuart, FL 34994-3025.
- What is Efrain Acosta-Leon's phone number?
- The practice phone number listed in the NPPES registry for Efrain Acosta-Leon is (917) 513-6588.
- Does Efrain Acosta-Leon accept Medicare?
- Efrain Acosta-Leon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Efrain Acosta-Leon's NPI active?
- Yes — Efrain Acosta-Leon's NPI (1134559123) is active in the NPPES registry as of the last update on 2023-03-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.