Edward Leon, MD
NPI 1164496865 · Emergency Medicine Physician · Decatur, IL
Enrolled with Medicare as Practitioner - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Edward Leon, MD is a Emergency Medicine Physician provider in Decatur, IL (NPI 1164496865).
Provider details
- NPI number
- 1164496865
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 0361409383 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
535 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Emergency Department Visit With High Level of Medical Decision Making99285 | 260 | $174 |
| Critical Care, First 30-74 Minutes99291 | 123 | $209 |
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 105 | $119 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report Only93010 | 35 | $8 |
| Emergency Department Visit With Low Level of Medical Decision Making99283 | 12 | $72 |
Typical Medicare-allowed amounts for these services range $8–$209 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 9 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 34 | 34 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 25 | 25 |
| Cephalexin | 22 | 22 |
| Naproxen | 19 | 19 |
| Doxycycline Hyclate | 15 | 15 |
| Ondansetron Hcl | 15 | 15 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 14 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-02-17
- Last updated
- 2012-11-17
Frequently asked questions
- What is Edward Leon's NPI number?
- Edward Leon's National Provider Identifier (NPI) is 1164496865, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Edward Leon's specialty?
- Edward Leon is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Edward Leon located?
- Edward Leon's practice location on file with NPPES is 2300 N Edward St, Decatur, IL 62526-4163.
- What is Edward Leon's phone number?
- The practice phone number listed in the NPPES registry for Edward Leon is (217) 876-3000.
- Does Edward Leon accept Medicare?
- Edward Leon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Edward Leon's NPI active?
- Yes — Edward Leon's NPI (1164496865) is active in the NPPES registry as of the last update on 2012-11-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.