Active NPI 1841267937 Individual Practitioner Male Practitioner

Dr. Leroy Wombold , DO

Surgery • Payson, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Leroy Wombold, DO is a registered healthcare professional specializing in Surgery in Payson, AZ. Practice services are available at 122 E MAIN ST under active NPI credentials.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

122 E Main St

Payson, AZ 85541

Telephone 9285964600

Fax 9285964620

Associated Practice Facility / Clinic

🏢 Mountain View Family Medicine Pc Facility NPI 1932156437

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Payson, AZ

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 20.0 Yrs

State Avg: 23.6 Yrs

Regional Practice Density

6 Specialists

Practicing in Payson, AZ (801 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	82	82	$252.00	$111.02
99213 Established patient office or other outpatient visit, typically 15 minutes	61	50	$171.00	$90.41
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	32	32	$360.00	$101.02
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	29	29	$484.00	$182.09
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	23	23	$482.00	$180.94
45380 Biopsy of large bowel using an endoscope	20	20	$523.00	$163.18
45378 Diagnostic exam of large bowel using a flexible endoscope	19	19	$483.00	$179.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$383.00	$166.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$251.00	$128.18
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	14	14	$664.00	$252.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$252.00	$107.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$383.00	$159.72
99213 Established patient office or other outpatient visit, typically 15 minutes	37	36	$171.00	$74.32
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	28	28	$360.00	$104.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	24	$251.00	$108.59
45380 Biopsy of large bowel using an endoscope	22	22	$523.00	$161.68
45378 Diagnostic exam of large bowel using a flexible endoscope	18	18	$483.00	$189.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	125	125	$273.00	$106.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	118	117	$142.00	$43.72
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	66	66	$379.00	$93.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$416.00	$163.15
99213 Established patient office or other outpatient visit, typically 15 minutes	43	39	$185.00	$73.66
45380 Biopsy of large bowel using an endoscope	38	38	$542.00	$191.31
45378 Diagnostic exam of large bowel using a flexible endoscope	37	37	$500.00	$184.91
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	33	33	$500.00	$184.11
99202 New patient office or other outpatient visit, typically 20 minutes	30	30	$188.00	$75.68
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	29	29	$615.00	$201.65
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	26	26	$499.00	$189.57
99213 Established patient office or other outpatient visit, typically 15 minutes	25	14	$185.00	$50.94
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$346.00	$136.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$271.00	$107.93
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	14	14	$684.00	$261.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	74	68	$135.32	$42.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	70	70	$273.00	$105.70
99213 Established patient office or other outpatient visit, typically 15 minutes	44	36	$185.00	$71.53
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	40	40	$379.00	$104.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$416.00	$161.44
45380 Biopsy of large bowel using an endoscope	29	29	$542.00	$178.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	19	$271.00	$98.11
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	15	15	$500.00	$178.05
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	15	15	$615.00	$206.88
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$188.00	$73.65
45378 Diagnostic exam of large bowel using a flexible endoscope	12	12	$500.00	$188.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	70	53	$80.95	$24.37
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	65	38	$140.60	$69.10
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	53	50	$201.84	$99.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$201.95	$98.32
99213 Established patient office or other outpatient visit, typically 15 minutes	31	28	$137.32	$47.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$201.97	$73.47
99213 Established patient office or other outpatient visit, typically 15 minutes	25	24	$137.16	$65.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	20	$80.78	$39.92
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$979.60	$111.80
99221 Initial hospital inpatient care per day, typically 30 minutes	13	12	$198.00	$97.29
11042 Removal of skin and tissue, 20.0 sq cm or less	12	11	$321.37	$59.21

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License AZ 005165

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

349989 (AZ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Bruce Palmer , MD

Surgery

NPI 1326110743

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Business Mailing Address June 08, 2018

Registered at 122 E MAIN ST, PAYSON, AZ 855415574 (Tel: 9285964600)

📍

Updated Practice Location June 08, 2018

Registered at 122 E MAIN ST, PAYSON, AZ 85541 (Tel: 9285964600)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 08, 2018

Surgery (License #005165 in AZ)

✅

NPI Profile Active December 23, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location December 23, 2010

Registered at 1050 W 10TH ST, ROLLA, MO 65401 (Tel: 5734583350)

📍

Updated Business Mailing Address December 23, 2010

Registered at PO BOX 579, ROLLA, MO 65402 (Tel: 5734583425)

👤

Provider Name / Credentials Updated December 23, 2010

Recorded as LEROY WOMBOLD, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 23, 2010

Surgery (License #36688 in MO)

🟢

Initial NPI Registration & Enumeration March 07, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1841267937

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 07, 2006

Last Update: June 08, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

122 E Main St

Payson, AZ 855415574

Phone: 9285964600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.