Active NPI 1306882279 Individual Practitioner Male Practitioner

Dr. Peter Leroux , MD

Neurological Surgery • Cooperstown, NY

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Peter Leroux, MD is a certified Neurological Surgery practicing in Cooperstown, NY. With approximately 48 years of clinical experience since completing medical education in 1978, Dr. Leroux delivers high-quality medical care to the local community at 1 ATWELL RD.

Dr. Leroux is affiliated with Mary Imogene Bassett Hospital and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, partial removal of spine bone with release of spinal cord and/or nerves. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1 Atwell Rd

Cooperstown, NY 133261301

Telephone 6075473480

Associated Practice Facility / Clinic

🏢 Mary Imogene Bassett Hospital Facility NPI 1083664221

Medicare Profile & Education

Medical School

Other

Graduation Year

1978

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Neurological Surgery in Cooperstown, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

48 Yrs +17.7 yrs vs City Avg

City Avg: 30.3 Yrs

State Avg: 26.3 Yrs

Regional Practice Density

4 Specialists

Practicing in Cooperstown, NY (555 Statewide)

Telehealth Adoption Rate

50.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

48.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Leroux (48 Years) 48 Yrs

Cooperstown Specialty Average (30.3 Years) 30.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	131	86	$143.00	$84.34
99213 Established patient office or other outpatient visit, typically 15 minutes	42	34	$143.00	$61.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$275.00	$158.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$275.00	$125.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	150	105	$140.00	$63.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$272.00	$125.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$272.00	$127.62
99213 Established patient office or other outpatient visit, typically 15 minutes	32	29	$140.00	$62.62
63048 Partial removal of spine bone with release of spinal cord and/or nerves	28	12	$1100.00	$196.85
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	12	12	$3128.13	$830.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	183	121	$140.00	$64.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	61	61	$272.00	$130.68
99213 Established patient office or other outpatient visit, typically 15 minutes	35	31	$140.00	$65.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$272.00	$131.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$200.00	$95.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$180.00	$80.98
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$170.00	$96.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	155	106	$136.32	$66.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	44	44	$79.25	$35.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$180.00	$82.09
63048 Partial removal of spine bone with release of spinal cord and/or nerves	35	15	$1100.00	$205.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$272.00	$133.75
99213 Established patient office or other outpatient visit, typically 15 minutes	27	24	$137.22	$66.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	16	$190.59	$97.99
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$126.00	$48.47
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	14	14	$2612.50	$732.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$272.00	$133.75
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$170.00	$98.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	192	118	$121.25	$51.28
22614 Fusion of additional segment of spine	50	19	$1300.00	$385.68
99213 Established patient office or other outpatient visit, typically 15 minutes	45	42	$120.56	$51.08
63048 Partial removal of spine bone with release of spinal cord and/or nerves	44	18	$1100.00	$191.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	30	$172.45	$78.28
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$123.60	$50.51
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$72.18	$25.61
22612 Fusion of spine in lower back	15	15	$4987.00	$1461.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$171.64	$72.22
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	13	13	$1925.00	$541.13
99201 New patient office or other outpatient visit, typically 10 minutes	11	11	$72.55	$26.38
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$164.27	$101.27
22842 Placement of stabilizing device to back, 3-6 spine bone segments	11	11	$2000.00	$686.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	110	81	$171.00	$76.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$259.00	$118.92
99231 Follow-up hospital inpatient care per day, typically 15 minutes	25	16	$70.00	$38.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$171.00	$74.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	346	219	$206.00	$110.39
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	153	148	$368.76	$206.39
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	94	94	$370.80	$209.63
99231 Follow-up hospital inpatient care per day, typically 15 minutes	79	59	$75.70	$40.26
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	78	70	$130.90	$74.60
63048 Partial removal of spine bone with release of spinal cord and/or nerves	56	27	$900.00	$231.37
22614 Fusion of additional segment of spine	43	19	$1305.00	$430.23
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	26	26	$3800.00	$653.17
20939 Harvest of bone marrow for spine surgery graft	24	24	$355.00	$71.51
22612 Fusion of spine in lower back	22	22	$3465.45	$1686.84
22842 Placement of stabilizing device to back, 3-6 spine bone segments	15	15	$1671.00	$839.66
99285 Emergency department visit for life threatening or functioning severity	12	12	$310.00	$177.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	364	219	$204.22	$112.94
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	155	152	$365.00	$212.71
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	113	113	$370.00	$218.54
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	97	87	$130.00	$75.78
22614 Fusion of additional segment of spine	83	25	$1305.00	$397.15
99231 Follow-up hospital inpatient care per day, typically 15 minutes	68	59	$75.00	$41.30
63048 Partial removal of spine bone with release of spinal cord and/or nerves	65	29	$900.00	$238.01
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	33	33	$370.00	$178.34
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	32	30	$3800.00	$728.44
22612 Fusion of spine in lower back	28	26	$3415.00	$1718.28
38220 Aspiration of bone marrow sample for diagnosis	18	18	$340.00	$33.50

Medical Specialties & State Licenses

CMS Verified: 2021-06-07

Neurological Surgery Primary Specialty

NUCC Taxonomy Code: 207T00000X

State License NY 196968

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Neurological Surgery

NUCC Taxonomy Code: 207T00000X

State License PA MD072435L

Neurological Surgery

NUCC Taxonomy Code: 207T00000X

State License FL ME139330

Hospital & Practice Group Affiliations

Mary Imogene Bassett Hospital

1 Atwell Rd, Cooperstown, NY 133261301

Phone: 6075473480

Mary Imogene Bassett Hospital

460 Andes Rd, Delhi, NY 137537407

Phone: 6077460300

Secondary Practice Locations

100 E Lancaster Ave, Suite 370 Medical Science Building

Wynnewood, PA 190963450

Phone: 6106423005

Practice Associates & Co-Workers

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

10 Associated Practitioners

Laurie Signorelli Monosson , LMSW

Social Worker

NPI 1134300064

Licensed Master Social Worker

Dr. Navar Almama , MD

Internal Medicine

NPI 1154055630

Doctor of Medicine (M.D.)

Dana Jimenez

Nurse Anesthetist, Certified Registered

NPI 1235848250

Kayleigh Gifford , NP

Nurse Practitioner - Family

NPI 1497353858

Nurse Practitioner

Dr. Thomas Schumacher , DO

Internal Medicine - Nephrology

NPI 1548262249

Doctor of Osteopathic Medicine (D.O.)

Dr. Catherine Reizun , DO

Internal Medicine

NPI 1609337864

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location June 07, 2021

Registered at 1 ATWELL RD, COOPERSTOWN, NY 133261301 (Tel: 6075473480)

📍

Updated Business Mailing Address June 07, 2021

Registered at 1 ATWELL RD, COOPERSTOWN, NY 133261301 (Tel: 6075473480)

📍

Updated Business Mailing Address March 20, 2019

Registered at PO BOX 100265, GAINESVILLE, FL 326100265 (Tel: 3522739000)

✅

NPI Profile Active March 27, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location March 27, 2015

Registered at 100 E LANCASTER AVE, SUITE 370 MEDICAL SCIENCE BUILDING, WYNNEWOOD, PA 190963450 (Tel: 6106423005)

📍

Updated Business Mailing Address March 27, 2015

Registered at 100 E LANCASTER AVE, SUITE 370 MEDICAL SCIENCE BUILDING, WYNNEWOOD, PA 190963450 (Tel: 6106423005)

👤

Provider Name / Credentials Updated March 27, 2015

Recorded as PETER LEROUX, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 27, 2015

Neurological Surgery (License #MD072435L in PA)

🟢

Initial NPI Registration & Enumeration June 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1306882279

Entity Type:

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

Enumeration Date: June 21, 2006

Last Update: June 07, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1 Atwell Rd

Cooperstown, NY 133261301

Phone: 6075473480

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.