Doctor profile · Federal record
Dr. Mary Leavery, CRNA
Certified Registered Nurse Anesthetist (CMS: Certified Registered Nurse Anesthetist (CRNA)) · Certified Registered Nurse Anesthetist · Registered Nurse · Winston Salem, NC
- NPI 1063520005
- Accepts Medicare
- 31 yrs in practice
- Licensed in 3 states
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
145 Kimel Park Dr Ste 120
Winston Salem, NC 27103
(336) 768-3212
fax (336) 768-9019 - Additional location
-
830 Washington St
Watertown, NY 136014034
(315) 785-4313
fax (315) 779-5114
Credentials & registration
- NPI registered
- August 2006 — 20 yrs on file
- Profile last updated
- October 28, 2020
- Year of graduation
- 1995 — 31 yrs since
- Specialty taxonomy
- 367500000X — NUCC code
- State licenses (3)
- North Carolina #45453 · South Carolina #993 · New York #360053-1
- Medicaid
- SC #AN0749
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1063520005. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
11
Distinct HCPCS
1
Medicare allowed
$633
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
00910 |
Anesthesia for other procedure on urinary system through urethra | 11 | 11 | $58 |
In context: peer comparison
Among 74 peers in this city , average services per provider: 24. This provider delivers 0.5× the peer median.Frequently asked questions
What is Dr. Mary Leavery's medical specialty?
Dr. Mary Leavery practices Certified Registered Nurse Anesthetist in Winston Salem, NC.
Where does Dr. Mary Leavery practice?
Dr. Mary Leavery practices at 145 Kimel Park Dr Ste 120, Winston Salem, NC 27103. Office phone: 3367683212.
What is Dr. Mary Leavery's NPI?
Dr. Mary Leavery's National Provider Identifier (NPI) is 1063520005, issued by NPPES.
Does Dr. Mary Leavery accept Medicare assignment?
Yes. Dr. Mary Leavery accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Mary Leavery commonly perform?
Top Medicare-reported procedures in 2023: Anesthesia for other procedure on urinary system through urethra (HCPCS 00910). Source: CMS Medicare Physician & Other Practitioners file.