Dr. Leslie M Dally

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NPI Number Detailed Information

Provider Information:

Name:	Dr. Leslie M Dally
Gender:	M
Provider License Number If Given:	4418

NPI Information:

NPI:	1306093877
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	8/26/2008
Last Update Date:	7/28/2021

Provider Business Mailing Address:

Address:	5000 CROSSINGS CIR STE 103 Mount Juliet, TN 37122
Phone Number:	6156800110
Fax Number:	6155497044

Provider Business Practice Location Address:

Address:	1405 W BADDOUR PKWY STE 101 Lebanon, TN 37087
Phone Number:	6159941288
Fax Number:	6155474520

Provider Taxonomy:

Primary:	207Q00000X
Secondary (if any):	2083A0300X
State:	TN

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About Dr. Leslie M Dally

Dr. Leslie M Dally (DR. LESLIE M DALLY ) is Family Family Medicine Physician in Lebanon, TN. The NPI Number for Dr. Leslie M Dally is 1306093877.

The current location address for Dr. Leslie M Dally is 1405 W BADDOUR PKWY STE 101 Lebanon, TN 37087 and the contact number is 6156800110 and fax number is 6155497044. The mailing address for Dr. Leslie M Dally is 5000 CROSSINGS CIR STE 103 Mount Juliet, TN 37122- 6159941288 (mailing address contact number - 6156800110).

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Leslie M Dally ?

Answer: The NPI Number for Dr. Leslie M Dally is 1306093877

Where is Dr. Leslie M Dally located?

Answer: Dr. Leslie M Dally is located at 1405 W BADDOUR PKWY STE 101 Lebanon, TN 37087.

What is the specialty for Dr. Leslie M Dally ?

Answer: The Specialty of Dr. Leslie M Dally is Family Family Medicine Physician.

Are there any online reviews for Dr. Leslie M Dally ?

Answer: Not yet!

Are there any other health care providers in Lebanon, TN?

Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Dr. Leslie M Dally

Number of HCPCS	7
Number of Medicare Beneficiaries	13
Number of Services	64
Total Submitted Charge Amount	22753
Total Medicare Allowed Amount	10860.48
Total Medicare Payment Amount	9890.52
Total Medicare Standardized Payment Amount	10199.92
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services	0
Number of Medicare Beneficiaries With Drug Services	0
Number of Drug Services	0
Total Drug Submitted Charge Amount	0
Total Drug Medicare Allowed Amount	0
Total Drug Medicare Payment Amount	0
Total Drug Medicare Standardized Payment Amount	0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services	7
Number of Medicare Beneficiaries With Medical	13
Number of Medical Services	64
Total Medical Submitted Charge Amount	22753
Total Medical Medicare Allowed Amount	10860.48
Total Medical Medicare Payment Amount	9890.52
Total Medical Medicare Standardized Payment Amount	10199.92
Average Age of Beneficiaries	49
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries
Number of Male Beneficiaries
Number of Non-Hispanic White Beneficiaries
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement
Number of Beneficiaries With Medicare Only Entitlement
Percent (%) of Beneficiaries Identified With Atrial Fibrillation	0
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma	0
Percent (%) of Beneficiaries Identified With Cancer	0
Percent (%) of Beneficiaries Identified With Heart Failure
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease	0
Percent (%) of Beneficiaries Identified With Depression
Percent (%) of Beneficiaries Identified With Diabetes
Percent (%) of Beneficiaries Identified With Hyperlipidemia
Percent (%) of Beneficiaries Identified With Hypertension
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease
Percent (%) of Beneficiaries Identified With Osteoporosis	0
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke	0
Average HCC Risk Score of Beneficiaries	1.1515

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type	Addiction Medicine
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills	289
Number of Standardized 30-Day Fills	327.66666667
Aggregate Cost Paid for All Claims	22219.08
Number of Day's Supply for All Claims	6425
Number of Medicare Beneficiaries	80
Number of Claims, Including Refills, for Beneficiaries Age 65+	50
Including Refills, for Beneficiaries Age 65+	80
Beneficiaries Age 65+	2559.68
Number of Day's Supply for All Claims for Beneficaries Age 65+	2070
Number of Medicare Beneficiaries Age 65+	13
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst	*
Total Claims of Brand-Name Drugs
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills	285
Aggregate Cost Paid for Generic Drugs	19189.66
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst	#
Total Claims of Other Drugs, Including Refills
Aggregate Cost Paid for Other Drugs
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans	246
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	16978.67
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	43
Aggregate Cost Paid for Claims Filled by	5240.41
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy	221
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy	18672.3
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy	68
by Low-Income Subsidy	3546.78
Total Claims of Opioid Drugs, Including	0
Aggregate Cost Paid for Opioid Drugs	0
Opioid Claims	0
Opioid_Tot_Clms divided by the Tot_Clms	0
Total Claims of Long-Acting Opioid Drugs	0
Aggregate Cost Paid for Long-Acting Opioid	0
Number of Day's Supply of All Long-Acting	0
Long-Acting Opioid Claims	0
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including
Aggregate Cost Paid for Antibiotic Drugs
Antibiotic Claims
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+	0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+	0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims	0
Average Age of Beneficiaries	53.975
Number of Beneficiaries Age Less Than 65	67
Number of Beneficiaries Age 65 to 74	11
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries	45
Number of Male Beneficiaries	35
Number of Non-Hispanic White	71
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries	0
Number of American Indian/Alaskan NativeBeneficiaries	0
Number of Beneficiaries with Race Not
Only Entitlement	15
Average Hierarchical Condition Category	1.3451833333

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