DR. JARRETT MICHAEL LEATHEM D.O. NPI 1205193109

NPI Details

DR. Jarrett Michael Leathem, D.O. is an interventional pain medicine pain medicine in Phoenix, AZ with 14 years of experience. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. DR. Jarrett Michael Leathem, D.O. NPI is 1205193109. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2525 W GREENWAY RD STE 125
PHOENIX, AZ
ZIP 85023-226
Phone: (480) 573-0130
Fax: (480) 573-0131

The NPI 1205193109 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
• Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)
• Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level (HCPCS:64484)
• Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
• New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
• Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level (HCPCS:64484)
• Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
• Fluoroscopic guidance for needle placement (HCPCS:77002)
• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• Aspiration and/or injection of fluid from large joint (HCPCS:20610)
• Insertion of spinal neurostimulator electrode array through skin (HCPCS:63650)
• Testing for presence of drug, by chemistry analyzers (HCPCS:80307)
• Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
• Injection of lower or sacral spine facet joint using imaging guidance, second level (HCPCS:64494)
• Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance (HCPCS:27096)
• Injection of upper or middle spine facet joint using imaging guidance, single level (HCPCS:64490)
• Injection of upper or middle spine facet joint using imaging guidance, second level (HCPCS:64491)
• Injection of substance into middle or upper spine canal using imaging guidance (HCPCS:62321)
• Injection of substance into middle or upper spine canal using imaging guidance (HCPCS:62321)
• Insertion of spinal neurostimulator generator or receiver (HCPCS:63685)
• Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
• Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint (HCPCS:64636)
• Spinal fusion (HCPCS:NAN02)

The enumeration date for this NPI number is 4/16/2012 and was last updated on 11/17/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: