Dr. Leon Nesti, MD
10203 Menlo Ave, Silver Spring, MD 20910 • +1-481-555-6185
Medical Education: Accredited U.S. Medical School (Class of 1996)
What This Doctor Actually Performs: CMS Medicare Utilization & Silver Spring Percentiles
NPI #1053428854 • CBSA Regional • Hand Surgery
Statistical peer benchmarking across MD Hand Surgery providers positions Dr. Leon Nesti, MD in Silver Spring at +0.04σ (50th city percentile / 62.96th state percentile, 539 Medicare beneficiaries), with clinical focus spanning 97 Active CMS HCPCS Codes.
Procedural volume for Dr. Nesti is led by HCPCS 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up — 1447 annual services, $110–$151 GPCI cash estimate), followed by CPT 99213 (Established Preventive & Chronic Care Visit, 836/yr) and CPT 93000 (In-Office 12-Lead Resting Electrocardiogram, 418/yr).
At 10203 Menlo Ave (20910), Dr. Leon Nesti, MD accommodates direct self-pay scheduling (hybrid in-clinic and telehealth video consults) at ~$209.00 per new consult (4.64/5 bedside rating).
Spanning 30 years of clinical practice following 1996 graduation from medical training, Dr. Leon Nesti integrates 97 Active CMS HCPCS Codes diagnostics for Silver Spring metro patients.
Compared against Silver Spring, MD Hand Surgery peers
4,026 annual services across 539 beneficiaries
Standard deviations from MD Hand Surgery mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 1,447 | 50th | $110 – $151 |
| 99213 | Established Preventive & Chronic Care Visit | 836 | 55th | $84 – $115 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 418 | 51th | $40 – $55 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 322 | 50th | $129 – $177 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 193 | 51th | $153 – $210 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (97 HCPCS billing breadth) | 811 | 50th | $99 – $144 |
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Dr. Leon Nesti, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Nesti National Provider Identifier | NPI #1053428854 (MD) | CMS NPPES Registry (20910) |
| Dr. Nesti Silver Spring CMS Volume Rank | 50.00th Pct (4,026 CMS svcs; Z +0.045σ) | CMS Medicare Part B (MD Hand Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Silver Spring, MD) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 12 min lobby wait | 4 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.64/5 Listening • 4.43/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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