LESLIE S CLEMENSEN (MD) – Family Medicine Physician, NPI 1073075164
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,565 HOSPITALIST in OH
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Provider Addresses for LESLIE S CLEMENSEN (MD)
Cleveland, Conway County, Arkansas, 72030, United States
CLEVELAND, OH 441920002
Phone: (419) 479-5893
Fax: (419) 479-5878
Type: Mailing
Lighthouse Way, Horseshoe Bend, Perrysburg, Wood County, Ohio, 43551, United States
PERRYSBURG, OH 43551
Phone: (419) 873-6836
Fax: (419) 873-6837
Type: Location
7227 CLOISTER RD
TOLEDO, OH 436172213
Phone: (419) 973-6365
Fax: (567) 249-0045
Type: Mailing
5901 MONCLOVA RD
MAUMEE, OH 435371841
Phone: (419) 973-6365
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-08-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220812003219 | I | Hospitalist | OH | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 146 | 66 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 80 | 49 | $0 |
| 81002 | Urinalysis, manual test | 14 | 12 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 11 | 11 | $0 |
Insurance plans in this area (ZIP 44192)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | OH | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| Diagnostic Radiology | NM | |
| - | OH | |
| Physician Assistant | OH | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| Family Practice | OH | |
| - | OH | |
| U R O L O G Y | OH | |
| General Surgery | OH |
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