LEON E CLARKE (MD) – Surgery Physician, NPI 1295717221
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,999 GENERAL SURGERY in PA
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Provider Addresses for LEON E CLARKE (MD)
1, West Elm Street, Conshohocken, Montgomery County, Pennsylvania, 19428, United States
CONSHOHOCKEN, PA 194282007
Phone: (610) 567-6964
Fax: (610) 567-6170
Type: Mailing
Mercy Philadelphia Hospital, 501, South 54th Street, Garden Court, Philadelphia, Philadelphia County, Pennsylvania, 19143, United States
SUITE 537
PHILADELPHIA, PA 191431900
Phone: (215) 748-9653
Fax: (215) 748-9346
Type: Location
41 UNIVERSITY DR STE 106
NEWTOWN, PA 189401873
Phone:
Type: Mailing
1501 LANSDOWNE AVE STE 210
DARBY, PA 190231333
Phone: (610) 534-6170
Fax: (610) 534-6159
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $326.
Total Amount is formed as General ($326) + Research ($0) + Ownership ($0) = $326.
Last reported payment date: 2024-12-27 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($62).
Total Amount
$326
General + Research + Ownership
Payments
13
Total payment records
General Amount
$326
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-27
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2004-01-15
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 |
|---|---|---|---|---|
| I20040115000081 | I | General Surgery | PA | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 31 | 19 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 30 | 30 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 25 | 21 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 24 | 24 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 19 | 16 | $0 |
Insurance plans in this area (ZIP 19428)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | PA | |
| - | PA | |
| - | PA | |
| - | PA | |
| Nurse Practitioner | PA | |
| G A S T R O E N T E R O L O G Y | PA | |
| H O S P I T A L I S T | PA | |
| Emergency Medicine | PA | |
| H O S P I T A L I S T | NY | |
| Infectious Disease | PA |
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