DR. LEONARD T KARADIMAS DO
NPI 1194797654
Orthopaedic Surgery in Port Huron, MI

Active since February 07, 2006PECOS EnrolledAccepts Medicare Assignment
1231 PINE GROVE AVE, SUITE 1A, PORT HURON, MI 48060(810) 985-4300(810) 985-9320 Get Directions Write a Review

NPPES record last updated: March 23, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Leonard T Karadimas Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LEONARD T KARADIMAS DO (NPI 1194797654) is an individual orthopaedic surgery provider in Port Huron, Michigan, licensed in Michigan (LK012026) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Mclaren Port Huron, and is a graduate of Michigan State University College Of Osteopathic Medicine (1993).

NPPES Registry Identity

NPI1194797654
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. LEONARD T KARADIMASCredential: DO
Location Address1231 PINE GROVE AVE, SUITE 1APort Huron, MI 48060-3500
Mailing Address1231 Pine Grove Ave, Suite 1aPort Huron, MI 48060-3500 · (810) 985-4300 · Fax (810) 985-9320
Fax(810) 985-9320
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 1993
Enumeration DateFebruary 7, 2006
Last NPPES UpdateMarch 23, 2012
NPI 1194797654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in MI · LK012026
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1231 PINE GROVE AVE, Port Huron, MI 48060

Other Identifiers 2

Medicaid3446462MI
Medicare UPING74599MI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Leonard T Karadimas Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880672880
PECOS Enrollment IDI20060302000406
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 23

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
94 services50 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
79 services56 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
58 services36 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
46 services44 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
39 services38 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
32 services30 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mclaren Port Huron

Acute Care Hospitals · Port Huron, MI
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230216
Location1221 Pine Grove AvePort Huron, MI 48060 · St. Clair County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48060 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous passive motion exercise device for use on knee only E0935
DME-Other DME · category DE000N
2 suppliers17 claims309 services$21.79 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Hematology & Oncology)
1231 PINE GROVE AVE, STE 2F
PORT HURON, MI 48060
Internal Medicine (Pulmonary Disease)
1231 PINE GROVE AVE, SUITE 2B
PORT HURON, MI 48060
Nurse Practitioner (Adult Health)
1231 PINE GROVE AVE, SUITE 2B
PORT HURON, MI 48060
Internal Medicine (Hematology & Oncology)
1231 PINE GROVE AVE, STE 2F
PORT HURON, MI 48060
Internal Medicine (Pulmonary Disease)
1231 PINE GROVE AVE
PORT HURON, MI 48060
Internal Medicine (Infectious Disease)
1231 PINE GROVE AVE, INFECTIOUS DISEASE, SUITE 1B
PORT HURON, MI 48060
Physical Medicine & Rehabilitation
1231 PINE GROVE AVE, SUITE 1A
PORT HURON, MI 48060
Internal Medicine (Hematology & Oncology)
1231 PINE GROVE AVE, STE 2F
PORT HURON, MI 48060

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leonard Karadimas's NPI number?

The NPI number for Leonard Karadimas is 1194797654. It was assigned to this individual provider in the NPPES registry on February 7, 2006.

Where is Leonard Karadimas located?

Leonard Karadimas practices at 1231 Pine Grove Ave Suite 1A, Port Huron, MI 48060. The listed phone number is (810) 985-4300.

What is Leonard Karadimas's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Leonard Karadimas enrolled in Medicare?

Yes. Leonard Karadimas is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Leonard Karadimas accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Leonard Karadimas as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Leonard Karadimas affiliated with any hospitals?

According to CMS data, Leonard Karadimas is affiliated with Mclaren Port Huron.

When was this NPI record last updated?

The NPPES record for Leonard Karadimas was last updated on March 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.