LEONARDO CLAROS MD
NPI 1225040991
Surgery in Allentown, PA
About Leonardo Claros Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LEONARDO CLAROS MD (NPI 1225040991) is an individual surgery provider in Allentown, Pennsylvania, licensed in Pennsylvania (MD437674) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with St Luke's Hospital Bethlehem, and is a graduate of Other (1997).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Leonardo Claros Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Leonardo Claros reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Allentown, PA 18104
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: St Lukes Physician Group Inc
- 2,851 clinicians in this Medicare group
Phillipsburg, NJ 08865
- Reassigned Medicare billing, New Jersey enrollment
- Medicare enrollment name: St Lukes Warren Physician Group PC
- 153 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Luke's Hospital Bethlehem
Acute Care Hospitals · Bethlehem, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 18104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ALLENTOWN, PA 18104
ALLENTOWN, PA 18104
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 Leonardo Claros's NPI number?
The NPI number for Leonardo Claros is 1225040991. It was assigned to this individual provider in the NPPES registry on August 12, 2006.
Where is Leonardo Claros located?
Leonardo Claros practices at 240 Cetronia Rd Suite 205N, Allentown, PA 18104. The listed phone number is (484) 426-2600.
What is Leonardo Claros's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Leonardo Claros enrolled in Medicare?
Yes. Leonardo Claros 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.
Which organizations bill Medicare for Leonardo Claros's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Leonardo Claros reassigns Medicare benefits to 2 organizations: St. Luke's Physician Group, Inc. (Allentown, PA) and St. Luke's Warren Physician Group, PC (Phillipsburg, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Leonardo Claros's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Leonardo Claros accept?
Health plans from Oscar Health list Leonardo Claros 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 Leonardo Claros affiliated with any hospitals?
According to CMS data, Leonardo Claros is affiliated with St Luke's Hospital Bethlehem.
When was this NPI record last updated?
The NPPES record for Leonardo Claros was last updated on June 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Leonardo Claros, MD · NPI 1225040991
Surgery physician in Allentown, Pennsylvania. Individual provider, active in the CMS NPPES registry since August 12, 2006.
## Identity
- **NPI:** 1225040991 (Entity type: Individual)
- **Enumerated:** August 12, 2006
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** MD437674 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 240 CETRONIA RD, SUITE 205N, Allentown, PA 18104-9263
- **Phone:** (484) 426-2600 · **Fax:** (610) 336-4379
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): St. Luke's Physician Group, Inc. (NPI 1740219211, Allentown, PA); St. Luke's Warren Physician Group, PC (NPI 1578041174, Phillipsburg, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1997
## Record status
- **NPPES last updated:** June 19, 2013
- **Other identifiers:** Medicare PIN 158400 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1225040991) · Data from the CMS NPPES public registry.