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LEON E CLARKE MD
NPI 1295717221
Surgery in Darby, PA

Active since November 16, 2005PECOS Enrolled
1501 LANSDOWNE AVE STE 210, DARBY, PA 19023(610) 534-6170(610) 534-6159 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Leon E Clarke Md NPPES

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

LEON E CLARKE MD (NPI 1295717221) is an individual surgery provider in Darby, Pennsylvania, licensed in Pennsylvania (MD018475) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295717221
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameLEON E CLARKECredential: MD
Location Address1501 LANSDOWNE AVE STE 210Darby, PA 19023-1333
Mailing Address41 University Dr Ste 106Newtown, PA 18940-1873
Phone(610) 534-6170
Fax(610) 534-6159
Sole ProprietorNo
Enumeration DateNovember 16, 2005
Last NPPES UpdateMay 24, 2021
NPPES CertifiedMay 24, 2021
✔ NPI 1295717221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in PA · MD018475
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1501 LANSDOWNE AVE STE 210, Darby, PA 19023
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Leon E Clarke Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Leon Clarke reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mercy Catholic Medical Center Of Southeastern PA
Same address
General Acute Care Hospital
1500 LANSDOWNE AVE
Darby, PA 19023
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 45 clinicians in this Medicare group
NPI 1730173550 (610) 237-4000
Trinity Health Mid-Atlantic Medical Group
Same address
Family Medicine
1501 LANSDOWNE AVE FL 1
Darby, PA 19023
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 646 clinicians in this Medicare group
NPI 1083138770 (610) 534-6310

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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
29 services17 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.
22 services16 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
21 services21 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
20 services20 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.
18 services16 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19023 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$14.08 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$65.97 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 2

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

TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP
Psychiatry & Neurology (Neurology)
1501 LANSDOWNE AVE STE 210
DARBY, PA 19023
Delaware County (610) 534-6142
DR. VIDITA VIJAY KHATRI MD
Psychiatry & Neurology (Neurology)
1501 LANSDOWNE AVE STE 210
DARBY, PA 19023
Delaware County (610) 534-6142

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 Leon Clarke's NPI number?

The NPI number for Leon Clarke is 1295717221. It was assigned to this individual provider in the NPPES registry on November 16, 2005.

Where is Leon Clarke located?

Leon Clarke practices at 1501 Lansdowne Ave Ste 210, Darby, PA 19023. The listed phone number is (610) 534-6170.

What is Leon Clarke's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Leon Clarke enrolled in Medicare?

Yes. Leon Clarke is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Leon Clarke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Leon Clarke reassigns Medicare benefits to 2 organizations: Mercy Catholic Medical Center Of Southeastern PA (Darby, PA) and Trinity Health Mid-Atlantic Medical Group (Darby, PA). 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 Leon Clarke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Leon Clarke accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Leon Clarke 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.

When was this NPI record last updated?

The NPPES record for Leon Clarke was last updated on May 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.