DR. GERALD CLARK LEAKE JR. DDS
NPI 1376527820
Dentist - General Practice in Colorado Springs, CO

Active since November 29, 2005PECOS Enrolled
2828 INTERNATIONAL CIR, SUITE 100, COLORADO SPRINGS, CO 80910(719) 632-5700 Get Directions Write a Review

NPPES record last updated: April 4, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gerald Clark Leake Jr. Dds NPPES

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

DR. GERALD CLARK LEAKE JR. DDS (NPI 1376527820) is an individual general practice provider in Colorado Springs, Colorado, licensed in Indiana (12008918A) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376527820
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. GERALD CLARK LEAKE JR.Credential: DDS
Location Address2828 INTERNATIONAL CIR, SUITE 100Colorado Springs, CO 80910-3127
Mailing Address3205 N Academy Blvd, Suite 130Colorado Springs, CO 80917-5147 · (719) 632-5700
Sole ProprietorNo
Enumeration DateNovember 29, 2005
Last NPPES UpdateApril 4, 2017
NPI 1376527820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in IN · 12008918A
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2828 INTERNATIONAL CIR, Colorado Springs, CO 80910

Other Identifiers 1

Medicaid68121725CO

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Gerald Clark Leake Jr. Dds 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80910 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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.

Other Providers at the Same Location NPPES 20

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

Dentist
2828 INTERNATIONAL CIR, SUITE 100
COLORADO SPRINGS, CO 80910
Pediatrics
2828 INTERNATIONAL CIR
COLORADO SPRINGS, CO 80910
Dentist (General Practice)
2828 INTERNATIONAL CIR, SUITE 100
COLORADO SPRINGS, CO 80910
Pediatrics
2828 INTERNATIONAL CIR, STE 140
COLORADO SPRINGS, CO 80910
Physician Assistant
2828 INTERNATIONAL CIR, SUITE 140
COLORADO SPRINGS, CO 80910
Dentist (General Practice)
2828 INTERNATIONAL CIR
COLORADO SPRINGS, CO 80910
Dentist (General Practice)
2828 INTERNATIONAL CIR
COLORADO SPRINGS, CO 80910
Physician Assistant
2828 INTERNATIONAL CIR, SUITE 140
COLORADO SPRINGS, CO 80910

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 Gerald Leake's NPI number?

The NPI number for Gerald Leake is 1376527820. It was assigned to this individual provider in the NPPES registry on November 29, 2005.

Where is Gerald Leake located?

Gerald Leake practices at 2828 International Cir Suite 100, Colorado Springs, CO 80910. The listed phone number is (719) 632-5700.

What is Gerald Leake's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Gerald Leake enrolled in Medicare?

Yes. Gerald Leake is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gerald Leake was last updated on April 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.