MARY-LAURA KLESARIS MD
NPI 1477512556
Internal Medicine in Brooklyn, NY

Active since March 20, 2006Opted out of Medicare · through May 30, 2027
103 BOND ST, BROOKLYN, NY 11217(718) 797-0789(718) 797-0689 Get Directions Write a Review

NPPES record last updated: November 8, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mary-laura Klesaris Md NPPES

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

MARY-LAURA KLESARIS MD (NPI 1477512556) is an individual internal medicine provider in Brooklyn, New York, licensed in New York (224971) and active in the NPI registry since March 2006. She has opted out of Medicare through May 30, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1477512556
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMARY-LAURA KLESARISCredential: MD
Location Address103 BOND STBrooklyn, NY 11217-2247
Mailing Address103 Bond StBrooklyn, NY 11217-2247 · (718) 797-0789 · Fax (718) 797-0689
Fax(718) 797-0689
Sole ProprietorNo
Enumeration DateMarch 20, 2006
Last NPPES UpdateNovember 8, 2023
NPPES CertifiedNovember 8, 2023
NPI 1477512556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NY · 224971
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

103 BOND ST, Brooklyn, NY 11217

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Mary-laura Klesaris Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 30, 2017 through May 30, 2027.

Opt-Out Effective DateMay 30, 2017
Opt-Out In Effect ThroughMay 30, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11217 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477512556, enumerated as an "individual" on March 20, 2006.

The provider is located at 103 BOND ST BROOKLYN, NY 11217 and the phone number is (718) 797-0789.

Internal Medicine with taxonomy code 207R00000X.