DR. LEON GORDON CLARK JR. M.D.
NPI 1487004370
Dermatology in Rancho Mirage, CA
About Dr. Leon Gordon Clark Jr. M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. LEON GORDON CLARK JR. M.D. (NPI 1487004370) is an individual dermatology provider in Rancho Mirage, California, licensed in California (A153921) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS and is a graduate of Mayo Medical School (2016).
NPPES Registry Identity
Specialties & Licenses
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
Dr. Leon Gordon Clark Jr. M.d. 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
5Medicare enrollment records show Leon Clark reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Modesto, CA 95355
- Reassigned Medicare billing, California enrollment
- 3,056 clinicians in this Medicare group
Newark, CA 94560
- Reassigned Medicare billing, California enrollment
- 900 clinicians in this Medicare group
San Francisco, CA 94110
- Reassigned Medicare billing, California enrollment
- 34 clinicians in this Medicare group
San Francisco, CA 94143
- Reassigned Medicare billing, California enrollment
- 5,645 clinicians in this Medicare group
San Francisco, CA 94122
- Reassigned Medicare billing, California enrollment
- 5,544 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
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92270 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RANCHO MIRAGE, CA 92270
RANCHO MIRAGE, CA 92270
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 Clark's NPI number?
The NPI number for Leon Clark is 1487004370. It was assigned to this individual provider in the NPPES registry on June 21, 2016.
Where is Leon Clark located?
Leon Clark practices at 39000 Bob Hope Dr, Rancho Mirage, CA 92270. The listed phone number is (760) 340-8248.
What is Leon Clark's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Leon Clark enrolled in Medicare?
Yes. Leon Clark 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 Leon Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Leon Clark reassigns Medicare benefits to 5 organizations: Sutter Valley Medical Foundation (Modesto, CA), Alameda Health System (Newark, CA), University Of California Sfgh Medical Group (San Francisco, CA), University Of California San Francisco (San Francisco, CA) and Ucsf Medical Group Business Services (San Francisco, CA). 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 Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Leon Clark was last updated on October 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Dr. Leon Gordon Clark Jr., M.D. · NPI 1487004370
Dermatology physician in Rancho Mirage, California. Individual provider, active in the CMS NPPES registry since June 21, 2016.
## Identity
- **NPI:** 1487004370 (Entity type: Individual)
- **Enumerated:** June 21, 2016
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **State license:** A153921 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 39000 BOB HOPE DR, Rancho Mirage, CA 92270-3221
- **Phone:** (760) 340-8248
## 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:** 5 organizations under Medicare reassignment (form CMS-855R): Sutter Valley Medical Foundation (NPI 1669846986, Modesto, CA); Alameda Health System (NPI 1497956288, Newark, CA); University Of California Sfgh Medical Group (NPI 1164497285, San Francisco, CA); University Of California San Francisco (NPI 1346329380, San Francisco, CA); Ucsf Medical Group Business Services (NPI 1477624104, San Francisco, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Mayo Medical School, class of 2016
## Record status
- **NPPES last updated:** October 11, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1487004370) · Data from the CMS NPPES public registry.