LEO JP CLARK M.D.
NPI 1659374007
Neurological Surgery in Maumee, OH

Active since May 31, 2005PECOS EnrolledAccepts Medicare Assignment
5705 MONCLOVA RD, SUITE 204, MAUMEE, OH 43537(419) 891-8045(419) 891-8044 Get Directions Write a Review

NPPES record last updated: January 12, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Leo Jp Clark M.d. NPPES

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

LEO JP CLARK M.D. (NPI 1659374007) is an individual neurological surgery provider in Maumee, Ohio, licensed in Ohio (35039317C) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health Arnett Hospital, and is a graduate of George Washington University School Of Medicine (1970).

NPPES Registry Identity

NPI1659374007
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameLEO JP CLARKCredential: M.D.
Location Address5705 MONCLOVA RD, SUITE 204Maumee, OH 43537-1875
Mailing Address1 Seagate, Suite 800Toledo, OH 43604-1558 · (567) 585-1983 · Fax (419) 824-7359
Fax(419) 891-8044
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 1970
Enumeration DateMay 31, 2005
Last NPPES UpdateJanuary 12, 2016
NPI 1659374007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in OH · 35039317C
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
5705 MONCLOVA RD, Maumee, OH 43537

Other Identifiers 2

Medicare UPINA75631OH
Medicaid318954OH

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Leo Jp Clark 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.

PECOS PAC ID648166918
PECOS Enrollment IDI20200211002427
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.

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.

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.
27 services24 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Indiana University Health Arnett Hospital

Acute Care Hospitals · Lafayette, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150173
Location5165 Mccarty LnLafayette, IN 47905 · Tippecanoe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43537 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Colon & Rectal Surgery
5705 MONCLOVA RD, SUITE 203
MAUMEE, OH 43537
Urology
5705 MONCLOVA RD, SUITE 202
MAUMEE, OH 43537
Internal Medicine (Cardiovascular Disease)
5705 MONCLOVA RD, SUITE 201
MAUMEE, OH 43537
Family Medicine
5705 MONCLOVA RD
MAUMEE, OH 43537
Internal Medicine
5705 MONCLOVA RD
MAUMEE, OH 43537
Physician Assistant
5705 MONCLOVA RD
MAUMEE, OH 43537
Colon & Rectal Surgery
5705 MONCLOVA RD, SUITE 203
MAUMEE, OH 43537
Colon & Rectal Surgery
5705 MONCLOVA RD, SUITE 203
MAUMEE, OH 43537

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 Leo Clark's NPI number?

The NPI number for Leo Clark is 1659374007. It was assigned to this individual provider in the NPPES registry on May 31, 2005.

Where is Leo Clark located?

Leo Clark practices at 5705 Monclova Rd Suite 204, Maumee, OH 43537. The listed phone number is (419) 891-8045.

What is Leo Clark's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Leo Clark enrolled in Medicare?

Yes. Leo 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.

What insurance does Leo Clark accept?

Health plans from CareSource list Leo Clark 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 Leo Clark affiliated with any hospitals?

According to CMS data, Leo Clark is affiliated with Indiana University Health Arnett Hospital.

When was this NPI record last updated?

The NPPES record for Leo Clark was last updated on January 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.