1. Home
  2. Directory
  3. Michigan
  4. Grosse Pointe Woods
  5. Dentist
  6. NPI Profile

DR. CLAUDE CHARLES LEROSE JR. D.D.S.
NPI 1831536861
Dentist - Oral and Maxillofacial Surgery in Grosse Pointe Woods, MI

Active since May 31, 2013PECOS EnrolledAccepts Medicare Assignment
90.09/100
CMS Quality Rating
20675 MACK AVE, GROSSE POINTE WOODS, MI 48236(313) 885-8344(313) 885-1819 Get Directions Write a Review

NPPES record last updated: June 25, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Claude Charles Lerose Jr. D.d.s. NPPES

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

DR. CLAUDE CHARLES LEROSE JR. D.D.S. (NPI 1831536861) is an individual oral and maxillofacial surgery provider in Grosse Pointe Woods, Michigan, licensed in Michigan (2901020949) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Ascension Macomb Oakland Hosp-warren Campus, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1831536861
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. CLAUDE CHARLES LEROSE JR.Credential: D.D.S.
Location Address20675 MACK AVEGrosse Pointe Woods, MI 48236
Mailing Address20675 Mack AveGrosse Pointe Woods, MI 48236-1618 · (313) 885-8344 · Fax (313) 885-1819
Phone(313) 885-8344
Fax(313) 885-1819
Sole ProprietorYes
Medical School CMSUniversity Of Michigan School Of DentistryGraduated 2013
Enumeration DateMay 31, 2013
Last NPPES UpdateJune 25, 2019
✔ NPI 1831536861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in MI · 2901020949
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
20675 MACK AVE, Grosse Pointe Woods, MI 48236
Open in Google Maps ↗

Secondary Practice Locations 2

Location 17633 E Jefferson AveDetroit, MI 48214-3730 · Phone (313) 499-4775 · Fax (313) 499-4953
Location 229427 Ryan RdWarren, MI 48092-2203 · Phone (586) 755-9340

Accepted Insurance

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

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. Claude Charles Lerose Jr. D.d.s. 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 ID3173820370
PECOS Enrollment IDI20191219001199
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 Claude Lerose reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Henry Ford Health Macomb-Oakland Hospital
6.6 mi
Family Medicine
11800 E 12 MILE RD
Warren, MI 48093
  • Reassigned Medicare billing, Michigan enrollment
  • 161 clinicians in this Medicare group
NPI 1134176472 (586) 573-5000
Summit Oral & Maxillofacial Surgery PC
9.4 mi
Oral and Maxillofacial Surgery
29427 RYAN RD
Warren, MI 48092
  • Reassigned Medicare billing, Michigan enrollment
  • 8 clinicians in this Medicare group
NPI 1811066129 (586) 755-9340

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.

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.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Ascension Macomb Oakland Hosp-Warren Campus

Acute Care Hospitals · Warren, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230195
Location11800 East Twelve Mile RoadWarren, MI 48093 · Macomb County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48236 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

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.

90.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.56
Promoting Interoperability100
Improvement Activities40
Cost54.6

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 Claude Lerose's NPI number?

The NPI number for Claude Lerose is 1831536861. It was assigned to this individual provider in the NPPES registry on May 31, 2013.

Where is Claude Lerose located?

Claude Lerose practices at 20675 Mack Ave, Grosse Pointe Woods, MI 48236. The listed phone number is (313) 885-8344.

What is Claude Lerose's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Claude Lerose enrolled in Medicare?

Yes. Claude Lerose 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 Claude Lerose's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Claude Lerose reassigns Medicare benefits to 2 organizations: Henry Ford Health Macomb-Oakland Hospital (Warren, MI) and Summit Oral & Maxillofacial Surgery PC (Warren, MI). 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 Claude Lerose's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Claude Lerose accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and BEST Life and 16 other insurers list Claude Lerose 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 Claude Lerose affiliated with any hospitals?

According to CMS data, Claude Lerose is affiliated with Ascension Macomb Oakland Hosp-Warren Campus.

When was this NPI record last updated?

The NPPES record for Claude Lerose was last updated on June 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.