Active NPI 1295717221 Individual Practitioner Male Practitioner

Dr. Leon E Clarke , MD

Surgery • Darby, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Leon Clarke, MD is a certified Surgery practicing in Darby, PA. With approximately 51 years of clinical experience since graduating from George Washington University School Of Medicine in 1975, Dr. Clarke delivers high-quality medical care to the local community at 1501 LANSDOWNE AVE STE 210.

Dr. Clarke is affiliated with Trinity Health Mid-Atlantic Medical Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1501 Lansdowne Ave Ste 210

Darby, PA 190231333

Telephone 6105346170

Fax 6105346159

Associated Practice Facility / Clinic

🏢 Trinity Health Mid-Atlantic Medical Group Facility NPI 1427575026

Medicare Profile & Education

Medical School

George Washington University School Of Medicine

Graduation Year

1975

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Darby, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

51 Yrs +20.2 yrs vs City Avg

City Avg: 30.8 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

8 Specialists

Practicing in Darby, PA (1976 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

53.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Clarke (51 Years) 51 Yrs

Darby Specialty Average (30.8 Years) 30.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	17	$150.00	$79.41
99213 Established patient office or other outpatient visit, typically 15 minutes	22	16	$192.50	$93.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$360.00	$172.23
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	20	$415.00	$175.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	16	$275.00	$131.05
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$285.00	$131.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	31	19	$150.00	$81.45
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	30	$285.00	$134.16
99213 Established patient office or other outpatient visit, typically 15 minutes	25	21	$195.00	$91.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$360.00	$173.38
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	16	$120.00	$57.62
45380 Biopsy of large bowel using an endoscope	18	18	$920.00	$137.09
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$415.00	$178.84
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	16	16	$770.00	$174.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$275.00	$132.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$240.00	$117.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	43	20	$164.65	$68.93
99213 Established patient office or other outpatient visit, typically 15 minutes	31	27	$193.06	$94.40
99221 Initial hospital inpatient care per day, typically 30 minutes	25	25	$219.24	$104.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	12	$119.60	$57.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$242.64	$120.25
45380 Biopsy of large bowel using an endoscope	12	11	$1111.67	$163.31
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$419.08	$190.68
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$285.75	$140.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	40	33	$175.00	$95.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	24	$94.00	$60.31
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	14	$168.00	$75.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$231.00	$120.39
99221 Initial hospital inpatient care per day, typically 30 minutes	18	17	$221.00	$106.31
45380 Biopsy of large bowel using an endoscope	13	13	$1150.00	$184.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	42	31	$175.00	$80.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	18	$94.00	$48.94
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	17	$168.00	$76.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$231.00	$115.41
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$221.00	$109.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	59	46	$175.00	$78.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	43	31	$94.00	$46.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$231.00	$111.34
45380 Biopsy of large bowel using an endoscope	19	19	$1150.00	$144.76
45378 Diagnostic exam of large bowel using a flexible endoscope	17	15	$1040.00	$168.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	13	$226.00	$114.98
99221 Initial hospital inpatient care per day, typically 30 minutes	13	12	$221.00	$107.44
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	12	12	$1300.00	$282.17
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$1020.00	$83.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	61	45	$170.52	$75.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	57	32	$94.00	$45.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$231.00	$109.42
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	13	$168.00	$74.67
99221 Initial hospital inpatient care per day, typically 30 minutes	15	14	$220.40	$104.79
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	14	13	$924.29	$106.29
45378 Diagnostic exam of large bowel using a flexible endoscope	13	12	$906.31	$153.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$351.00	$169.56
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	12	12	$1230.58	$274.27
45380 Biopsy of large bowel using an endoscope	12	12	$1074.25	$116.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$226.00	$110.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	66	52	$226.00	$113.67
99213 Established patient office or other outpatient visit, typically 15 minutes	58	42	$154.00	$77.45
99202 New patient office or other outpatient visit, typically 20 minutes	27	27	$158.00	$79.58
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	23	20	$168.00	$75.78
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	14	14	$759.57	$95.38
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	13	13	$826.15	$196.23
99221 Initial hospital inpatient care per day, typically 30 minutes	12	11	$161.08	$107.18
45380 Biopsy of large bowel using an endoscope	12	12	$978.17	$170.68

Medical Specialties & State Licenses

CMS Verified: 2021-05-24

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License PA MD018475

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Hospital & Practice Group Affiliations

Trinity Health Mid-Atlantic Medical Group

1501 Lansdowne Ave, Darby, PA 190231333

Phone: 6102372531

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Dr. Kanika Trehan , MD

Surgery

NPI 1033554969

Doctor of Medicine (M.D.)

Prashanth Ramachandra

Surgery

NPI 1477537876

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location May 24, 2021

Registered at 1501 LANSDOWNE AVE STE 210, DARBY, PA 190231333 (Tel: 6105346170)

📍

Updated Business Mailing Address May 24, 2021

Registered at 41 UNIVERSITY DR STE 106, NEWTOWN, PA 189401873

✅

NPI Profile Active October 15, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location October 15, 2008

Registered at 501 S 54TH ST, SUITE 537, PHILADELPHIA, PA 191431900 (Tel: 2157489653)

📍

Updated Business Mailing Address October 15, 2008

Registered at 1 W ELM ST, CONSHOHOCKEN, PA 194282007 (Tel: 6105676964)

👤

Provider Name / Credentials Updated October 15, 2008

Recorded as LEON CLARKE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 15, 2008

Surgery (License #MD018475 in PA)

🟢

Initial NPI Registration & Enumeration November 16, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295717221

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 16, 2005

Last Update: May 24, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

41 University Dr Ste 106

Newtown, PA 189401873

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.