DR. CLIFFORD GEORGE RISK M.D., PH.D.
NPI 1013029651
Internal Medicine - Pulmonary Disease in Marlborough, MA

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
18.97/100
CMS Quality Rating
320 BOLTON ST, SUITE 101, MARLBOROUGH, MA 01752(508) 481-4288(508) 624-7228 Get Directions Write a Review

NPPES record last updated: May 14, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Clifford George Risk M.d., Ph.d. NPPES

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

DR. CLIFFORD GEORGE RISK M.D., PH.D. (NPI 1013029651) is an individual pulmonary disease provider in Marlborough, Massachusetts, licensed in Massachusetts (47576) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Healthcare-marlborough Hospital, and is a graduate of Irvine California College Of Medicine (1977).

NPPES Registry Identity

NPI1013029651
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. CLIFFORD GEORGE RISKCredential: M.D., PH.D.
Location Address320 BOLTON ST, SUITE 101Marlborough, MA 01752-3980
Mailing Address320 Bolton St, Suite 101Marlborough, MA 01752-3980 · (508) 481-4288 · Fax (508) 624-7228
Fax(508) 624-7228
Sole ProprietorYes
Medical School CMSIrvine California College Of MedicineGraduated 1977
Enumeration DateAugust 31, 2006
Last NPPES UpdateMay 14, 2014
NPI 1013029651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in MA · 47576
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedLegal MedicineTaxonomy 173000000X · License 47576 (MA)
320 BOLTON ST, Marlborough, MA 01752

Other Identifiers 3

Medicare ID-Type UnspecifiedV02651MA
Medicaid6166164MA
Medicare UPINA66274MA

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

Dr. Clifford George Risk M.d., Ph.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 ID4284641069
PECOS Enrollment IDI20060320000595
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 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
627 services178 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
240 services63 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
115 services43 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
33 services26 patients
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.
25 services25 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
13 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Umass Memorial Healthcare-Marlborough Hospital

Acute Care Hospitals · Marlborough, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220049
Location157 Union StreetMarlborough, MA 01752 · Middlesex County
Emergency services

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01752 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

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.

18.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost63.24

Referred Medical Equipment & Supplies CMS DME claims 24

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers16 claims40 services$5.60 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers83 claims83 services$35.28 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers65 claims65 services$79.85 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers142 claims191 services$29.32 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
5 suppliers89 claims269 services$16.06 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
3 suppliers45 claims151 services$12.74 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
320 BOLTON ST
MARLBOROUGH, MA 01752
Otolaryngology
320 BOLTON ST, 102
MARLBOROUGH, MA 01752
Clinical Medical Laboratory
320 BOLTON ST, SUITE 100
MARLBOROUGH, MA 01752
Internal Medicine
320 BOLTON ST
MARLBOROUGH, MA 01752
Dentist (General Practice)
320 BOLTON ST
MARLBOROUGH, MA 01752
Pediatrics (Adolescent Medicine)
320 BOLTON ST
MARLBOROUGH, MA 01752
Pediatrics
320 BOLTON ST
MARLBOROUGH, MA 01752
Pediatrics
320 BOLTON ST, MARLBORO PEDIATRICS
MARLBORO, MA 01752

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 Clifford Risk's NPI number?

The NPI number for Clifford Risk is 1013029651. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Clifford Risk located?

Clifford Risk practices at 320 Bolton St Suite 101, Marlborough, MA 01752. The listed phone number is (508) 481-4288.

What is Clifford Risk's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Clifford Risk enrolled in Medicare?

Yes. Clifford Risk 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 Clifford Risk accept?

Health plans from Anthem Blue Cross and Blue Shield list Clifford Risk 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 Clifford Risk affiliated with any hospitals?

According to CMS data, Clifford Risk is affiliated with Umass Memorial Healthcare-Marlborough Hospital and Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for Clifford Risk was last updated on May 14, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.