CLARK OLAVI ANDELIN MD
NPI 1013114453
Obstetrics & Gynecology in Quincy, IL

Q: What is Clark Andelin's NPI number?

The NPI number for Clark Andelin is 1013114453. It was assigned to this individual provider in the NPPES registry on June 29, 2007.

Q: What is Clark Andelin's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Clark Andelin was last updated on January 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 29, 2007PECOS Enrolled

1005 BROADWAY ST, QUINCY, IL 62301(217) 223-8400 Get Directions Write a Review

NPPES record last updated: January 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 13, 2026, Oct 11, 2020 (2 updates tracked since 2020).

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About Clark Olavi Andelin Md NPPES

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

CLARK OLAVI ANDELIN MD (NPI 1013114453) is an individual obstetrics & gynecology provider in Quincy, Illinois, licensed in Illinois (036148618) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013114453

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameCLARK OLAVI ANDELINCredential: MD

Location Address1005 BROADWAY STQuincy, IL 62301-2834

Mailing Address1005 Broadway StQuincy, IL 62301-2834 · (217) 223-8400

Phone(217) 223-8400

Sole ProprietorNo

Enumeration DateJune 29, 2007

Last NPPES UpdateJanuary 13, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 13, 2026

✔ NPI 1013114453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in IL · 036148618✔ Licensed in MO · 2007019019

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1005 BROADWAY ST, Quincy, IL 62301

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clark Olavi Andelin Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62301 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

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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.

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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.

ANGELA BYERLY

Pharmacist