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DR. EDWARD C CLARK M.D.
NPI 1013917814
Internal Medicine - Nephrology in Erie, PA

Active since July 22, 2005PECOS EnrolledAccepts Medicare Assignment
311 W 24TH ST, SUITE 402, ERIE, PA 16502(814) 453-6687(814) 456-4676 Get Directions Write a Review

NPPES record last updated: November 13, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Edward C Clark M.d. NPPES

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

DR. EDWARD C CLARK M.D. (NPI 1013917814) is an individual nephrology provider in Erie, Pennsylvania, licensed in Pennsylvania (MD055901L) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Saint Vincent Hospital, and is a graduate of Hahnemann University College Of Medicine (1983).

NPPES Registry Identity

NPI1013917814
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. EDWARD C CLARKCredential: M.D.
Location Address311 W 24TH ST, SUITE 402Erie, PA 16502-2665
Mailing Address311 W 24th St, Suite 402Erie, PA 16502-2665 · (814) 453-6687 · Fax (814) 456-4676
Phone(814) 453-6687
Fax(814) 456-4676
Sole ProprietorNo
Medical School CMSHahnemann University College Of MedicineGraduated 1983
Enumeration DateJuly 22, 2005
Last NPPES UpdateNovember 13, 2009
✔ NPI 1013917814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in PA · MD055901L
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

311 W 24TH ST, Erie, PA 16502
Open in Google Maps ↗

Other Identifiers 7

Medicaid0015345390001PA
Medicare PIN776463PA
Medicare ID-Type Unspecified776463PA
Medicare UPINE41586PR
Other776463PA · Highmark Pa Bs
Other390004949PA · Medicare Palmetto
Other208292PA · Upmc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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. Edward C 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 ID143297739
PECOS Enrollment IDI20101007000453
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.

Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
290 services63 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
81 services43 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
75 services44 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
36 services26 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
19 services19 patients
Dialysis services, 1 physician visit per month (20 years or older) 90962
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can’t do their job. A physician visit once a month ensures your treatment is working effectively and adjusts it if necessary. This service is available for individuals aged 20 years and older.
13 services11 patients

Hospital Affiliations CMS Care Compare

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

Saint Vincent Hospital

Acute Care Hospitals · Erie, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390009
Location232 West 25th StreetErie, PA 16544 · Erie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16502 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Azathioprine, oral, 50 mg J7500
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier11 claims660 services$6.51 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
2 suppliers13 claims13 services$17.53 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 20

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

MUSTAFA AL JUBOORI DO
Student in an Organized Health Care Education/Training Program
311 W 24TH ST
ERIE, PA 16502
Erie County (914) 452-5000
PPC ANESTHESIA, INC.
Anesthesiology
311 W 24TH ST, SUITE #303
ERIE, PA 16502
Erie County (814) 454-1530
VINCENT BRICK
Student in an Organized Health Care Education/Training Program
311 W 24TH ST
ERIE, PA 16502
Erie County (814) 452-5100
SAINT VINCENT MEDICAL EDUCATION AND RESEARCH INST. INC
Podiatrist (Foot & Ankle Surgery)
311 W 24TH ST, SUITE 303
ERIE, PA 16502
Erie County (814) 835-3751
ZACHARY DOUGLAS ANDERSON
Student in an Organized Health Care Education/Training Program
311 W 24TH ST
ERIE, PA 16502
Erie County (814) 452-5100
SAINT VINCENT WOMEN'S CENTER
General Acute Care Hospital
311 W 24TH ST
ERIE, PA 16502
Erie County (814) 452-5879
DR. GRANT L PERRY MD
Family Medicine
311 W 24TH ST
ERIE, PA 16502
Erie County (512) 923-4456
BRIANNA HUFF DO
Student in an Organized Health Care Education/Training Program
311 W 24TH ST
ERIE, PA 16502
Erie County (814) 452-5100

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 Edward Clark's NPI number?

The NPI number for Edward Clark is 1013917814. It was assigned to this individual provider in the NPPES registry on July 22, 2005.

Where is Edward Clark located?

Edward Clark practices at 311 W 24th St Suite 402, Erie, PA 16502. The listed phone number is (814) 453-6687.

What is Edward Clark's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Edward Clark enrolled in Medicare?

Yes. Edward 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 Edward Clark accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Edward 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 Edward Clark affiliated with any hospitals?

According to CMS data, Edward Clark is affiliated with Saint Vincent Hospital.

When was this NPI record last updated?

The NPPES record for Edward Clark was last updated on November 13, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.