DR. CHAD LEROY CLARK M.D.
NPI 1023052545
Emergency Medicine in Riverside, CA

Active since June 15, 2006PECOS Enrolled
3865 JACKSON ST, RIVERSIDE, CA 92503(951) 352-5666(951) 352-5445 Get Directions Write a Review

NPPES record last updated: June 13, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Chad Leroy Clark M.d. NPPES

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

DR. CHAD LEROY CLARK M.D. (NPI 1023052545) is an individual emergency medicine provider in Riverside, California, licensed in California (A70662) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023052545
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. CHAD LEROY CLARKCredential: M.D.
Location Address3865 JACKSON STRiverside, CA 92503-3919
Mailing AddressPo Box 661987Arcadia, CA 91066-1987 · (626) 447-0296 · Fax (626) 447-6057
Fax(951) 352-5445
Sole ProprietorNo
Enumeration DateJune 15, 2006
Last NPPES UpdateJune 13, 2008
NPI 1023052545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in CA · A70662
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

3865 JACKSON ST, Riverside, CA 92503

Other Identifiers 4

Medicare UPINH18838CA
Medicaid00A706620CA
Medicare PIN00A706622CA
Medicare PIN00A706623CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Chad Leroy Clark M.d. 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.

Areas of Expertise CMS Part B claims 2

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
15 services14 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92503 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

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.

Radiology (Diagnostic Radiology)
3865 JACKSON ST
RIVERSIDE, CA 92503
Registered Nurse (Registered Nurse First Assistant)
3865 JACKSON ST
RIVERSIDE, CA 92503
Physical Therapist
3865 JACKSON ST
RIVERSIDE, CA 92503
Advanced Practice Midwife
3865 JACKSON ST
RIVERSIDE, CA 92503
Pediatrics (Neonatal-Perinatal Medicine)
3865 JACKSON ST
RIVERSIDE, CA 92503
General Acute Care Hospital
3865 JACKSON ST
RIVERSIDE, CA 92503
Emergency Medicine
3865 JACKSON ST
RIVERSIDE, CA 92503
Pharmacist
3865 JACKSON ST
RIVERSIDE, CA 92503

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 Chad Clark's NPI number?

The NPI number for Chad Clark is 1023052545. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Chad Clark located?

Chad Clark practices at 3865 Jackson St, Riverside, CA 92503. The listed phone number is (951) 352-5666.

What is Chad Clark's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Chad Clark enrolled in Medicare?

Yes. Chad Clark is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Chad Clark was last updated on June 13, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.