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ANDREW RYAN CLARK M.D.
NPI 1033200506
Psychiatry & Neurology - Child & Adolescent Psychiatry in Orefield, PA

Active since September 27, 2006PECOS EnrolledAccepts Medicare Assignment
95.64/100
CMS Quality Rating
5300 KIDSPEACE DR, OREFIELD, PA 18069(610) 799-8000(610) 799-8801 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Jun 2, 2017 (2 updates tracked since 2017).

About Andrew Ryan Clark M.d. NPPES

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

ANDREW RYAN CLARK M.D. (NPI 1033200506) is an individual child & adolescent psychiatry provider in Orefield, Pennsylvania, licensed in Pennsylvania (MD439197) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Drexel University College Of Medicine (2005).

NPPES Registry Identity

NPI1033200506
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameANDREW RYAN CLARKCredential: M.D.
Location Address5300 KIDSPEACE DROrefield, PA 18069-2044
Mailing Address5300 Kidspeace DrOrefield, PA 18069-2044 · (610) 799-8853 · Fax (610) 799-8001
Phone(610) 799-8000
Fax(610) 799-8801
Sole ProprietorNo
Medical School CMSDrexel University College Of MedicineGraduated 2005
Enumeration DateSeptember 27, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1033200506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in PA · MD439197
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License MD439197 (PA)
5300 KIDSPEACE DR, Orefield, PA 18069
Open in Google Maps ↗

Other Identifiers 4

Medicaid102671034-0001PA
OtherLL27954SC · License
OtherMD439197PA · License
Other058450GA · License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrew Ryan 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 ID6507954690
PECOS Enrollment IDI20210927001275
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Andrew Clark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Luke's Physician Group, Inc.
0.9 mi
Family Medicine
3560 ROUTE 309
Orefield, PA 18069
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: St Lukes Physician Group Inc
  • 2,851 clinicians in this Medicare group
NPI 1598867921 (610) 398-2600
Penn Foundation Inc
25 mi
Community/Behavioral Health
807 LAWN AVE
Sellersville, PA 18960
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 75 clinicians in this Medicare group
NPI 1073572715 (215) 257-6551

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

95.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.57
Promoting Interoperability100
Improvement Activities40

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.

KIDSPEACE NATIONAL CENTERS FOR KIDS IN CRISIS, INC.
Family Medicine
5300 KIDSPEACE DR
OREFIELD, PA 18069
Lehigh County (610) 799-8000
HUMA SHUJA M.D.
Pediatrics
5300 KIDSPEACE DR
OREFIELD, PA 18069
Lehigh County (610) 799-8853
KIDSPEACE NATIONAL CENTERS INC
Psychiatric Residential Treatment Facility
5300 KIDSPEACE DR
OREFIELD, PA 18069
Lehigh County (800) 854-3123
DR. SARAH JANE FERNSLER MD
Pediatrics
5300 KIDSPEACE DR
OREFIELD, PA 18069
Lehigh County (610) 799-8545
JOANNA BOYINGTON PHYSICIAN ASSISTANT
Physician Assistant (Medical)
5300 KIDSPEACE DR
OREFIELD, PA 18069
Lehigh County (610) 799-8000
KIMBERLY ANN POPOVICH BSL, M.ED
Behavior Analyst
5300 KIDSPEACE DR
OREFIELD, PA 18069
Lehigh County (484) 264-0966
DR. ASHLEIGH ANDERSON DO
Psychiatry & Neurology (Child & Adolescent Psychiatry)
5300 KIDSPEACE DR
OREFIELD, PA 18069
Lehigh County (610) 799-8853
KIDSPEACE NATIONAL CENTERS INC
Psychiatric Residential Treatment Facility
5300 KIDSPEACE DR
OREFIELD, PA 18069
Lehigh County (800) 854-3123

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 Andrew Clark's NPI number?

The NPI number for Andrew Clark is 1033200506. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Andrew Clark located?

Andrew Clark practices at 5300 Kidspeace Dr, Orefield, PA 18069. The listed phone number is (610) 799-8000.

What is Andrew Clark's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Andrew Clark enrolled in Medicare?

Yes. Andrew 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.

Which organizations bill Medicare for Andrew Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Clark reassigns Medicare benefits to 2 organizations: St. Luke's Physician Group, Inc. (Orefield, PA) and Penn Foundation Inc (Sellersville, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrew Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Andrew Clark was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.