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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. ROBERT EDWARD CLARK MD
NPI 1033372727
Internal Medicine - Gastroenterology in Bloomington, IL

Active since July 03, 2008PECOS EnrolledAccepts Medicare Assignment
85.09/100
CMS Quality Rating
1709 TULLAMORE AVE STE C, BLOOMINGTON, IL 61704(309) 454-5900(309) 454-2820 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Robert Edward Clark Md NPPES

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

DR. ROBERT EDWARD CLARK MD (NPI 1033372727) is an individual gastroenterology provider in Bloomington, Illinois, licensed in Illinois (036131371) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Carle Bromenn Medical Center, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1033372727
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. ROBERT EDWARD CLARKCredential: MD
Location Address1709 TULLAMORE AVE STE CBloomington, IL 61704-9603
Mailing Address1709 Tullamore Ave Ste CBloomington, IL 61704-9603 · (309) 454-5900 · Fax (309) 454-2820
Phone(309) 454-5900
Fax(309) 454-2820
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 3, 2008
Last NPPES UpdateJune 26, 2026
NPPES CertifiedJune 26, 2026
✔ NPI 1033372727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in IL · 036131371✔ Licensed in MO · 2010017443
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License MT190170 (PA)
1709 TULLAMORE AVE STE C, Bloomington, IL 61704
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, 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. Robert Edward Clark Md 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 ID9537309711
PECOS Enrollment IDI20130711000493
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 9

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.

Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
250 services250 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
217 services215 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
125 services117 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.
101 services80 patients
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.
92 services74 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
43 services43 patients

Hospital Affiliations CMS Care Compare 4

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

Carle Bromenn Medical Center

Acute Care Hospitals · Normal, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140127
Location1304 Franklin AvenueNormal, IL 61761 · Mc Lean County
Emergency services Birthing friendly

Saint James Hospital

Acute Care Hospitals · Pontiac, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140161
Location2500 West Reynolds StreetPontiac, IL 61764 · Livingston County
Birthing friendly

St Joseph Medical Center

Acute Care Hospitals · Bloomington, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140162
Location2200 E WashingtonBloomington, IL 61701 · Mc Lean County
Emergency services Birthing friendly

Warner Hospital And Health Services

Critical Access Hospitals · Clinton, IL
OwnershipGovernment - Local
CMS Certification Number141303
Location422 W White StClinton, IL 61727 · De Witt County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61704 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
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

85.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.16
Promoting Interoperability99
Improvement Activities40
Cost77.98

Other Providers at the Same Location NPPES 3

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

AMY J STITES PA-C
Physician Assistant
1709 TULLAMORE AVE STE C
BLOOMINGTON, IL 61704
McLean County (309) 454-5900
VIJAY LAXMI MISRA M.D.
Internal Medicine (Gastroenterology)
1709 TULLAMORE AVE STE C
BLOOMINGTON, IL 61704
McLean County (309) 454-5900
ALEXIS HUSS PA-C
Physician Assistant
1709 TULLAMORE AVE STE C
BLOOMINGTON, IL 61704
McLean County (309) 454-5900

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 Robert Clark's NPI number?

The NPI number for Robert Clark is 1033372727. It was assigned to this individual provider in the NPPES registry on July 3, 2008.

Where is Robert Clark located?

Robert Clark practices at 1709 Tullamore Ave Ste C, Bloomington, IL 61704. The listed phone number is (309) 454-5900.

What is Robert Clark's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Robert Clark enrolled in Medicare?

Yes. Robert 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 Robert Clark accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Robert 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 Robert Clark affiliated with any hospitals?

According to CMS data, Robert Clark is affiliated with Carle Bromenn Medical Center, Saint James Hospital, St Joseph Medical Center and Warner Hospital And Health Services.

When was this NPI record last updated?

The NPPES record for Robert Clark was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 57 days 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.